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registration.html
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---
title: Registration
description: Be part of us
image: https://cdn.shpe.ga/events/shpe-event-2017.jpg
---
<section class="hero" style="background-image: url({% include relative-src.html src=page.image %})">
<div class="inner-hero text-container">
<div class="hero-text-container">
<h1 class="editable">Be part of us</h1>
<p class="subtext editable">Join the largest club in Miami Dade College Hialeah Campus.</p>
</div>
</div>
</section>
<section class="pad">
<div class="text-container contact-box">
<form action="https://formspree.io/patricia.gonzalez047@mymdc.net" method="post" class="contact-form">
<input type="hidden" name="_to" value="patricia.gonzalez047@mymdc.net">
<input type="text" name="_gotcha" style="display: none;">
<label for="name">Full Name*</label>
<input type="text" name="name" id="name" placeholder="Enter your name" required>
<label for="name">Major*</label>
<input type="text" name="major" id="name" placeholder="Enter your major" required>
<label for="name">Minor</label>
<input type="text" name="minor" id="name" placeholder="Enter your minor">
<label for="name">Campus*</label>
<input type="text" name="campus" id="name" placeholder="Enter the campus/es you are taking classes separed by a comma" required>
<label for="name">🎂 Date of birth*</label>
<input type="text" name="dob" id="name" placeholder="Enter your cake day" required>
<label for="name">Student ID*</label>
<input type="text" name="id" id="name" placeholder="Enter your student ID" required>
<label for="email">Email Address*</label>
<input type="email" name="email" id="email" placeholder="Enter your email (one that you check regularly)" required>
<label for="name">Phone number*</label>
<input type="text" name="phone" id="name" placeholder="Enter your phone number" required>
<label for="message">Days and times you are available?</label>
<textarea name="days" id="message" placeholder="Please provide days and times you are available. (Eg: Monday: 9:00 - 11:00 am)"></textarea>
<input type="submit" value="Send Message">
</form>
</div>
</section>