{"id":3437,"date":"2024-01-01T07:00:46","date_gmt":"2024-01-01T12:00:46","guid":{"rendered":"http:\/\/ftpdemo.com\/immidox\/?page_id=3437"},"modified":"2026-01-14T16:54:07","modified_gmt":"2026-01-14T21:54:07","slug":"inscripcion-en-linea","status":"publish","type":"page","link":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/","title":{"rendered":"Inscripci\u00f3n En Linea"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3437\" class=\"elementor elementor-3437\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5456e78 e-con-full e-flex e-con e-child \" data-id=\"5456e78\" data-element_type=\"container\" data-e-type=\"container\"><div class=\"elementor-element elementor-element-376de2b e-con-full e-flex e-con e-child \" data-id=\"376de2b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\"><div class=\"elementor-element elementor-element-497b0c5 e-con-full e-flex e-con e-child \" data-id=\"497b0c5\" data-element_type=\"container\" data-e-type=\"container\">\t\t<div class=\"elementor-element elementor-element-fb6c6b0 elementor-widget elementor-widget-pxl_heading\" data-id=\"fb6c6b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pxl-pxl_heading-fb6c6b0-3610\" class=\"pxl-heading pxl-heading--tcustom px-sub-title-box-style\">\n\t<div class=\"pxl-heading--inner\">\n\t\t\t\t\n\t\t<div class=\"pxl-item--subtitle px-sub-title-box \" data-wow-delay=\"ms\">\n\t\t\t<span class=\"pxl-item--subtext\">\n\t\t\t\t\t\t\t\tINSCRIPCION EN LINEA\t\t\t<\/span>\n\t\t<\/div>\n\t\t\n\t<h3 class=\"pxl-item--title \" data-wow-delay=\"ms\">\n\t\u00a1Asegura el cupo de tu hijo hoy mismo! Puedes iniciar el proceso de inscripci\u00f3n totalmente en l\u00ednea desde nuestra p\u00e1gina web!\t\t\t\n\t<\/h3>\n\t\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53cf6bc elementor-widget elementor-widget-wp-widget-wpforms-widget\" data-id=\"53cf6bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-wpforms-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5>\u00a1INSCRIBETE EN LINEA AHORA!<\/h5><div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume wpforms-render-modern\" id=\"wpforms-15118\"><form id=\"wpforms-form-15118\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"15118\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/website\/wp-json\/wp\/v2\/pages\/3437?wpforms_form_id=15118\" data-token=\"7cabaac109b8d1f658b4c673bc516ab0\" data-token-time=\"1776363493\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#066937\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"8\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" data-page-1-title=\"INFORMACION DEL ESTUDIANTE\" data-page-2-title=\"INFORMACI\u00d3N DE LA MADRE\" data-page-3-title=\"INFORMACI\u00d3N DEL PADRE\" data-page-4-title=\"DATOS DEL ACUDIENTE\" data-page-5-title=\"INFORMACI\u00d3N HISTORIA CLINICA\" data-page-6-title=\"INFORMACI\u00d3N HISTORIA FAMILIAR\" data-page-7-title=\"INFORMACI\u00d3N HISTORIA ACADEMICA\" data-page-8-title=\"REQUISITOS DE INSCRIPCI\u00d3N\">INFORMACION DEL ESTUDIANTE<\/span><span class=\"wpforms-page-indicator-page-title-sep\" > - <\/span><span class=\"wpforms-page-indicator-steps\">Paso <span class=\"wpforms-page-indicator-steps-current\">1<\/span> de 8<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:12.5%;background-color:#066937\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-15118-field_18-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"18\"><\/div><div id=\"wpforms-15118-field_1-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"1\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACION DEL ESTUDIANTE\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Nombre y Apellidos<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_2\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-15118-field_2-error\" ><label for=\"wpforms-15118-field_2\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_2-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-15118-field_2-last-error\" ><label for=\"wpforms-15118-field_2-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_3-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Direcci\u00f3n del Estudiante<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-15118-field_3\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][3][address1]\" aria-errormessage=\"wpforms-15118-field_3-error\" ><label for=\"wpforms-15118-field_3\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-15118-field_3-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][3][city]\" value=\"Cartagena de Indias\" aria-errormessage=\"wpforms-15118-field_3-city-error\" ><label for=\"wpforms-15118-field_3-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_3-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][3][state]\" value=\"Bolivar\" aria-errormessage=\"wpforms-15118-field_3-state-error\" ><label for=\"wpforms-15118-field_3-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-15118-field_3-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][3][country]\" value=\"CO\" aria-errormessage=\"wpforms-15118-field_3-country-error\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\"  selected='selected'>Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-15118-field_3-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_4-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"4\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_11-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_11\">Numero Telef\u00f3nico<\/label><input type=\"tel\" id=\"wpforms-15118-field_11\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][11]\" aria-label=\"Numero Telef\u00f3nico\" aria-errormessage=\"wpforms-15118-field_11-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_12-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_12\">Numero Celular<\/label><input type=\"tel\" id=\"wpforms-15118-field_12\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][12]\" aria-label=\"Numero Celular\" aria-errormessage=\"wpforms-15118-field_12-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_13\">Correo Electr\u00f3nico<\/label><input type=\"email\" id=\"wpforms-15118-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15118-field_13-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_6-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_6\">Documento de Identidad<\/label><select id=\"wpforms-15118-field_6\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][6]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"R.C.\"  class=\"choice-1 depth-1\"  >R.C.<\/option><option value=\"T.I.\"  class=\"choice-2 depth-1\"  >T.I.<\/option><option value=\"C.C.\"  class=\"choice-3 depth-1\"  >C.C.<\/option><option value=\"C.E.\"  class=\"choice-5 depth-1\"  >C.E.<\/option><option value=\"P.P.\"  class=\"choice-4 depth-1\"  >P.P.<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_5\">Numero D.I.<\/label><input type=\"text\" id=\"wpforms-15118-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-15118-field_5-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_7\">Expedido en<\/label><input type=\"text\" id=\"wpforms-15118-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-15118-field_7-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_8-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_8\">Fecha de Nacimiento<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-15118-field_8\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][8][date]\" aria-errormessage=\"wpforms-15118-field_8-error\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_9\">Lugar de Nacimiento<\/label><input type=\"text\" id=\"wpforms-15118-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-15118-field_9-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_10\">Grupo Sangu\u00edneo<\/label><select id=\"wpforms-15118-field_10\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][10]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"A+\"  class=\"choice-1 depth-1\"  >A+<\/option><option value=\"O+\"  class=\"choice-2 depth-1\"  >O+<\/option><option value=\"B+\"  class=\"choice-3 depth-1\"  >B+<\/option><option value=\"AB+\"  class=\"choice-4 depth-1\"  >AB+<\/option><option value=\"A-\"  class=\"choice-5 depth-1\"  >A-<\/option><option value=\"O-\"  class=\"choice-6 depth-1\"  >O-<\/option><option value=\"B-\"  class=\"choice-8 depth-1\"  >B-<\/option><option value=\"AB-\"  class=\"choice-7 depth-1\"  >AB-<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_14\">N\u00b0 del Carnet del Sisb\u00e9n<\/label><input type=\"text\" id=\"wpforms-15118-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-15118-field_14-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_15\">Nivel del Sisb\u00e9n<\/label><input type=\"text\" id=\"wpforms-15118-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-15118-field_15-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_16\">EPS<\/label><input type=\"text\" id=\"wpforms-15118-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-15118-field_16-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_17-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"17\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Siguiente<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-15118-field_24-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"24\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACI\u00d3N DE LA MADRE\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_23-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"23\"><fieldset><legend class=\"wpforms-field-label\">Nombre y Apellidos de la Madre<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_23\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][23][first]\" aria-errormessage=\"wpforms-15118-field_23-error\" ><label for=\"wpforms-15118-field_23\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_23-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][23][last]\" aria-errormessage=\"wpforms-15118-field_23-last-error\" ><label for=\"wpforms-15118-field_23-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_26-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"26\"><fieldset><legend class=\"wpforms-field-label\">Direcci\u00f3n de la Madre<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-15118-field_26\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][26][address1]\" aria-errormessage=\"wpforms-15118-field_26-error\" ><label for=\"wpforms-15118-field_26\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-15118-field_26-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][26][city]\" value=\"Cartagena de Indias\" aria-errormessage=\"wpforms-15118-field_26-city-error\" ><label for=\"wpforms-15118-field_26-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_26-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][26][state]\" value=\"Bolivar\" aria-errormessage=\"wpforms-15118-field_26-state-error\" ><label for=\"wpforms-15118-field_26-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-15118-field_26-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][26][country]\" value=\"CO\" aria-errormessage=\"wpforms-15118-field_26-country-error\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\"  selected='selected'>Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-15118-field_26-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_65-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"65\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_66-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_66\">Numero Telef\u00f3nico<\/label><input type=\"tel\" id=\"wpforms-15118-field_66\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][66]\" aria-label=\"Numero Telef\u00f3nico\" aria-errormessage=\"wpforms-15118-field_66-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_71-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_71\">Numero Celular<\/label><input type=\"tel\" id=\"wpforms-15118-field_71\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][71]\" aria-label=\"Numero Celular\" aria-errormessage=\"wpforms-15118-field_71-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_76-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_76\">Correo Electr\u00f3nico<\/label><input type=\"email\" id=\"wpforms-15118-field_76\" class=\"wpforms-field-medium\" name=\"wpforms[fields][76]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15118-field_76-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_67-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_67\">Documento de Identidad<\/label><select id=\"wpforms-15118-field_67\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][67]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"R.C.\"  class=\"choice-1 depth-1\"  >R.C.<\/option><option value=\"T.I.\"  class=\"choice-2 depth-1\"  >T.I.<\/option><option value=\"C.C.\"  class=\"choice-3 depth-1\"  >C.C.<\/option><option value=\"C.E.\"  class=\"choice-5 depth-1\"  >C.E.<\/option><option value=\"P.P.\"  class=\"choice-4 depth-1\"  >P.P.<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_72-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"72\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_72\">Numero D.I.<\/label><input type=\"text\" id=\"wpforms-15118-field_72\" class=\"wpforms-field-medium\" name=\"wpforms[fields][72]\" aria-errormessage=\"wpforms-15118-field_72-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_77-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"77\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_77\">Expedido en<\/label><input type=\"text\" id=\"wpforms-15118-field_77\" class=\"wpforms-field-medium\" name=\"wpforms[fields][77]\" aria-errormessage=\"wpforms-15118-field_77-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_140-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"140\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_119-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"119\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_119\">\u00bfTrabaja como independiente?<\/label><select id=\"wpforms-15118-field_119\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][119]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-5 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><option value=\"EMPLEADO\"  class=\"choice-1 depth-1\"  >EMPLEADO<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_112-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"112\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_112\">Forma de Pago del Colegio<\/label><select id=\"wpforms-15118-field_112\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][112]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Tarjeta Debito\"  class=\"choice-1 depth-1\"  >Tarjeta Debito<\/option><option value=\"Tarjeta de Cr\u00e9dito\"  class=\"choice-2 depth-1\"  >Tarjeta de Cr\u00e9dito<\/option><option value=\"Transferencia Electr\u00f3nica\"  class=\"choice-3 depth-1\"  >Transferencia Electr\u00f3nica<\/option><option value=\"Consignaci\u00f3n Bancaria\"  class=\"choice-5 depth-1\"  >Consignaci\u00f3n Bancaria<\/option><option value=\"Cheque\"  class=\"choice-4 depth-1\"  >Cheque<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_117-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"117\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_117\">Ingresos Aproximados<\/label><input type=\"text\" id=\"wpforms-15118-field_117\" class=\"wpforms-field-medium\" name=\"wpforms[fields][117]\" aria-errormessage=\"wpforms-15118-field_117-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_118-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"textarea\" data-field-id=\"118\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_118\">Descripci\u00f3n de su actividad econ\u00f3mica<\/label><textarea id=\"wpforms-15118-field_118\" class=\"wpforms-field-medium\" name=\"wpforms[fields][118]\" placeholder=\"En caso de ser independiente llenar este campo\" aria-errormessage=\"wpforms-15118-field_118-error\" ><\/textarea><\/div><div id=\"wpforms-15118-field_109-container\" class=\"wpforms-field wpforms-field-layout wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"layout\" data-field-id=\"109\" style=\"display:none;\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_111-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"111\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_111\">Informaci\u00f3n Acad\u00e9mica<\/label><select id=\"wpforms-15118-field_111\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][111]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Primaria\"  class=\"choice-1 depth-1\"  >Primaria<\/option><option value=\"Secundaria\"  class=\"choice-2 depth-1\"  >Secundaria<\/option><option value=\"T\u00e9cnico Profesional\"  class=\"choice-3 depth-1\"  >T\u00e9cnico Profesional<\/option><option value=\"Tecn\u00f3logo\"  class=\"choice-5 depth-1\"  >Tecn\u00f3logo<\/option><option value=\"Profesional Universitario\"  class=\"choice-4 depth-1\"  >Profesional Universitario<\/option><option value=\"Especializaci\u00f3n\"  class=\"choice-7 depth-1\"  >Especializaci\u00f3n<\/option><option value=\"Maestr\u00eda\"  class=\"choice-6 depth-1\"  >Maestr\u00eda<\/option><option value=\"Doctorado\"  class=\"choice-8 depth-1\"  >Doctorado<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_114-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"114\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_114\">Titulo Obtenido<\/label><input type=\"text\" id=\"wpforms-15118-field_114\" class=\"wpforms-field-medium\" name=\"wpforms[fields][114]\" aria-errormessage=\"wpforms-15118-field_114-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_115-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"115\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_115\">Declara Renta<\/label><select id=\"wpforms-15118-field_115\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][115]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_100-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"100\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_100\">Empresa donde labora<\/label><input type=\"text\" id=\"wpforms-15118-field_100\" class=\"wpforms-field-medium\" name=\"wpforms[fields][100]\" aria-errormessage=\"wpforms-15118-field_100-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_73-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_73\">Tiempo de Servicio<\/label><input type=\"text\" id=\"wpforms-15118-field_73\" class=\"wpforms-field-medium\" name=\"wpforms[fields][73]\" aria-errormessage=\"wpforms-15118-field_73-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_79\">Cargo<\/label><input type=\"text\" id=\"wpforms-15118-field_79\" class=\"wpforms-field-medium\" name=\"wpforms[fields][79]\" aria-errormessage=\"wpforms-15118-field_79-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_110-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"110\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_110\">Numero Telef\u00f3nico Laboral<\/label><input type=\"tel\" id=\"wpforms-15118-field_110\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][110]\" aria-label=\"Numero Telef\u00f3nico Laboral\" aria-errormessage=\"wpforms-15118-field_110-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_113-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"113\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_113\">Numero Celular Laboral<\/label><input type=\"tel\" id=\"wpforms-15118-field_113\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][113]\" aria-label=\"Numero Celular Laboral\" aria-errormessage=\"wpforms-15118-field_113-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_116-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"email\" data-field-id=\"116\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_116\">Correo Electr\u00f3nico Laboral<\/label><input type=\"email\" id=\"wpforms-15118-field_116\" class=\"wpforms-field-medium\" name=\"wpforms[fields][116]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15118-field_116-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_108-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"address\" data-field-id=\"108\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Direcci\u00f3n Laboral<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-15118-field_108\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][108][address1]\" aria-errormessage=\"wpforms-15118-field_108-error\" ><label for=\"wpforms-15118-field_108\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-15118-field_108-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][108][city]\" value=\"Cartagena de Indias\" aria-errormessage=\"wpforms-15118-field_108-city-error\" ><label for=\"wpforms-15118-field_108-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_108-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][108][state]\" value=\"Bolivar\" aria-errormessage=\"wpforms-15118-field_108-state-error\" ><label for=\"wpforms-15118-field_108-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-15118-field_108-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][108][country]\" value=\"CO\" aria-errormessage=\"wpforms-15118-field_108-country-error\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\"  selected='selected'>Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-15118-field_108-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-15118-field_25-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"25\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Anterior<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Siguiente<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-15118-field_62-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"62\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACI\u00d3N DEL PADRE\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_63-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"63\"><fieldset><legend class=\"wpforms-field-label\">Nombre y Apellidos del Padre<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_63\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][63][first]\" aria-errormessage=\"wpforms-15118-field_63-error\" ><label for=\"wpforms-15118-field_63\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_63-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][63][last]\" aria-errormessage=\"wpforms-15118-field_63-last-error\" ><label for=\"wpforms-15118-field_63-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_64-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"64\"><fieldset><legend class=\"wpforms-field-label\">Direcci\u00f3n del Padre<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-15118-field_64\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][64][address1]\" aria-errormessage=\"wpforms-15118-field_64-error\" ><label for=\"wpforms-15118-field_64\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-15118-field_64-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][64][city]\" value=\"Cartagena de Indias\" aria-errormessage=\"wpforms-15118-field_64-city-error\" ><label for=\"wpforms-15118-field_64-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_64-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][64][state]\" value=\"Bolivar\" aria-errormessage=\"wpforms-15118-field_64-state-error\" ><label for=\"wpforms-15118-field_64-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-15118-field_64-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][64][country]\" value=\"CO\" aria-errormessage=\"wpforms-15118-field_64-country-error\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\"  selected='selected'>Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-15118-field_64-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_27-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"27\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_28-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_28\">Numero Telef\u00f3nico<\/label><input type=\"tel\" id=\"wpforms-15118-field_28\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][28]\" aria-label=\"Numero Telef\u00f3nico\" aria-errormessage=\"wpforms-15118-field_28-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_33-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_33\">Numero Celular<\/label><input type=\"tel\" id=\"wpforms-15118-field_33\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][33]\" aria-label=\"Numero Celular\" aria-errormessage=\"wpforms-15118-field_33-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_38-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_38\">Correo Electr\u00f3nico<\/label><input type=\"email\" id=\"wpforms-15118-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15118-field_38-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_29\">Documento de Identidad<\/label><select id=\"wpforms-15118-field_29\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][29]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"R.C.\"  class=\"choice-1 depth-1\"  >R.C.<\/option><option value=\"T.I.\"  class=\"choice-2 depth-1\"  >T.I.<\/option><option value=\"C.C.\"  class=\"choice-3 depth-1\"  >C.C.<\/option><option value=\"C.E.\"  class=\"choice-5 depth-1\"  >C.E.<\/option><option value=\"P.P.\"  class=\"choice-4 depth-1\"  >P.P.<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_34\">Numero D.I.<\/label><input type=\"text\" id=\"wpforms-15118-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-15118-field_34-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_39\">Expedido en<\/label><input type=\"text\" id=\"wpforms-15118-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" aria-errormessage=\"wpforms-15118-field_39-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_141-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"141\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_142-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"142\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_142\">\u00bfTrabaja como independiente?<\/label><select id=\"wpforms-15118-field_142\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][142]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-5 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><option value=\"EMPLEADO\"  class=\"choice-1 depth-1\"  >EMPLEADO<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_144-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"144\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_144\">Forma de Pago del Colegio<\/label><select id=\"wpforms-15118-field_144\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][144]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Tarjeta Debito\"  class=\"choice-1 depth-1\"  >Tarjeta Debito<\/option><option value=\"Tarjeta de Cr\u00e9dito\"  class=\"choice-2 depth-1\"  >Tarjeta de Cr\u00e9dito<\/option><option value=\"Transferencia Electr\u00f3nica\"  class=\"choice-3 depth-1\"  >Transferencia Electr\u00f3nica<\/option><option value=\"Consignaci\u00f3n Bancaria\"  class=\"choice-5 depth-1\"  >Consignaci\u00f3n Bancaria<\/option><option value=\"Cheque\"  class=\"choice-4 depth-1\"  >Cheque<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_143-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"143\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_143\">Ingresos Aproximados<\/label><input type=\"text\" id=\"wpforms-15118-field_143\" class=\"wpforms-field-medium\" name=\"wpforms[fields][143]\" aria-errormessage=\"wpforms-15118-field_143-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_106-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"textarea\" data-field-id=\"106\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_106\">Descripci\u00f3n de su actividad econ\u00f3mica<\/label><textarea id=\"wpforms-15118-field_106\" class=\"wpforms-field-medium\" name=\"wpforms[fields][106]\" placeholder=\"En caso de ser independiente llenar este campo\" aria-errormessage=\"wpforms-15118-field_106-error\" ><\/textarea><\/div><div id=\"wpforms-15118-field_90-container\" class=\"wpforms-field wpforms-field-layout wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"layout\" data-field-id=\"90\" style=\"display:none;\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_101-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"101\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_101\">Informaci\u00f3n Acad\u00e9mica<\/label><select id=\"wpforms-15118-field_101\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][101]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Primaria\"  class=\"choice-1 depth-1\"  >Primaria<\/option><option value=\"Secundaria\"  class=\"choice-2 depth-1\"  >Secundaria<\/option><option value=\"T\u00e9cnico Profesional\"  class=\"choice-3 depth-1\"  >T\u00e9cnico Profesional<\/option><option value=\"Tecn\u00f3logo\"  class=\"choice-5 depth-1\"  >Tecn\u00f3logo<\/option><option value=\"Profesional Universitario\"  class=\"choice-4 depth-1\"  >Profesional Universitario<\/option><option value=\"Especializaci\u00f3n\"  class=\"choice-7 depth-1\"  >Especializaci\u00f3n<\/option><option value=\"Maestr\u00eda\"  class=\"choice-6 depth-1\"  >Maestr\u00eda<\/option><option value=\"Doctorado\"  class=\"choice-8 depth-1\"  >Doctorado<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_102-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"102\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_102\">Titulo Obtenido<\/label><input type=\"text\" id=\"wpforms-15118-field_102\" class=\"wpforms-field-medium\" name=\"wpforms[fields][102]\" aria-errormessage=\"wpforms-15118-field_102-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_105-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"105\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_105\">Declara Renta<\/label><select id=\"wpforms-15118-field_105\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][105]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_31-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"31\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_31\">Empresa donde labora<\/label><input type=\"text\" id=\"wpforms-15118-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-15118-field_31-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_36-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"36\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_36\">Tiempo de Servicio<\/label><input type=\"text\" id=\"wpforms-15118-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-15118-field_36-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_41-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"41\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_41\">Cargo<\/label><input type=\"text\" id=\"wpforms-15118-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-15118-field_41-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_91-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"91\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_91\">Numero Telef\u00f3nico Laboral<\/label><input type=\"tel\" id=\"wpforms-15118-field_91\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][91]\" aria-label=\"Numero Telef\u00f3nico Laboral\" aria-errormessage=\"wpforms-15118-field_91-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_94-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"94\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_94\">Numero Celular Laboral<\/label><input type=\"tel\" id=\"wpforms-15118-field_94\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][94]\" aria-label=\"Numero Celular Laboral\" aria-errormessage=\"wpforms-15118-field_94-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_97-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"email\" data-field-id=\"97\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_97\">Correo Electr\u00f3nico Laboral<\/label><input type=\"email\" id=\"wpforms-15118-field_97\" class=\"wpforms-field-medium\" name=\"wpforms[fields][97]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15118-field_97-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_85-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"address\" data-field-id=\"85\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Direcci\u00f3n Laboral<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-15118-field_85\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][85][address1]\" aria-errormessage=\"wpforms-15118-field_85-error\" ><label for=\"wpforms-15118-field_85\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-15118-field_85-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][85][city]\" value=\"Cartagena de Indias\" aria-errormessage=\"wpforms-15118-field_85-city-error\" ><label for=\"wpforms-15118-field_85-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_85-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][85][state]\" value=\"Bolivar\" aria-errormessage=\"wpforms-15118-field_85-state-error\" ><label for=\"wpforms-15118-field_85-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-15118-field_85-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][85][country]\" value=\"CO\" aria-errormessage=\"wpforms-15118-field_85-country-error\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\"  selected='selected'>Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-15118-field_85-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-15118-field_59-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"59\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Anterior<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Siguiente<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-15118-field_121-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"121\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACI\u00d3N FAMILIAR\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_20-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_20\">Estado Civil de los Padres<\/label><select id=\"wpforms-15118-field_20\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][20]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Soltero\/a.\"  class=\"choice-1 depth-1\"  >Soltero\/a.<\/option><option value=\"Casados.\"  class=\"choice-2 depth-1\"  >Casados.<\/option><option value=\"Uni\u00f3n libre.\"  class=\"choice-3 depth-1\"  >Uni\u00f3n libre.<\/option><option value=\"Separados.\"  class=\"choice-4 depth-1\"  >Separados.<\/option><option value=\"Divorciados.\"  class=\"choice-5 depth-1\"  >Divorciados.<\/option><option value=\"Viudo\/a.\"  class=\"choice-6 depth-1\"  >Viudo\/a.<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_21-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_21\">N\u00famero de Hermanos<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-15118-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" value=\"0\" aria-errormessage=\"wpforms-15118-field_21-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valor seleccionado: {value}\">\n\tValor seleccionado: <b>0<\/b><\/div>\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_22-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_22\">Puesto que ocupa<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-15118-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" value=\"0\" aria-errormessage=\"wpforms-15118-field_22-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valor seleccionado: {value}\">\n\tValor seleccionado: <b>0<\/b><\/div>\n<\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_122-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"122\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_122\">Con quien vive<\/label><select id=\"wpforms-15118-field_122\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][122]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"MAM\u00c1\"  class=\"choice-1 depth-1\"  >MAM\u00c1<\/option><option value=\"PAP\u00c1\"  class=\"choice-2 depth-1\"  >PAP\u00c1<\/option><option value=\"AMBOS\"  class=\"choice-3 depth-1\"  >AMBOS<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_123-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"123\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_123\">Acudiente<\/label><select id=\"wpforms-15118-field_123\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][123]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"MAM\u00c1\"  class=\"choice-1 depth-1\"  >MAM\u00c1<\/option><option value=\"PAP\u00c1\"  class=\"choice-2 depth-1\"  >PAP\u00c1<\/option><option value=\"OTRO\"  class=\"choice-3 depth-1\"  >OTRO<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_124-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"124\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_124\">Parentesco<\/label><input type=\"text\" id=\"wpforms-15118-field_124\" class=\"wpforms-field-medium\" name=\"wpforms[fields][124]\" aria-errormessage=\"wpforms-15118-field_124-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_81-container\" class=\"wpforms-field wpforms-field-layout wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"layout\" data-field-id=\"81\" style=\"display:none;\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACI\u00d3N DEL ACUDIENTE\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_82-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"name\" data-field-id=\"82\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Nombre y Apellidos del Acudiente<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_82\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][82][first]\" aria-errormessage=\"wpforms-15118-field_82-error\" ><label for=\"wpforms-15118-field_82\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_82-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][82][last]\" aria-errormessage=\"wpforms-15118-field_82-last-error\" ><label for=\"wpforms-15118-field_82-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_83-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"address\" data-field-id=\"83\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Direcci\u00f3n del Acudiente<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-15118-field_83\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][83][address1]\" aria-errormessage=\"wpforms-15118-field_83-error\" ><label for=\"wpforms-15118-field_83\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-15118-field_83-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][83][city]\" value=\"Cartagena de Indias\" aria-errormessage=\"wpforms-15118-field_83-city-error\" ><label for=\"wpforms-15118-field_83-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_83-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][83][state]\" value=\"Bolivar\" aria-errormessage=\"wpforms-15118-field_83-state-error\" ><label for=\"wpforms-15118-field_83-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-15118-field_83-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][83][country]\" value=\"CO\" aria-errormessage=\"wpforms-15118-field_83-country-error\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\"  selected='selected'>Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-15118-field_83-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_43-container\" class=\"wpforms-field wpforms-field-layout wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"layout\" data-field-id=\"43\" style=\"display:none;\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_44-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_44\">Numero Telef\u00f3nico<\/label><input type=\"tel\" id=\"wpforms-15118-field_44\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][44]\" aria-label=\"Numero Telef\u00f3nico\" aria-errormessage=\"wpforms-15118-field_44-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_49-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"49\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_49\">Numero Celular<\/label><input type=\"tel\" id=\"wpforms-15118-field_49\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][49]\" aria-label=\"Numero Celular\" aria-errormessage=\"wpforms-15118-field_49-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_54-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"email\" data-field-id=\"54\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_54\">Correo electr\u00f3nico<\/label><input type=\"email\" id=\"wpforms-15118-field_54\" class=\"wpforms-field-medium\" name=\"wpforms[fields][54]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15118-field_54-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_45-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"45\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_45\">Documento de Identidad<\/label><select id=\"wpforms-15118-field_45\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][45]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"R.C.\"  class=\"choice-1 depth-1\"  >R.C.<\/option><option value=\"T.I.\"  class=\"choice-2 depth-1\"  >T.I.<\/option><option value=\"C.C.\"  class=\"choice-3 depth-1\"  >C.C.<\/option><option value=\"C.E.\"  class=\"choice-5 depth-1\"  >C.E.<\/option><option value=\"P.P.\"  class=\"choice-4 depth-1\"  >P.P.<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_50-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"50\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_50\">Numero D.I.<\/label><input type=\"text\" id=\"wpforms-15118-field_50\" class=\"wpforms-field-medium\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-15118-field_50-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_55-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"55\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_55\">Expedido en<\/label><input type=\"text\" id=\"wpforms-15118-field_55\" class=\"wpforms-field-medium\" name=\"wpforms[fields][55]\" aria-errormessage=\"wpforms-15118-field_55-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_145-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"145\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_138-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"138\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_138\">\u00bfTrabaja como independiente?<\/label><select id=\"wpforms-15118-field_138\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][138]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><option value=\"EMPLEADO\"  class=\"choice-4 depth-1\"  >EMPLEADO<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_132-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"132\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_132\">Forma de Pago del Colegio<\/label><select id=\"wpforms-15118-field_132\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][132]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Tarjeta Debito\"  class=\"choice-1 depth-1\"  >Tarjeta Debito<\/option><option value=\"Tarjeta de Cr\u00e9dito\"  class=\"choice-2 depth-1\"  >Tarjeta de Cr\u00e9dito<\/option><option value=\"Transferencia Electr\u00f3nica\"  class=\"choice-3 depth-1\"  >Transferencia Electr\u00f3nica<\/option><option value=\"Consignaci\u00f3n Bancaria\"  class=\"choice-5 depth-1\"  >Consignaci\u00f3n Bancaria<\/option><option value=\"Cheque\"  class=\"choice-4 depth-1\"  >Cheque<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_137-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"137\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_137\">Ingresos Aproximados<\/label><input type=\"text\" id=\"wpforms-15118-field_137\" class=\"wpforms-field-medium\" name=\"wpforms[fields][137]\" aria-errormessage=\"wpforms-15118-field_137-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_139-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"textarea\" data-field-id=\"139\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_139\">Descripci\u00f3n de su actividad econ\u00f3mica<\/label><textarea id=\"wpforms-15118-field_139\" class=\"wpforms-field-medium\" name=\"wpforms[fields][139]\" placeholder=\"En caso de ser independiente llenar este campo\" aria-errormessage=\"wpforms-15118-field_139-error\" ><\/textarea><\/div><div id=\"wpforms-15118-field_129-container\" class=\"wpforms-field wpforms-field-layout wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"layout\" data-field-id=\"129\" style=\"display:none;\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_131-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"131\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_131\">Informaci\u00f3n Acad\u00e9mica<\/label><select id=\"wpforms-15118-field_131\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][131]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Primaria\"  class=\"choice-1 depth-1\"  >Primaria<\/option><option value=\"Secundaria\"  class=\"choice-2 depth-1\"  >Secundaria<\/option><option value=\"T\u00e9cnico Profesional\"  class=\"choice-3 depth-1\"  >T\u00e9cnico Profesional<\/option><option value=\"Tecn\u00f3logo\"  class=\"choice-5 depth-1\"  >Tecn\u00f3logo<\/option><option value=\"Profesional Universitario\"  class=\"choice-4 depth-1\"  >Profesional Universitario<\/option><option value=\"Especializaci\u00f3n\"  class=\"choice-7 depth-1\"  >Especializaci\u00f3n<\/option><option value=\"Maestr\u00eda\"  class=\"choice-6 depth-1\"  >Maestr\u00eda<\/option><option value=\"Doctorado\"  class=\"choice-8 depth-1\"  >Doctorado<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_134-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"134\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_134\">Titulo Obtenido<\/label><input type=\"text\" id=\"wpforms-15118-field_134\" class=\"wpforms-field-medium\" name=\"wpforms[fields][134]\" aria-errormessage=\"wpforms-15118-field_134-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_135-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"135\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_135\">Declara Renta<\/label><select id=\"wpforms-15118-field_135\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][135]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_125-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"125\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_125\">Empresa donde labora<\/label><input type=\"text\" id=\"wpforms-15118-field_125\" class=\"wpforms-field-medium\" name=\"wpforms[fields][125]\" aria-errormessage=\"wpforms-15118-field_125-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_126-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"126\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_126\">Tiempo de Servicio<\/label><input type=\"text\" id=\"wpforms-15118-field_126\" class=\"wpforms-field-medium\" name=\"wpforms[fields][126]\" aria-errormessage=\"wpforms-15118-field_126-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_127-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"127\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_127\">Cargo<\/label><input type=\"text\" id=\"wpforms-15118-field_127\" class=\"wpforms-field-medium\" name=\"wpforms[fields][127]\" aria-errormessage=\"wpforms-15118-field_127-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_130-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"130\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_130\">Numero Telef\u00f3nico Laboral<\/label><input type=\"tel\" id=\"wpforms-15118-field_130\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][130]\" aria-label=\"Numero Telef\u00f3nico Laboral\" aria-errormessage=\"wpforms-15118-field_130-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_133-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"133\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_133\">Numero Celular Laboral<\/label><input type=\"tel\" id=\"wpforms-15118-field_133\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][133]\" aria-label=\"Numero Celular Laboral\" aria-errormessage=\"wpforms-15118-field_133-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_136-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"email\" data-field-id=\"136\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_136\">Correo Electr\u00f3nico Laboral<\/label><input type=\"email\" id=\"wpforms-15118-field_136\" class=\"wpforms-field-medium\" name=\"wpforms[fields][136]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15118-field_136-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_128-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"address\" data-field-id=\"128\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Direcci\u00f3n Laboral<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-15118-field_128\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][128][address1]\" aria-errormessage=\"wpforms-15118-field_128-error\" ><label for=\"wpforms-15118-field_128\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-15118-field_128-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][128][city]\" value=\"Cartagena de Indias\" aria-errormessage=\"wpforms-15118-field_128-city-error\" ><label for=\"wpforms-15118-field_128-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-15118-field_128-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][128][state]\" value=\"Bolivar\" aria-errormessage=\"wpforms-15118-field_128-state-error\" ><label for=\"wpforms-15118-field_128-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-15118-field_128-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][128][country]\" value=\"CO\" aria-errormessage=\"wpforms-15118-field_128-country-error\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\"  selected='selected'>Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-15118-field_128-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-15118-field_84-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"84\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Anterior<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"4\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Siguiente<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-15118-field_146-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"146\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACI\u00d3N HISTORIA CLINICA\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_151-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"151\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_151\">Peso<\/label><input type=\"number\" id=\"wpforms-15118-field_151\" class=\"wpforms-field-medium\" name=\"wpforms[fields][151]\" placeholder=\"Ej: 70\" step=\"any\" aria-errormessage=\"wpforms-15118-field_151-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_148-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"148\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_148\">Altura<\/label><input type=\"number\" id=\"wpforms-15118-field_148\" class=\"wpforms-field-medium\" name=\"wpforms[fields][148]\" placeholder=\"Ej: 1.75\" step=\"any\" aria-errormessage=\"wpforms-15118-field_148-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_150-container\" class=\"wpforms-field wpforms-field-calculator\" data-field-type=\"calculator\" data-field-id=\"150\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_150\">IMC<\/label>\t\t<input type=\"text\" id=\"wpforms-15118-field_150\" class=\"wpforms-number-format wpforms-cost-calculator wpforms-field-medium\" data-formula=\"{field_id=&quot;151&quot;}\/({field_id=&quot;148&quot;}*{field_id=&quot;148&quot;})\" readonly=\"readonly\" data-a-sign=\"\" data-a-dec=\".\" data-a-sep=\",\" data-m-dec=\"2\" data-p-sign=\"\" name=\"wpforms[fields][150]\" value=\"\" placeholder=\"\" aria-errormessage=\"wpforms-15118-field_150-error\" >\n\t\t<\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_158-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"158\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_158\">Agudeza Visual Izquierda<\/label><input type=\"text\" id=\"wpforms-15118-field_158\" class=\"wpforms-field-medium\" name=\"wpforms[fields][158]\" aria-errormessage=\"wpforms-15118-field_158-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_159-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"159\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_159\">Agudeza Visual Derecha<\/label><input type=\"text\" id=\"wpforms-15118-field_159\" class=\"wpforms-field-medium\" name=\"wpforms[fields][159]\" aria-errormessage=\"wpforms-15118-field_159-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_176-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"176\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_176\">En caso de Emergencia avisar a<\/label><select id=\"wpforms-15118-field_176\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][176]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"MAM\u00c1\"  class=\"choice-1 depth-1\"  >MAM\u00c1<\/option><option value=\"PAP\u00c1\"  class=\"choice-2 depth-1\"  >PAP\u00c1<\/option><option value=\"ACUDIENTE\"  class=\"choice-3 depth-1\"  >ACUDIENTE<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_155-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"155\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tVacunaci\u00f3n\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_154-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"154\"><fieldset><legend class=\"wpforms-field-label\">Carnet<\/legend><ul id=\"wpforms-15118-field_154\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_154_1\" name=\"wpforms[fields][154]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_154_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_154_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_154_2\" name=\"wpforms[fields][154]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_154_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_154_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_156-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"156\"><fieldset><legend class=\"wpforms-field-label\">Completa<\/legend><ul id=\"wpforms-15118-field_156\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_156_1\" name=\"wpforms[fields][156]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_156_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_156_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_156_2\" name=\"wpforms[fields][156]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_156_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_156_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_157-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"157\"><fieldset><legend class=\"wpforms-field-label\">Entregado<\/legend><ul id=\"wpforms-15118-field_157\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_157_1\" name=\"wpforms[fields][157]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_157_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_157_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_157_2\" name=\"wpforms[fields][157]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_157_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_157_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><\/div>\t\t<div id=\"wpforms-15118-field_30-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"30\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-15118-field_30\" >Numero medio Laboral<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-15118-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-15118-field_160-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"160\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tAntecedentes Patologicos\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_161-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"161\"><fieldset><legend class=\"wpforms-field-label\">Accidentes<\/legend><ul id=\"wpforms-15118-field_161\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_161_1\" name=\"wpforms[fields][161]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_161_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_161_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_161_2\" name=\"wpforms[fields][161]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_161_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_161_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_162-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"162\"><fieldset><legend class=\"wpforms-field-label\">Fracturas<\/legend><ul id=\"wpforms-15118-field_162\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_162_1\" name=\"wpforms[fields][162]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_162_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_162_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_162_2\" name=\"wpforms[fields][162]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_162_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_162_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_163-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"163\"><fieldset><legend class=\"wpforms-field-label\">Cirug\u00edas<\/legend><ul id=\"wpforms-15118-field_163\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_163_1\" name=\"wpforms[fields][163]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_163_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_163_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_163_2\" name=\"wpforms[fields][163]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_163_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_163_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_164-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"164\"><fieldset><legend class=\"wpforms-field-label\">Alergias<\/legend><ul id=\"wpforms-15118-field_164\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_164_1\" name=\"wpforms[fields][164]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_164_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_164_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_164_2\" name=\"wpforms[fields][164]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_164_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_164_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_165-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"165\"><fieldset><legend class=\"wpforms-field-label\">Epilepsia o Convulsiones<\/legend><ul id=\"wpforms-15118-field_165\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_165_1\" name=\"wpforms[fields][165]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_165_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_165_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_165_2\" name=\"wpforms[fields][165]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_165_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_165_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_166-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"166\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_167-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"167\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_167\">Control Odontologico<\/label><textarea id=\"wpforms-15118-field_167\" class=\"wpforms-field-medium\" name=\"wpforms[fields][167]\" aria-errormessage=\"wpforms-15118-field_167-error\" ><\/textarea><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_168-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"168\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_168\">Estado Sintom\u00e1tico Actual<\/label><textarea id=\"wpforms-15118-field_168\" class=\"wpforms-field-medium\" name=\"wpforms[fields][168]\" aria-errormessage=\"wpforms-15118-field_168-error\" ><\/textarea><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_169-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"169\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_169\">Tratamientos o Medicamentos<\/label><textarea id=\"wpforms-15118-field_169\" class=\"wpforms-field-medium\" name=\"wpforms[fields][169]\" aria-errormessage=\"wpforms-15118-field_169-error\" ><\/textarea><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_170-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"170\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_170\">Enfermedades Relevantes, Patologias, Alergias<\/label><textarea id=\"wpforms-15118-field_170\" class=\"wpforms-field-medium\" name=\"wpforms[fields][170]\" aria-errormessage=\"wpforms-15118-field_170-error\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_171-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"171\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACI\u00d3N DESARROLLO SOCIO-AFECTIVO\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_173-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"173\"><fieldset><legend class=\"wpforms-field-label\">Establece relaciones sociales con facilidad?<\/legend><ul id=\"wpforms-15118-field_173\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_173_1\" name=\"wpforms[fields][173]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_173_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_173_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_173_2\" name=\"wpforms[fields][173]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_173_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_173_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-15118-field_172-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"172\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_172\">Porque?<\/label><textarea id=\"wpforms-15118-field_172\" class=\"wpforms-field-medium\" name=\"wpforms[fields][172]\" aria-errormessage=\"wpforms-15118-field_172-error\" ><\/textarea><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_174-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"174\"><fieldset><legend class=\"wpforms-field-label\">Controla adecuadamente sus emociones?<\/legend><ul id=\"wpforms-15118-field_174\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_174_1\" name=\"wpforms[fields][174]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_174_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_174_1\">SI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15118-field_174_2\" name=\"wpforms[fields][174]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_174_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_174_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-15118-field_175-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"175\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_175\">Porque?<\/label><textarea id=\"wpforms-15118-field_175\" class=\"wpforms-field-medium\" name=\"wpforms[fields][175]\" aria-errormessage=\"wpforms-15118-field_175-error\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_177-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"177\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"5\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Anterior<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"5\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Siguiente<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6  \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-15118-field_178-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"178\"><\/div><div id=\"wpforms-15118-field_179-container\" class=\"wpforms-field wpforms-field-repeater wpforms-field-repeater-display-rows\" data-rows-min=\"1\" data-rows-max=\"10\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"179\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tPersonas con quien vivas diferente a los Padres.\n\t\t\t<\/h3><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][179][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template-179-15118\"><div id=\"wpforms-15118-repeater-field_179-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_180_{CLONE}-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"180_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_180_{CLONE}\">Nombres y Apellidos<\/label><input type=\"text\" id=\"wpforms-15118-field_180_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][180_{CLONE}]\" aria-errormessage=\"wpforms-15118-field_180_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_181_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"181_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_181_{CLONE}\">Parentesco<\/label><select id=\"wpforms-15118-field_181_{CLONE}\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][181_{CLONE}]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Hermano\/a.\"  class=\"choice-1 depth-1\"  >Hermano\/a.<\/option><option value=\"T\u00edo\/a.\"  class=\"choice-2 depth-1\"  >T\u00edo\/a.<\/option><option value=\"Primo\/a.\"  class=\"choice-3 depth-1\"  >Primo\/a.<\/option><option value=\"Abuelo\/a.\"  class=\"choice-4 depth-1\"  >Abuelo\/a.<\/option><option value=\"Hermanastro\/a.\"  class=\"choice-5 depth-1\"  >Hermanastro\/a.<\/option><option value=\"Padrastro.\"  class=\"choice-6 depth-1\"  >Padrastro.<\/option><option value=\"Madrasta.\"  class=\"choice-8 depth-1\"  >Madrasta.<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_182_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"182_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_182_{CLONE}\">Escolaridad<\/label><select id=\"wpforms-15118-field_182_{CLONE}\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][182_{CLONE}]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Preescolar\"  class=\"choice-1 depth-1\"  >Preescolar<\/option><option value=\"Primaria\"  class=\"choice-2 depth-1\"  >Primaria<\/option><option value=\"Secundaria\"  class=\"choice-3 depth-1\"  >Secundaria<\/option><option value=\"T\u00e9cnico Profesional\"  class=\"choice-4 depth-1\"  >T\u00e9cnico Profesional<\/option><option value=\"Tecn\u00f3logo\"  class=\"choice-5 depth-1\"  >Tecn\u00f3logo<\/option><option value=\"Profesional Universitario\"  class=\"choice-6 depth-1\"  >Profesional Universitario<\/option><option value=\"Especializaci\u00f3n\"  class=\"choice-7 depth-1\"  >Especializaci\u00f3n<\/option><option value=\"Maestr\u00eda\"  class=\"choice-9 depth-1\"  >Maestr\u00eda<\/option><option value=\"Doctorado\"  class=\"choice-8 depth-1\"  >Doctorado<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_183_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"183_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_183_{CLONE}\">Ocupaci\u00f3n<\/label><select id=\"wpforms-15118-field_183_{CLONE}\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][183_{CLONE}]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Laboral\"  class=\"choice-1 depth-1\"  >Laboral<\/option><option value=\"Estudiante\"  class=\"choice-2 depth-1\"  >Estudiante<\/option><option value=\"Hogar\"  class=\"choice-3 depth-1\"  >Hogar<\/option><option value=\"Jubilado\"  class=\"choice-4 depth-1\"  >Jubilado<\/option><\/select><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_180-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"180\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_180\">Nombres y Apellidos<\/label><input type=\"text\" id=\"wpforms-15118-field_180\" class=\"wpforms-field-medium\" name=\"wpforms[fields][180]\" aria-errormessage=\"wpforms-15118-field_180-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_181-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"181\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_181\">Parentesco<\/label><select id=\"wpforms-15118-field_181\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][181]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Hermano\/a.\"  class=\"choice-1 depth-1\"  >Hermano\/a.<\/option><option value=\"T\u00edo\/a.\"  class=\"choice-2 depth-1\"  >T\u00edo\/a.<\/option><option value=\"Primo\/a.\"  class=\"choice-3 depth-1\"  >Primo\/a.<\/option><option value=\"Abuelo\/a.\"  class=\"choice-4 depth-1\"  >Abuelo\/a.<\/option><option value=\"Hermanastro\/a.\"  class=\"choice-5 depth-1\"  >Hermanastro\/a.<\/option><option value=\"Padrastro.\"  class=\"choice-6 depth-1\"  >Padrastro.<\/option><option value=\"Madrasta.\"  class=\"choice-8 depth-1\"  >Madrasta.<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_182-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"182\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_182\">Escolaridad<\/label><select id=\"wpforms-15118-field_182\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][182]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Preescolar\"  class=\"choice-1 depth-1\"  >Preescolar<\/option><option value=\"Primaria\"  class=\"choice-2 depth-1\"  >Primaria<\/option><option value=\"Secundaria\"  class=\"choice-3 depth-1\"  >Secundaria<\/option><option value=\"T\u00e9cnico Profesional\"  class=\"choice-4 depth-1\"  >T\u00e9cnico Profesional<\/option><option value=\"Tecn\u00f3logo\"  class=\"choice-5 depth-1\"  >Tecn\u00f3logo<\/option><option value=\"Profesional Universitario\"  class=\"choice-6 depth-1\"  >Profesional Universitario<\/option><option value=\"Especializaci\u00f3n\"  class=\"choice-7 depth-1\"  >Especializaci\u00f3n<\/option><option value=\"Maestr\u00eda\"  class=\"choice-9 depth-1\"  >Maestr\u00eda<\/option><option value=\"Doctorado\"  class=\"choice-8 depth-1\"  >Doctorado<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_183-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"183\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_183\">Ocupaci\u00f3n<\/label><select id=\"wpforms-15118-field_183\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][183]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Laboral\"  class=\"choice-1 depth-1\"  >Laboral<\/option><option value=\"Estudiante\"  class=\"choice-2 depth-1\"  >Estudiante<\/option><option value=\"Hogar\"  class=\"choice-3 depth-1\"  >Hogar<\/option><option value=\"Jubilado\"  class=\"choice-4 depth-1\"  >Jubilado<\/option><\/select><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_186-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"186\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"6\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Anterior<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"6\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Siguiente<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-7  \" data-page=\"7\" style=\"display:none;\"><div id=\"wpforms-15118-field_187-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"187\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tINFORMACI\u00d3N HISTORIA ACADEMICA\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_190-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"190\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_190\">En qu\u00e9 Grado est\u00e1 actualmente?<\/label><select id=\"wpforms-15118-field_190\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][190]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Caminadores\"  class=\"choice-1 depth-1\"  >Caminadores<\/option><option value=\"P\u00e1rvulo\"  class=\"choice-2 depth-1\"  >P\u00e1rvulo<\/option><option value=\"Prejard\u00edn\"  class=\"choice-3 depth-1\"  >Prejard\u00edn<\/option><option value=\"Jard\u00edn\"  class=\"choice-18 depth-1\"  >Jard\u00edn<\/option><option value=\"Transici\u00f3n\"  class=\"choice-17 depth-1\"  >Transici\u00f3n<\/option><option value=\"Primero\"  class=\"choice-16 depth-1\"  >Primero<\/option><option value=\"Segundo\"  class=\"choice-15 depth-1\"  >Segundo<\/option><option value=\"Tercero\"  class=\"choice-14 depth-1\"  >Tercero<\/option><option value=\"Cuarto\"  class=\"choice-13 depth-1\"  >Cuarto<\/option><option value=\"Quinto\"  class=\"choice-12 depth-1\"  >Quinto<\/option><option value=\"Sexto\"  class=\"choice-11 depth-1\"  >Sexto<\/option><option value=\"S\u00e9ptimo\"  class=\"choice-10 depth-1\"  >S\u00e9ptimo<\/option><option value=\"Octavo\"  class=\"choice-9 depth-1\"  >Octavo<\/option><option value=\"Noveno\"  class=\"choice-8 depth-1\"  >Noveno<\/option><option value=\"Decimo\"  class=\"choice-7 depth-1\"  >Decimo<\/option><option value=\"Und\u00e9cimo\"  class=\"choice-6 depth-1\"  >Und\u00e9cimo<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_191-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"191\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_191\">Grado al que aspira?<\/label><select id=\"wpforms-15118-field_191\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][191]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Caminadores\"  class=\"choice-1 depth-1\"  >Caminadores<\/option><option value=\"P\u00e1rvulo\"  class=\"choice-2 depth-1\"  >P\u00e1rvulo<\/option><option value=\"Prejard\u00edn\"  class=\"choice-3 depth-1\"  >Prejard\u00edn<\/option><option value=\"Jard\u00edn\"  class=\"choice-18 depth-1\"  >Jard\u00edn<\/option><option value=\"Transici\u00f3n\"  class=\"choice-17 depth-1\"  >Transici\u00f3n<\/option><option value=\"Primero\"  class=\"choice-16 depth-1\"  >Primero<\/option><option value=\"Segundo\"  class=\"choice-15 depth-1\"  >Segundo<\/option><option value=\"Tercero\"  class=\"choice-14 depth-1\"  >Tercero<\/option><option value=\"Cuarto\"  class=\"choice-13 depth-1\"  >Cuarto<\/option><option value=\"Quinto\"  class=\"choice-12 depth-1\"  >Quinto<\/option><option value=\"Sexto\"  class=\"choice-11 depth-1\"  >Sexto<\/option><option value=\"S\u00e9ptimo\"  class=\"choice-10 depth-1\"  >S\u00e9ptimo<\/option><option value=\"Octavo\"  class=\"choice-9 depth-1\"  >Octavo<\/option><option value=\"Noveno\"  class=\"choice-8 depth-1\"  >Noveno<\/option><option value=\"Decimo\"  class=\"choice-7 depth-1\"  >Decimo<\/option><option value=\"Und\u00e9cimo\"  class=\"choice-6 depth-1\"  >Und\u00e9cimo<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_195-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"195\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_195\">Ha repetido alg\u00fan a\u00f1o?<\/label><select id=\"wpforms-15118-field_195\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][195]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_196-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"196\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Seleccione cuales<\/legend><ul id=\"wpforms-15118-field_196\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_1\" name=\"wpforms[fields][196][]\" value=\"1\u00b0\" aria-errormessage=\"wpforms-15118-field_196_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_1\">1\u00b0<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_2\" name=\"wpforms[fields][196][]\" value=\"2\u00b0\" aria-errormessage=\"wpforms-15118-field_196_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_2\">2\u00b0<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_3\" name=\"wpforms[fields][196][]\" value=\"3\u00b0\" aria-errormessage=\"wpforms-15118-field_196_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_3\">3\u00b0<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_4\" name=\"wpforms[fields][196][]\" value=\"4\u00b0\" aria-errormessage=\"wpforms-15118-field_196_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_4\">4\u00b0<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_5\" name=\"wpforms[fields][196][]\" value=\"5\u00b0\" aria-errormessage=\"wpforms-15118-field_196_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_5\">5\u00b0<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_12\" name=\"wpforms[fields][196][]\" value=\"6\u00b0\" aria-errormessage=\"wpforms-15118-field_196_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_12\">6\u00b0<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_11\" name=\"wpforms[fields][196][]\" value=\"7\u00b0\" aria-errormessage=\"wpforms-15118-field_196_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_11\">7\u00b0<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_10\" name=\"wpforms[fields][196][]\" value=\"8\u00b0\" aria-errormessage=\"wpforms-15118-field_196_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_10\">8\u00b0<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_9\" name=\"wpforms[fields][196][]\" value=\"9\u00b0\" aria-errormessage=\"wpforms-15118-field_196_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_9\">9\u00b0<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_8\" name=\"wpforms[fields][196][]\" value=\"10\u00b0\" aria-errormessage=\"wpforms-15118-field_196_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_8\">10\u00b0<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-15118-field_196_7\" name=\"wpforms[fields][196][]\" value=\"11\u00b0\" aria-errormessage=\"wpforms-15118-field_196_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_196_7\">11\u00b0<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-15118-field_197-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"197\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_198-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"198\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_198\">Es familiar de egresado?<\/label><select id=\"wpforms-15118-field_198\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][198]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_199-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"199\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_199\">Tiene hermanos en el colegio?<\/label><select id=\"wpforms-15118-field_199\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][199]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_201-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"201\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_201\">Numero de Hermanos en el colegio<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-15118-field_201\" class=\"wpforms-field-medium\" name=\"wpforms[fields][201]\" value=\"0\" aria-errormessage=\"wpforms-15118-field_201-error\"\t\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valor seleccionado: {value}\">\n\tValor seleccionado: <b>0<\/b><\/div>\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_200-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"200\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_200\">Cumple con las nomas establecidas en el manual de convivencia?<\/label><select id=\"wpforms-15118-field_200\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][200]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"SI\"  class=\"choice-1 depth-1\"  >SI<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_202-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"202\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_203-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"203\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_203\">Motivo de cambio del colegio<\/label><textarea id=\"wpforms-15118-field_203\" class=\"wpforms-field-medium\" name=\"wpforms[fields][203]\" aria-errormessage=\"wpforms-15118-field_203-error\" ><\/textarea><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_204-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"204\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_204\">Expectativas con el ingreso a nuestra instituci\u00f3n<\/label><textarea id=\"wpforms-15118-field_204\" class=\"wpforms-field-medium\" name=\"wpforms[fields][204]\" aria-errormessage=\"wpforms-15118-field_204-error\" ><\/textarea><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-15118-field_205-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"205\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_205\">Por que medio supo usted del Colegio de la Esperanza?<\/label><textarea id=\"wpforms-15118-field_205\" class=\"wpforms-field-medium\" name=\"wpforms[fields][205]\" aria-errormessage=\"wpforms-15118-field_205-error\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_207-container\" class=\"wpforms-field wpforms-field-repeater wpforms-field-repeater-display-rows\" data-rows-min=\"1\" data-rows-max=\"10\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"207\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tHISTORIAL ACADEMICO: LLENE LA INFORMACI\u00d3N CORRESPONDIENTE A LOS SIGUIENTES CAMPOS\n\t\t\t<\/h3><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][207][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template-207-15118\"><div id=\"wpforms-15118-repeater-field_207-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-50\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_208_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"208_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_208_{CLONE}\">Grado<\/label><select id=\"wpforms-15118-field_208_{CLONE}\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][208_{CLONE}]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Ej: P\u00e1rvulo<\/option><option value=\"Caminadores\"  class=\"choice-1 depth-1\"  >Caminadores<\/option><option value=\"P\u00e1rvulo\"  class=\"choice-2 depth-1\"  >P\u00e1rvulo<\/option><option value=\"Prejard\u00edn\"  class=\"choice-3 depth-1\"  >Prejard\u00edn<\/option><option value=\"Jard\u00edn\"  class=\"choice-18 depth-1\"  >Jard\u00edn<\/option><option value=\"Transici\u00f3n\"  class=\"choice-17 depth-1\"  >Transici\u00f3n<\/option><option value=\"Primero\"  class=\"choice-16 depth-1\"  >Primero<\/option><option value=\"Segundo\"  class=\"choice-15 depth-1\"  >Segundo<\/option><option value=\"Tercero\"  class=\"choice-14 depth-1\"  >Tercero<\/option><option value=\"Cuarto\"  class=\"choice-13 depth-1\"  >Cuarto<\/option><option value=\"Quinto\"  class=\"choice-12 depth-1\"  >Quinto<\/option><option value=\"Sexto\"  class=\"choice-11 depth-1\"  >Sexto<\/option><option value=\"S\u00e9ptimo\"  class=\"choice-10 depth-1\"  >S\u00e9ptimo<\/option><option value=\"Octavo\"  class=\"choice-9 depth-1\"  >Octavo<\/option><option value=\"Noveno\"  class=\"choice-8 depth-1\"  >Noveno<\/option><option value=\"Decimo\"  class=\"choice-7 depth-1\"  >Decimo<\/option><option value=\"Und\u00e9cimo\"  class=\"choice-6 depth-1\"  >Und\u00e9cimo<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_209_{CLONE}-container\" class=\"wpforms-field wpforms-field-number_format\" data-field-type=\"number_format\" data-field-id=\"209_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_209_{CLONE}\">A\u00f1o<\/label>\t\t<input type=\"text\" id=\"wpforms-15118-field_209_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][209_{CLONE}]\" value=\"\" placeholder=\"Ej: 2025\" aria-errormessage=\"wpforms-15118-field_209_{CLONE}-error\" >\n\t\t<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-15118-field_210_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"210_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_210_{CLONE}\">Instituci\u00f3n<\/label><input type=\"text\" id=\"wpforms-15118-field_210_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][210_{CLONE}]\" placeholder=\"Ej: Colegio de la Esperanza\" aria-errormessage=\"wpforms-15118-field_210_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-50\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_208-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"208\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_208\">Grado<\/label><select id=\"wpforms-15118-field_208\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][208]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Ej: P\u00e1rvulo<\/option><option value=\"Caminadores\"  class=\"choice-1 depth-1\"  >Caminadores<\/option><option value=\"P\u00e1rvulo\"  class=\"choice-2 depth-1\"  >P\u00e1rvulo<\/option><option value=\"Prejard\u00edn\"  class=\"choice-3 depth-1\"  >Prejard\u00edn<\/option><option value=\"Jard\u00edn\"  class=\"choice-18 depth-1\"  >Jard\u00edn<\/option><option value=\"Transici\u00f3n\"  class=\"choice-17 depth-1\"  >Transici\u00f3n<\/option><option value=\"Primero\"  class=\"choice-16 depth-1\"  >Primero<\/option><option value=\"Segundo\"  class=\"choice-15 depth-1\"  >Segundo<\/option><option value=\"Tercero\"  class=\"choice-14 depth-1\"  >Tercero<\/option><option value=\"Cuarto\"  class=\"choice-13 depth-1\"  >Cuarto<\/option><option value=\"Quinto\"  class=\"choice-12 depth-1\"  >Quinto<\/option><option value=\"Sexto\"  class=\"choice-11 depth-1\"  >Sexto<\/option><option value=\"S\u00e9ptimo\"  class=\"choice-10 depth-1\"  >S\u00e9ptimo<\/option><option value=\"Octavo\"  class=\"choice-9 depth-1\"  >Octavo<\/option><option value=\"Noveno\"  class=\"choice-8 depth-1\"  >Noveno<\/option><option value=\"Decimo\"  class=\"choice-7 depth-1\"  >Decimo<\/option><option value=\"Und\u00e9cimo\"  class=\"choice-6 depth-1\"  >Und\u00e9cimo<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-15118-field_209-container\" class=\"wpforms-field wpforms-field-number_format\" data-field-type=\"number_format\" data-field-id=\"209\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_209\">A\u00f1o<\/label>\t\t<input type=\"text\" id=\"wpforms-15118-field_209\" class=\"wpforms-field-medium\" name=\"wpforms[fields][209]\" value=\"\" placeholder=\"Ej: 2025\" aria-errormessage=\"wpforms-15118-field_209-error\" >\n\t\t<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-15118-field_210-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"210\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_210\">Instituci\u00f3n<\/label><input type=\"text\" id=\"wpforms-15118-field_210\" class=\"wpforms-field-medium\" name=\"wpforms[fields][210]\" placeholder=\"Ej: Colegio de la Esperanza\" aria-errormessage=\"wpforms-15118-field_210-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_188-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"188\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"7\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Anterior<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"7\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Siguiente<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-8 last \" data-page=\"8\" style=\"display:none;\"><div id=\"wpforms-15118-field_189-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"189\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tREQUISITOS DE INSCRIPCI\u00d3N\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_212-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"212\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_212\">D.I. del Estudiante<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"212\"\n\t\tdata-form-id=\"15118\"\n\t\tdata-input-name=\"wpforms_15118_212\"\n\t\tdata-extensions=\"png,gif,jpg,pdf\"\n\t\tdata-max-size=\"31457280\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-15118-212\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"212\"  data-form-id=\"15118\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-15118-212\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-15118-212\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15118-field_212\"\n\t\tname=\"wpforms_15118_212\" \t\tvalue=\"\">\n<div id=\"wpforms-15118-field_212-description\" class=\"wpforms-field-description\">Documento de Identidad Ambos Lados<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_213-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"213\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_213\">D.I. de la Madre<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"213\"\n\t\tdata-form-id=\"15118\"\n\t\tdata-input-name=\"wpforms_15118_213\"\n\t\tdata-extensions=\"png,gif,jpg,pdf\"\n\t\tdata-max-size=\"31457280\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-15118-213\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"213\"  data-form-id=\"15118\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-15118-213\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-15118-213\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15118-field_213\"\n\t\tname=\"wpforms_15118_213\" \t\tvalue=\"\">\n<div id=\"wpforms-15118-field_213-description\" class=\"wpforms-field-description\">Documento de Identidad Ambos Lados<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_214-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"214\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_214\">D.I. del Padre<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"214\"\n\t\tdata-form-id=\"15118\"\n\t\tdata-input-name=\"wpforms_15118_214\"\n\t\tdata-extensions=\"png,gif,jpg,pdf\"\n\t\tdata-max-size=\"31457280\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-15118-214\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"214\"  data-form-id=\"15118\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-15118-214\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-15118-214\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15118-field_214\"\n\t\tname=\"wpforms_15118_214\" \t\tvalue=\"\">\n<div id=\"wpforms-15118-field_214-description\" class=\"wpforms-field-description\">Documento de Identidad Ambos Lados<\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_215-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"215\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_215\">Certificados Padres<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"215\"\n\t\tdata-form-id=\"15118\"\n\t\tdata-input-name=\"wpforms_15118_215\"\n\t\tdata-extensions=\"png,gif,jpg,pdf\"\n\t\tdata-max-size=\"31457280\"\n\t\tdata-max-file-number=\"30\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 30 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-15118-215\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"215\"  data-form-id=\"15118\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-15118-215\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-15118-215\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15118-field_215\"\n\t\tname=\"wpforms_15118_215\" \t\tvalue=\"\">\n<div id=\"wpforms-15118-field_215-description\" class=\"wpforms-field-description\">Certificado de Ingreso de los Padres<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_216-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"216\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_216\">Certificados Estudiante<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"216\"\n\t\tdata-form-id=\"15118\"\n\t\tdata-input-name=\"wpforms_15118_216\"\n\t\tdata-extensions=\"png,gif,jpg,pdf\"\n\t\tdata-max-size=\"31457280\"\n\t\tdata-max-file-number=\"30\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 30 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-15118-216\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"216\"  data-form-id=\"15118\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-15118-216\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-15118-216\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15118-field_216\"\n\t\tname=\"wpforms_15118_216\" \t\tvalue=\"\">\n<div id=\"wpforms-15118-field_216-description\" class=\"wpforms-field-description\">Certificado de A\u00f1os Anteriores<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-15118-field_217-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"217\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_217\">Certificados Estudiante<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"217\"\n\t\tdata-form-id=\"15118\"\n\t\tdata-input-name=\"wpforms_15118_217\"\n\t\tdata-extensions=\"png,gif,jpg,pdf\"\n\t\tdata-max-size=\"31457280\"\n\t\tdata-max-file-number=\"30\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 30 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-15118-217\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"217\"  data-form-id=\"15118\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-15118-217\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-15118-217\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15118-field_217\"\n\t\tname=\"wpforms_15118_217\" \t\tvalue=\"\">\n<div id=\"wpforms-15118-field_217-description\" class=\"wpforms-field-description\">Boletines de Calificaciones A\u00f1o en Curso<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-15118-field_218-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-type=\"radio\" data-field-id=\"218\"><fieldset><legend class=\"wpforms-field-label\">Pol\u00edtica y Tratamiento de Datos<\/legend><ul id=\"wpforms-15118-field_218\" class=\"wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-medium\" style=\"--wpforms-icon-choices-color: #066938;\"><li class=\"choice-1 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_218_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"60\" height=\"48\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M464 256A208 208 0 1 0 48 256a208 208 0 1 0 416 0zM0 256a256 256 0 1 1 512 0A256 256 0 1 1 0 256zm177.6 62.1C192.8 334.5 218.8 352 256 352s63.2-17.5 78.4-33.9c9-9.7 24.2-10.4 33.9-1.4s10.4 24.2 1.4 33.9c-22 23.8-60 49.4-113.6 49.4s-91.7-25.5-113.6-49.4c-9-9.7-8.4-24.9 1.4-33.9s24.9-8.4 33.9 1.4zM144.4 208a32 32 0 1 1 64 0 32 32 0 1 1 -64 0zm192-32a32 32 0 1 1 0 64 32 32 0 1 1 0-64z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"radio\" id=\"wpforms-15118-field_218_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][218]\" value=\"SI\" aria-errormessage=\"wpforms-15118-field_218_1-error\" aria-describedby=\"wpforms-15118-field_218-description\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">SI<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-15118-field_218_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"60\" height=\"48\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M464 256A208 208 0 1 0 48 256a208 208 0 1 0 416 0zM0 256a256 256 0 1 1 512 0A256 256 0 1 1 0 256zM174.6 384.1c-4.5 12.5-18.2 18.9-30.7 14.4s-18.9-18.2-14.4-30.7C146.9 319.4 198.9 288 256 288s109.1 31.4 126.6 79.9c4.5 12.5-2 26.2-14.4 30.7s-26.2-2-30.7-14.4C328.2 358.5 297.2 336 256 336s-72.2 22.5-81.4 48.1zM144.4 208a32 32 0 1 1 64 0 32 32 0 1 1 -64 0zm192-32a32 32 0 1 1 0 64 32 32 0 1 1 0-64z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"radio\" id=\"wpforms-15118-field_218_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][218]\" value=\"NO\" aria-errormessage=\"wpforms-15118-field_218_2-error\" aria-describedby=\"wpforms-15118-field_218-description\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">NO<\/span>\n\t\t\t<\/label><\/li><\/ul><div id=\"wpforms-15118-field_218-description\" class=\"wpforms-field-description\">Teniendo en cuenta lo anterior, autorizo de manera voluntaria, previa, expl\u00edcita, informada e inequ\u00edvoca al Colegio de la Esperanza para tratar mis datos personales de acuerdo con la Pol\u00edtica de Tratamiento de Datos Personales para los fines relacionados con su objeto social y en especial para fines legales, contractuales, comerciales descritos en la Pol\u00edtica de Tratamiento de Datos Personales de instituci\u00f3n. La informaci\u00f3n obtenida para el Tratamiento de mis datos personales la he suministrado de forma voluntaria y es ver\u00eddica.<\/div><\/fieldset><\/div><div id=\"wpforms-15118-field_219-container\" class=\"wpforms-field wpforms-field-signature\" data-field-type=\"signature\" data-field-id=\"219\"><label class=\"wpforms-field-label\" for=\"wpforms-15118-field_219\">Firma<\/label><input type=\"text\" id=\"wpforms-15118-field_219\" class=\"wpforms-signature-input wpforms-screen-reader-element\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][219]\" autocomplete=\"off\" inputmode=\"none\" aria-errormessage=\"wpforms-15118-field_219-error\" ><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-15118-field_219-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-15118-field_19-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"19\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"8\" data-formid=\"15118\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Anterior<\/button><\/div><\/div><\/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-15118-field_30-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-15118-field_30-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-15118-field_30-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\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"15118\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/pages\/3437\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-15118\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><img decoding=\"async\" src=\"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Guardar y reanudar m\u00e1s tarde<\/span><\/a><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<div class=\"wpforms-save-resume-disclaimer\" id=\"wpforms-save-resume-disclaimer-15118\" style=\"display: none\">\n\t\t<div class=\"message\">\n\t\t<p>\u00a1Atenci\u00f3n! Al guardar tu progreso ahora, se guardar\u00e1 una copia de tu entrada en este servidor y el propietario del sitio podr\u00eda tener acceso a ella. Por seguridad, deber\u00e1s volver a ingresar informaci\u00f3n confidencial como direcciones, as\u00ed como los archivos subidos, al reanudar la sesi\u00f3n.<\/p>\n\t<\/div>\n\n\t<div class=\"wpforms-form\">\n\t\t<button type=\"submit\" class=\"wpforms-save-resume-disclaimer-continue wpforms-submit\">\n\t\t\tContinue\t\t<\/button>\n\t\t<a href=\"#\" class=\"wpforms-save-resume-disclaimer-back\">\n\t\t\t<span>Go Back<\/span>\n\t\t<\/a>\n\t<\/div>\n\n\t<\/div>\n\n<div class=\"wpforms-save-resume-confirmation\" id=\"wpforms-save-resume-confirmation-15118\" style=\"display: none\">\n\n\t\n\t<div class=\"message\">\n\t\t<p>Tu formulario se ha guardado y se ha creado un enlace \u00fanico al que puedes acceder para continuar con este formulario.<\/p>\n<p>Introduce tu correo electr\u00f3nico para recibir el enlace. Tambi\u00e9n puedes copiar y guardar el enlace a continuaci\u00f3n.<\/p>\n<p>Ten en cuenta que este enlace no debe compartirse y caducar\u00e1 en 30 d\u00edas; despu\u00e9s, tu formulario se eliminar\u00e1.<\/p>\n\t<\/div>\n\n\t<div class=\"wpforms-save-resume-actions\">\n\t\t\t\t\t<div class=\"wpforms-field\">\n\t\t\t\t<label class=\"wpforms-field-label wpforms-save-resume-label\">\n\t\t\t\t\tCopy Link\t\t\t\t<\/label>\n\t\t\t\t<div class=\"wpforms-save-resume-shortcode-container\">\n\t\t\t\t\t<input type=\"text\" class=\"wpforms-save-resume-shortcode\" value=\"\" disabled \/>\n\t\t\t\t\t<span class=\"wpforms-save-resume-shortcode-copy\" title=\"Copy resume link to clipboard\">\n\t\t\t\t\t\t\t<span class=\"copy-icon\"><\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t\t<form class=\"wpforms-validate wpforms-form wpforms-save-resume-email-notification\" method=\"post\" action=\"\/website\/wp-json\/wp\/v2\/pages\/3437\" data-token=\"137f14e7b938109a973576346528d1cb\">\n\t\t\t\t<div class=\"wpforms-field wpforms-field-email\">\n\t\t\t\t\t<label class=\"wpforms-field-label wpforms-save-resume-label\">\n\t\t\t\t\t\tEmail\t\t\t\t\t\t<span class=\"wpforms-required-label\">*<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t\t\t<input type=\"email\" name=\"wpforms[save_resume_email]\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-submit-container\">\n\t\t\t\t\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"2dd8ced654\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/website\/wp-json\/wp\/v2\/pages\/3437\" \/>\t\t\t\t\t<input type=\"hidden\" name=\"wpforms[form_id]\" value=\"15118\">\n\t\t\t\t\t<input type=\"hidden\" name=\"wpforms[entry_id]\" class=\"wpforms-save-resume-entry-id\" value=\"\">\n\t\t\t\t\t<button type=\"submit\" name=\"wpforms[save-resume]\" class=\"wpforms-submit\" value=\"wpforms-submit\" disabled>\n\t\t\t\t\t\tSend Link\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n\t\t<div class=\"elementor-element elementor-element-7c3fb5a e-con-full e-flex elementor-invisible e-con e-child \" data-id=\"7c3fb5a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\t\t<div class=\"elementor-element elementor-element-490828c elementor-widget elementor-widget-pxl_heading\" data-id=\"490828c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pxl-pxl_heading-490828c-3766\" class=\"pxl-heading pxl-heading--tcustom px-sub-title-box-style\">\n\t<div class=\"pxl-heading--inner\">\n\t\t\t\t\n\t\t<div class=\"pxl-item--subtitle px-sub-title-box \" data-wow-delay=\"ms\">\n\t\t\t<span class=\"pxl-item--subtext\">\n\t\t\t\t\t\t\t\t\u00a1CONTACTENOS!\t\t\t<\/span>\n\t\t<\/div>\n\t\t\n\t<h3 class=\"pxl-item--title \" data-wow-delay=\"ms\">\n\t\u00a1No pierdas la oportunidad! \t\t\t\n\t<\/h3>\n\t\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d4e8f9c elementor-widget__width-inherit elementor-widget elementor-widget-pxl_image_box\" data-id=\"d4e8f9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_image_box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-image-box pxl-image-box2  style-1\" data-wow-delay=\"ms\">\r\n    <div class=\"pxl-item--inner\">\r\n        \r\n                            <div class=\"pxl-item--image\">\r\n                    <img fetchpriority=\"high\" decoding=\"async\" width=\"400\" height=\"550\" src=\"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2023\/11\/ban03.jpg\" class=\"attachment-full\" alt=\"\" \/>                <\/div>\r\n            \r\n            \r\n                <div class=\"pxl-item--holder\">\r\n            <h5 class=\"pxl-item--title el-empty\">\u00a1Inicia tu proceso por WhatsApp!<\/h5>\r\n            <div class=\"holder-inner\">\r\n                <div class=\"icon\">\r\n                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"21\" height=\"22\" viewBox=\"0 0 21 22\" fill=\"none\">\r\n                        <path d=\"M11.5368 2.89242C15.1881 3.35171 18.0472 6.21078 18.5064 9.86212C18.5753 10.4477 19.0691 10.8726 19.6432 10.8726C19.6891 10.8726 19.735 10.8726 19.781 10.8611C20.4125 10.7807 20.8603 10.2066 20.7799 9.57506C20.4977 7.29494 19.4622 5.17435 17.8376 3.54976C16.2131 1.92517 14.0925 0.889633 11.8124 0.607461C11.1808 0.538568 10.6067 0.986374 10.5378 1.6179C10.4575 2.24942 10.9053 2.82353 11.5368 2.89242ZM11.9731 5.31516C11.3646 5.15441 10.733 5.52184 10.5723 6.14188C10.4115 6.76192 10.779 7.38196 11.399 7.54271C11.9931 7.69693 12.5352 8.0071 12.9692 8.44113C13.4033 8.87515 13.7134 9.41727 13.8677 10.0114C13.9441 10.3066 14.1346 10.5594 14.3972 10.7143C14.6598 10.8693 14.9731 10.9138 15.2685 10.8381C15.877 10.6774 16.2445 10.0458 16.0952 9.43728C15.8367 8.44571 15.3185 7.54101 14.5939 6.81644C13.8694 6.09187 12.9647 5.57364 11.9731 5.31516ZM18.8279 14.6158L15.9115 14.2828C15.5686 14.2425 15.221 14.2805 14.8948 14.3938C14.5687 14.5072 14.2724 14.693 14.0284 14.9373L11.9157 17.05C8.65613 15.3922 6.00673 12.7428 4.34896 9.48321L6.47316 7.359C6.96689 6.86526 7.20802 6.17633 7.12764 5.47592L6.79466 2.5824C6.72956 2.02227 6.46075 1.50564 6.03941 1.13087C5.61806 0.756108 5.07361 0.54938 4.50971 0.55005H2.5233C1.22582 0.55005 0.146499 1.62938 0.226874 2.92687C0.835428 12.7327 8.67773 20.5635 18.472 21.1721C19.7695 21.2525 20.8488 20.1731 20.8488 18.8756V16.8892C20.8603 15.7295 19.9876 14.7535 18.8279 14.6158Z\" fill=\"white\"\/>\r\n                    <\/svg>\r\n                <\/div>\r\n                                    <div class=\"pxl-item--sub-title\">\u00a1Habla con nosotros ahora 24\/7!<\/div>\r\n                    <a class=\"pxl-item--link\" href=\"https:\/\/wa.me\/+573243061702?text=Hola\" target=\"_blank\">Agente IA CDLE<\/a>\r\n                            <\/div>\r\n        <\/div>\r\n        <svg class=\"mask\" width=\"420\" height=\"638\" viewBox=\"0 0 420 638\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n            <g class=\"inner-mask\" clip-path=\"url(#clip0_844_13)\">\r\n                <path d=\"M196.992 362.765C94.065 355.246 21.4444 414.766 -2 445.466V562H420V203C385.691 325.173 325.65 372.162 196.992 362.765Z\" fill=\"#FF7D44\"\/>\r\n                <path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M239.999 359.928C94.628 361.432 18.2852 438.236 -1.71484 476.45V542.226H-12V643.712H460.286V542.226H419.999V215.659C420.009 214.873 420.008 214.099 419.999 213.337V215.659C419.431 264.611 383.074 358.448 239.999 359.928Z\" fill=\"#07847F\"\/>\r\n            <\/g>\r\n            <defs>\r\n                <clipPath id=\"clip0_844_13\">\r\n                    <rect width=\"420\" height=\"637.714\" rx=\"8.57143\" fill=\"white\"\/>\r\n                <\/clipPath>\r\n            <\/defs>\r\n        <\/svg>\r\n\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t<div class=\"elementor-element elementor-element-3468ed5 e-con-full e-flex e-con e-child \" data-id=\"3468ed5\" data-element_type=\"container\" data-e-type=\"container\"><div class=\"elementor-element elementor-element-b0d542a e-con-full e-flex e-con e-child \" data-id=\"b0d542a\" data-element_type=\"container\" data-e-type=\"container\">\t\t<\/div>\r\n\t\t<div class=\"elementor-element elementor-element-33aff16 e-con-full e-flex e-con e-child \" data-id=\"33aff16\" data-element_type=\"container\" data-e-type=\"container\">\t\t<div class=\"elementor-element elementor-element-00b8a90 elementor-widget elementor-widget-pxl_heading\" data-id=\"00b8a90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pxl-pxl_heading-00b8a90-8686\" class=\"pxl-heading pxl-heading--tcustom px-sub-title-default-style\">\n\t<div class=\"pxl-heading--inner\">\n\t\t\t\t\t\n\t<h3 class=\"pxl-item--title \" data-wow-delay=\"ms\">\n\tNuestra Instituci\u00f3n\t\t\t\n\t<\/h3>\n\t\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc502bd elementor-widget__width-initial elementor-widget elementor-widget-spacer\" data-id=\"dc502bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c32cfe3 elementor-widget elementor-widget-pxl_testimonial_carousel\" data-id=\"c32cfe3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_testimonial_carousel.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"pxl-swiper-sliders pxl-testimonial-carousel pxl-testimonial-carousel1 style-2\" >\n        <div class=\"pxl-carousel-inner\">\n            <div class=\"pxl-swiper-container\" dir=\"ltr\" data-settings=\"{&quot;slide_direction&quot;:&quot;horizontal&quot;,&quot;slide_percolumn&quot;:&quot;1&quot;,&quot;slide_mode&quot;:&quot;slide&quot;,&quot;slides_to_show&quot;:&quot;1&quot;,&quot;slides_to_show_xxl&quot;:&quot;1&quot;,&quot;slides_to_show_lg&quot;:&quot;1&quot;,&quot;slides_to_show_md&quot;:&quot;1&quot;,&quot;slides_to_show_sm&quot;:&quot;1&quot;,&quot;slides_to_show_xs&quot;:&quot;1&quot;,&quot;slides_to_scroll&quot;:&quot;1&quot;,&quot;arrow&quot;:&quot;false&quot;,&quot;pagination&quot;:&quot;false&quot;,&quot;pagination_type&quot;:&quot;bullets&quot;,&quot;pagination_number&quot;:&quot;true&quot;,&quot;autoplay&quot;:&quot;&quot;,&quot;pause_on_hover&quot;:&quot;&quot;,&quot;pause_on_interaction&quot;:&quot;true&quot;,&quot;delay&quot;:5000,&quot;loop&quot;:&quot;false&quot;,&quot;speed&quot;:500}\">\n                <div class=\"pxl-swiper-wrapper\">\n                                            <div class=\"pxl-swiper-slide\">\n                            <div class=\"pxl-item--inner \" data-wow-delay=\"ms\">\n                                                                    <div class=\"pxl-item--image\">\n                                        <div class=\"item--image\">\n                                            <img decoding=\"async\" class=\"no-lazyload \" src=\"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2023\/11\/rectoriacdle-244x244.jpg\" width=\"244\" height=\"244\" alt=\"rectoriacdle\" title=\"rectoriacdle\" \/>                                        <\/div>\n                                    <\/div>\n                                                                <div class=\"pxl-item--holder \">\n                                    <div class=\"quote\">\n                                        <svg width=\"90\" height=\"76\" viewBox=\"0 0 90 76\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                            <path d=\"M33.75 0L0 38V76H33.75V0ZM90 0L56.25 38V76H90V0Z\" fill=\"#EEEEEE\"\/>\n                                        <\/svg>\n                                    <\/div>\n                                    <div class=\"pxl-item--desc el-empty\">\u201cEn nuestra instituci\u00f3n, no solo formamos estudiantes; cultivamos l\u00edderes con visi\u00f3n, pasi\u00f3n y el conocimiento para transformar su entorno. \u00a1Te invitamos a ser parte de nuestra historia de \u00e9xito!\u201d<\/div>\n                                    <div class=\"pxl-item--star pxl-item--5-star\">\n                                        <i class=\"fas fa-star\"><\/i>\n                                        <i class=\"fas fa-star\"><\/i>\n                                        <i class=\"fas fa-star\"><\/i>\n                                        <i class=\"fas fa-star\"><\/i>\n                                        <i class=\"fas fa-star\"><\/i>\n                                    <\/div>\n                                    <h5 class=\"pxl-item--title el-empty\">Jorge Alfonso P\u00e9rez V\u00e1squez<\/h5>\n                                    <div class=\"pxl-item--position el-empty\">Rector, CDLE.<\/div>\n                                <\/div>\n                                \n                            <\/div>\n                        <\/div>\n                                    <\/div>\n            <\/div>\n        <\/div>\n\n        \n                \n    <\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>INSCRIPCION EN LINEA \u00a1Asegura el cupo de tu hijo hoy mismo! Puedes iniciar el proceso de inscripci\u00f3n totalmente en l\u00ednea desde nuestra p\u00e1gina web! \u00a1CONTACTENOS! \u00a1No pierdas la oportunidad! \u00a1Inicia tu proceso por WhatsApp! \u00a1Habla con nosotros ahora 24\/7! Agente IA CDLE Nuestra Instituci\u00f3n \u201cEn nuestra instituci\u00f3n, no solo formamos estudiantes; cultivamos l\u00edderes con visi\u00f3n, [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3437","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.9 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Inscripci\u00f3n En Linea | COLEGIO DE LA ESPERANZA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Inscripci\u00f3n En Linea\" \/>\n<meta property=\"og:description\" content=\"INSCRIPCION EN LINEA \u00a1Asegura el cupo de tu hijo hoy mismo! Puedes iniciar el proceso de inscripci\u00f3n totalmente en l\u00ednea desde nuestra p\u00e1gina web! \u00a1CONTACTENOS! \u00a1No pierdas la oportunidad! \u00a1Inicia tu proceso por WhatsApp! \u00a1Habla con nosotros ahora 24\/7! Agente IA CDLE Nuestra Instituci\u00f3n \u201cEn nuestra instituci\u00f3n, no solo formamos estudiantes; cultivamos l\u00edderes con visi\u00f3n, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/\" \/>\n<meta property=\"og:site_name\" content=\"COLEGIO DE LA ESPERANZA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/colegiodelaesperanza\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-14T21:54:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2023\/11\/ban03.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@CDLESPERANZA\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/\",\"url\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/\",\"name\":\"Inscripci\u00f3n En Linea | COLEGIO DE LA ESPERANZA\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/ban03.jpg\",\"datePublished\":\"2024-01-01T12:00:46+00:00\",\"dateModified\":\"2026-01-14T21:54:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/#breadcrumb\"},\"inLanguage\":\"es-CO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es-CO\",\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/#primaryimage\",\"url\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/ban03.jpg\",\"contentUrl\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/ban03.jpg\",\"width\":400,\"height\":550},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/inscripcion-en-linea\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Inicio\",\"item\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Inscripci\u00f3n En Linea\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/#website\",\"url\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/\",\"name\":\"COLEGIO DE LA ESPERANZA\",\"description\":\"Una Educaci\u00f3n S\u00f3lida, con el Prestigio y la Experiencia de M\u00e1s de 150 A\u00f1os.\",\"publisher\":{\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es-CO\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/#organization\",\"name\":\"COLEGIO DE LA ESPERANZA\",\"url\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-CO\",\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/wp-content\\\/uploads\\\/2026\\\/01\\\/escudo-CDLE-ULTIMO2-5.png\",\"contentUrl\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/wp-content\\\/uploads\\\/2026\\\/01\\\/escudo-CDLE-ULTIMO2-5.png\",\"width\":1055,\"height\":1091,\"caption\":\"COLEGIO DE LA ESPERANZA\"},\"image\":{\"@id\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/colegiodelaesperanza\\\/\",\"https:\\\/\\\/x.com\\\/CDLESPERANZA\",\"https:\\\/\\\/www.instagram.com\\\/colegiodelaesperanza\\\/\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCJ8ifhy6fCNILFvU7iQIlqQ\",\"https:\\\/\\\/www.tiktok.com\\\/@cdle.cartagena\",\"https:\\\/\\\/www.linkedin.com\\\/in\\\/cdle-colegio-de-la-esperanza-9278a3150\\\/\"],\"description\":\"Fundado el 2 de enero de 1870, con m\u00e1s de 150 a\u00f1os al servicio educativo de la regi\u00f3n. Principios de formaci\u00f3n: Instrucci\u00f3n y Disciplina. Brindamos una cuidadosa formaci\u00f3n integral dise\u00f1ada para desarrollar el potencial de tus hijos afianzando las habilidades acad\u00e9micas, f\u00edsicas y art\u00edsticas.\",\"email\":\"info@colegiolaesperanza.edu.co\",\"telephone\":\"+57 (605) 651-6294\",\"legalName\":\"Colegio de la Esperanza\",\"publishingPrinciples\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/blog-noticias\\\/\",\"ownershipFundingInfo\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/nuestra-institucion\\\/\",\"actionableFeedbackPolicy\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/politica-privacidad\\\/\",\"correctionsPolicy\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/politica-privacidad\\\/\",\"ethicsPolicy\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/politica-privacidad\\\/\",\"diversityPolicy\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/politica-privacidad\\\/\",\"diversityStaffingReport\":\"https:\\\/\\\/colegiolaesperanza.edu.co\\\/website\\\/politica-privacidad\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Inscripci\u00f3n En Linea | COLEGIO DE LA ESPERANZA","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/","og_locale":"es_ES","og_type":"article","og_title":"Inscripci\u00f3n En Linea","og_description":"INSCRIPCION EN LINEA \u00a1Asegura el cupo de tu hijo hoy mismo! Puedes iniciar el proceso de inscripci\u00f3n totalmente en l\u00ednea desde nuestra p\u00e1gina web! \u00a1CONTACTENOS! \u00a1No pierdas la oportunidad! \u00a1Inicia tu proceso por WhatsApp! \u00a1Habla con nosotros ahora 24\/7! Agente IA CDLE Nuestra Instituci\u00f3n \u201cEn nuestra instituci\u00f3n, no solo formamos estudiantes; cultivamos l\u00edderes con visi\u00f3n, [&hellip;]","og_url":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/","og_site_name":"COLEGIO DE LA ESPERANZA","article_publisher":"https:\/\/www.facebook.com\/colegiodelaesperanza\/","article_modified_time":"2026-01-14T21:54:07+00:00","og_image":[{"url":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2023\/11\/ban03.jpg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_site":"@CDLESPERANZA","twitter_misc":{"Tiempo de lectura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/","url":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/","name":"Inscripci\u00f3n En Linea | COLEGIO DE LA ESPERANZA","isPartOf":{"@id":"https:\/\/colegiolaesperanza.edu.co\/website\/#website"},"primaryImageOfPage":{"@id":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/#primaryimage"},"image":{"@id":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/#primaryimage"},"thumbnailUrl":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2023\/11\/ban03.jpg","datePublished":"2024-01-01T12:00:46+00:00","dateModified":"2026-01-14T21:54:07+00:00","breadcrumb":{"@id":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/#breadcrumb"},"inLanguage":"es-CO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/"]}]},{"@type":"ImageObject","inLanguage":"es-CO","@id":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/#primaryimage","url":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2023\/11\/ban03.jpg","contentUrl":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2023\/11\/ban03.jpg","width":400,"height":550},{"@type":"BreadcrumbList","@id":"https:\/\/colegiolaesperanza.edu.co\/website\/inscripcion-en-linea\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Inicio","item":"https:\/\/colegiolaesperanza.edu.co\/website\/"},{"@type":"ListItem","position":2,"name":"Inscripci\u00f3n En Linea"}]},{"@type":"WebSite","@id":"https:\/\/colegiolaesperanza.edu.co\/website\/#website","url":"https:\/\/colegiolaesperanza.edu.co\/website\/","name":"COLEGIO DE LA ESPERANZA","description":"Una Educaci\u00f3n S\u00f3lida, con el Prestigio y la Experiencia de M\u00e1s de 150 A\u00f1os.","publisher":{"@id":"https:\/\/colegiolaesperanza.edu.co\/website\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/colegiolaesperanza.edu.co\/website\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es-CO"},{"@type":"Organization","@id":"https:\/\/colegiolaesperanza.edu.co\/website\/#organization","name":"COLEGIO DE LA ESPERANZA","url":"https:\/\/colegiolaesperanza.edu.co\/website\/","logo":{"@type":"ImageObject","inLanguage":"es-CO","@id":"https:\/\/colegiolaesperanza.edu.co\/website\/#\/schema\/logo\/image\/","url":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2026\/01\/escudo-CDLE-ULTIMO2-5.png","contentUrl":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-content\/uploads\/2026\/01\/escudo-CDLE-ULTIMO2-5.png","width":1055,"height":1091,"caption":"COLEGIO DE LA ESPERANZA"},"image":{"@id":"https:\/\/colegiolaesperanza.edu.co\/website\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/colegiodelaesperanza\/","https:\/\/x.com\/CDLESPERANZA","https:\/\/www.instagram.com\/colegiodelaesperanza\/","https:\/\/www.youtube.com\/channel\/UCJ8ifhy6fCNILFvU7iQIlqQ","https:\/\/www.tiktok.com\/@cdle.cartagena","https:\/\/www.linkedin.com\/in\/cdle-colegio-de-la-esperanza-9278a3150\/"],"description":"Fundado el 2 de enero de 1870, con m\u00e1s de 150 a\u00f1os al servicio educativo de la regi\u00f3n. Principios de formaci\u00f3n: Instrucci\u00f3n y Disciplina. Brindamos una cuidadosa formaci\u00f3n integral dise\u00f1ada para desarrollar el potencial de tus hijos afianzando las habilidades acad\u00e9micas, f\u00edsicas y art\u00edsticas.","email":"info@colegiolaesperanza.edu.co","telephone":"+57 (605) 651-6294","legalName":"Colegio de la Esperanza","publishingPrinciples":"https:\/\/colegiolaesperanza.edu.co\/website\/blog-noticias\/","ownershipFundingInfo":"https:\/\/colegiolaesperanza.edu.co\/website\/nuestra-institucion\/","actionableFeedbackPolicy":"https:\/\/colegiolaesperanza.edu.co\/website\/politica-privacidad\/","correctionsPolicy":"https:\/\/colegiolaesperanza.edu.co\/website\/politica-privacidad\/","ethicsPolicy":"https:\/\/colegiolaesperanza.edu.co\/website\/politica-privacidad\/","diversityPolicy":"https:\/\/colegiolaesperanza.edu.co\/website\/politica-privacidad\/","diversityStaffingReport":"https:\/\/colegiolaesperanza.edu.co\/website\/politica-privacidad\/"}]}},"_links":{"self":[{"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/pages\/3437","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/comments?post=3437"}],"version-history":[{"count":69,"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/pages\/3437\/revisions"}],"predecessor-version":[{"id":16420,"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/pages\/3437\/revisions\/16420"}],"wp:attachment":[{"href":"https:\/\/colegiolaesperanza.edu.co\/website\/wp-json\/wp\/v2\/media?parent=3437"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}