document.write('<div id=\'slf\'>')
document.write('       <form action="#" method="post" id="slf_form" name="slf_form">');document.write('    <div class="field">');document.write('                        <label for="slf_title">Title *</label>');document.write('                        <select name="title"> <option value="Mr" selected="selected">Mr</option> <option value="Mrs">Mrs</option> <option value="Miss">Miss</option> <option value="Dr">Dr</option> <option value="Ms">Ms</option></select>');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_forename">First Name *</label>');document.write('                        <input id="slf_forename" name="forename"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_surname">Last Name *</label>');document.write('                        <input id="slf_surname"  name="surname"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_coname">Group Name *</label>');document.write('                        <input id="slf_coname"  name="coname"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_add1">Address *<br/><Br/><Br/></label>');document.write('                        <input id="slf_add1"  name="add1"><br/> ');document.write('                        <input id="slf_add2"  name="add2"><br/>');document.write('                        <input id="slf_add3"  name="add3"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_town">Town *</label>');document.write('                        <input id="slf_town"  name="town"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_county">County *</label>');document.write('                        <input id="slf_county"  name="county"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_postcode">Postcode *</label>');document.write('                        <input id="slf_postcode"  name="postcode"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_tel">Telephone number *</label>');document.write('                        <input id="slf_tel"  name="tel"> ');document.write('                    </div>');document.write('                    <div class="field">');document.write('                        <label for="slf_email">Email *</label>');document.write('                        <input id="slf_email"  name="email"> ');document.write('                    </div>                    <div class="field">');document.write('                        <label for="slf_lea">LEA *</label>');document.write('                        <select id="slf_lea" name="lea"><option value="67">Angus</option><option value="68">Argyll &amp; Bute</option><option value="55">Birmingham and Solihull</option><option value="56">Black Country</option><option value="95">Cambridgeshire</option><option value="61">Cheshire and Warrington</option><option value="69">Clackmannanshire</option><option value="94">Cornwall</option><option value="48">County Durham</option><option value="57">Coventry and Warwickshire</option><option value="62">Cumbria</option><option value="70">Dumfries &amp; Galloway</option><option value="71">Dundee City</option><option value="72">East Ayrshire</option><option value="73">East Dunbartonshire</option><option value="74">East Lothian</option><option value="75">East Renfrewshire</option><option value="76">Edinburgh City</option><option value="77">Falkirk</option><option value="78">Fife</option><option value="79">Glasgow City</option><option value="63">Greater Manchester</option><option value="64">Greater Merseyside</option><option value="58">Herefordshire and Worcestershire</option><option value="80">Inverclyde</option><option value="65">Lancashire</option><option value="81">Midlothian</option><option value="82">North Ayrshire</option><option value="51">North Humberside</option><option value="83">North Lanarkshire</option><option value="52">North Yorkshire</option><option value="47">Northumberland</option><option value="92">Not applicable</option><option value="93">Not applicable</option><option value="84">Perth &amp; Kinross</option><option value="85">Renfrewshire</option><option value="86">Scottish Borders</option><option value="59">Shropshire</option><option value="96">Somerset</option><option value="87">South Ayrshire</option><option value="53">South Humberside</option><option value="88">South Lanarkshire</option><option value="50">South Yorkshire</option><option value="60">Staffordshire</option><option value="89">Stirling</option><option value="46">Tees Valley</option><option value="49">Tyne &amp; Wear</option><option value="90">West Dunbartonshire</option><option value="91">West Lothian</option><option value="54">West Yorkshire</option>                    </select></div>    <div class="field">');document.write('                        Preferred start time and number of people attending:');document.write('                    </div>');document.write('                    <table>');document.write('<tr><th colspan=\'6\'>23 Mar 2011</th></tr><tr><td></td><th>09:30-10:30&nbsp;</th><th>10:30-12:30&nbsp;</th><th>11:30-13:30&nbsp;</th><th>12:30-14:30&nbsp;</th><th>13:30-15:00&nbsp;</th></tr>');document.write('<tr>');document.write('<th>Year 9</th>');document.write('<td><input name=\'sess_314_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_315_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_316_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_317_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_318_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 10</th>');document.write('<td><input name=\'sess_314_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_315_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_316_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_317_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_318_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 11</th>');document.write('<td><input name=\'sess_314_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_315_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_316_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_317_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_318_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 12</th>');document.write('<td><input name=\'sess_314_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_315_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_316_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_317_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_318_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 13</th>');document.write('<td><input name=\'sess_314_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_315_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_316_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_317_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_318_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr><th colspan=\'6\'>24 Mar 2011</th></tr><tr><td></td><th>09:30-10:30&nbsp;</th><th>10:30-12:30&nbsp;</th><th>11:30-13:30&nbsp;</th><th>12:30-14:30&nbsp;</th><th>13:30-15:00&nbsp;</th></tr>');document.write('<tr>');document.write('<th>Year 9</th>');document.write('<td><input name=\'sess_319_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_320_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_321_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_322_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_323_1\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 10</th>');document.write('<td><input name=\'sess_319_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_320_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_321_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_322_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_323_2\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 11</th>');document.write('<td><input name=\'sess_319_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_320_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_321_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_322_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_323_3\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 12</th>');document.write('<td><input name=\'sess_319_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_320_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_321_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_322_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_323_4\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('<tr>');document.write('<th>Year 13</th>');document.write('<td><input name=\'sess_319_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_320_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_321_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_322_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('<td><input name=\'sess_323_5\' type=\'text\' size=\'3  value=\'0\'/></td>');document.write('</tr>');document.write('                    </table>');document.write('                    <p>We will try to');document.write('                            meet your requests wherever possible, however, in some cases');document.write('                                    allocated timeslots may have to be varied due to safety');document.write('                                            requirements.</p>                          <div class="field">');document.write('<label for="slf_teachers">How many teachers/group helpers');document.write('                                will be attending?</label>');document.write('<input type="text" id="slf_teachers" name="teachers"  value="0" />');document.write('</div>');document.write('                    <div class="field">');document.write('<label for="slf_special">How many');document.write('                                people with special needs will be attending?</label>');document.write('<input type="text" name="special" id="slf_special" value="0" />');document.write('</div>');document.write('                    <div class="field">');document.write('<label for="slf_ethnic">What percentage of ethnic minority people will be attending?</label>');document.write('                    <select name="ethnic">');document.write('<option value="-1">Please 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value="32">32%</option><option value="33">33%</option><option value="34">34%</option><option value="35">35%</option><option value="36">36%</option><option value="37">37%</option><option value="38">38%</option><option value="39">39%</option><option value="40">40%</option><option value="41">41%</option><option value="42">42%</option><option value="43">43%</option><option value="44">44%</option><option value="45">45%</option><option value="46">46%</option><option value="47">47%</option><option value="48">48%</option><option value="49">49%</option><option value="50">50%</option><option value="51">51%</option><option value="52">52%</option><option value="53">53%</option><option value="54">54%</option><option value="55">55%</option><option value="56">56%</option><option value="57">57%</option><option value="58">58%</option><option value="59">59%</option><option value="60">60%</option><option value="61">61%</option><option value="62">62%</option><option value="63">63%</option><option 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