{"id":5721,"date":"2019-11-09T22:57:57","date_gmt":"2019-11-09T22:57:57","guid":{"rendered":"http:\/\/anklaazul.com\/?page_id=5721"},"modified":"2026-02-05T23:21:44","modified_gmt":"2026-02-06T04:21:44","slug":"booking","status":"publish","type":"page","link":"https:\/\/anklaazul.com\/es\/booking\/","title":{"rendered":"Reserva"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_flex_section section_has_divider et_pb_bottom_divider\">\n<div class=\"et_pb_row_0 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_0 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_dark et_pb_module et_block_module preset--module--divi-text--70382c69-3f4a-41e8-a6a7-7a62269ce8a8\"><div class=\"et_pb_text_inner\"><h1 style=\"text-align: left;\">Reserva Tu Inmersi\u00f3n \u2014 Comienza Aqu\u00ed<\/h1>\n<\/div><\/div>\n\n<div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_dark et_pb_module et_block_module preset--module--divi-text--3tx68shv89\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\">You're just a few steps away from an unforgettable underwater experience in the Colombian Pacific. Whether you're a certified diver ready for a fun dive, looking to earn a new certification, or trying scuba for the first time, this is where your adventure begins. Please use the form below to select your activity and reserve your spot with our team.<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_group_0 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_0_wrapper preset--module--divi-button--p90tt5zbku_wrapper\"><a class=\"et_pb_button_0 et_pb_button et_pb_bg_layout_light et-interaction-target-v029ca6s3w et_pb_module et_block_module preset--module--divi-button--p90tt5zbku\" href=\"#all-fun-dives\" data-icon=\"7\" data-interaction-trigger=\"xqecjy1t3k\" data-interaction-target=\"v029ca6s3w\">Buceo recreativo<\/a><\/div>\n\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_1_wrapper preset--module--divi-button--p90tt5zbku_wrapper\"><a class=\"et_pb_button_1 et_pb_button et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-button--p90tt5zbku\" href=\"#Courses-Booking-Section\" data-icon=\"7\" data-interaction-trigger=\"9w3x074d6z\">Cursos<\/a><\/div>\n\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_2_wrapper preset--module--divi-button--p90tt5zbku_wrapper\"><a class=\"et_pb_button_2 et_pb_button et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-button--p90tt5zbku\" href=\"#all-try-dives\" data-icon=\"7\" data-interaction-trigger=\"9w3x074d6z\">Try Diving | Snorkel<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"et_pb_bottom_inside_divider et-no-transition\"><\/div><\/div>\n\n<div class=\"et_pb_section_1 et_pb_section et_section_regular et_flex_section\" id=\"all-fun-dives\">\n<div class=\"et_pb_row_1 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_1 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_text_2 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--efokf8vg5e\"><div class=\"et_pb_text_inner\"><h2 style=\"text-align: center;\">Reserva tus inmersiones recreativas<\/h2>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_2 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_2 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_text_3 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--7rqaibtxuz\"><div class=\"et_pb_text_inner\"><h3 style=\"text-align: left;\">Inmersiones<br \/>Dise\u00f1adas<br \/>para todos los<br \/>Buzos<br \/>Certificados<\/h3>\n<h3 style=\"text-align: left;\"><span style=\"color: #38b6ff;\">Buceo y apnea<\/span><\/h3>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_3 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_row_3 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_4 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_0 et_pb_image et-interaction-target-w861a61knj et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"pwe80qmhv6\" data-interaction-target=\"w861a61knj\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover-1.jpg\" alt=\"Fun Dive Cover page in Bahia Solano\" title=\"Fun Dive Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover-1.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover-1-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover-1-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover-1-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372354\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_1 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-aez9752i69\" data-interaction-target=\"aez9752i69\">\n<div class=\"et_pb_icon_0 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"xm855dowm9\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_4 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><form id=\"forminator-module-376017\" class=\"forminator-custom-form forminator-custom-form-376017\" method=\"post\" data-forminator-render=\"0\" data-uid=\"69ef7ccfc7fd0\" action=\"\"><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_4 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_5 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_1 et_pb_image et-interaction-target-07gba2e3bz et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"4wxjesvxwr\" data-interaction-target=\"07gba2e3bz\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover0.jpg\" alt=\"Fun Dive Cover page in Bahia Solano\" title=\"3 Fun Dive Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover0.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover0-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover0-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover0-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372355\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_2 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-j8vgsq9sqs\" data-interaction-target=\"j8vgsq9sqs\">\n<div class=\"et_pb_icon_1 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"hrn2hum8p7\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_5 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376162 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376162\" data-uid=\"69ef7ccfce8d2\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376162\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376162 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376162\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7ccfce8d2\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Pasa un d\u00eda completo en el azul con 3 inmersiones incre\u00edbles<\/h2><h3 class=\"forminator-subtitle\">La experiencia definitiva de tres inmersiones por 680.000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7ccfce8d2-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7ccfce8d2-description\"><span id=\"forminator-radiogroup-radio-3-69ef7ccfce8d2-label\" class=\"forminator-label\">Buceo o Apnea <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7ccfce8d2-description\" class=\"forminator-description\">Este servicio requiere una certificaci\u00f3n de buceo v\u00e1lida.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"Buceador\"><input type=\"radio\" name=\"radio-3\" value=\"Scuba-Diver\" id=\"forminator-field-radio-3-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceador<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7ccfce8d2\" id=\"forminator-field-first-name-1_69ef7ccfce8d2-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7ccfce8d2-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7ccfce8d2\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7ccfce8d2-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7ccfce8d2\" id=\"forminator-field-last-name-1_69ef7ccfce8d2-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7ccfce8d2-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7ccfce8d2\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7ccfce8d2-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7ccfce8d2\" id=\"forminator-field-email-1_69ef7ccfce8d2-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7ccfce8d2-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7ccfce8d2\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7ccfce8d2-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7ccfce8d2\" id=\"forminator-field-phone-1_69ef7ccfce8d2-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7ccfce8d2-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 3112811079\" id=\"forminator-field-phone-1_69ef7ccfce8d2\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7ccfce8d2-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7ccfce8d2\" id=\"forminator-field-text-3_69ef7ccfce8d2-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7ccfce8d2-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7ccfce8d2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7ccfce8d2-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--address-1-country_69ef7ccfce8d2\" id=\"forminator-field-376162__field--address-1-country_69ef7ccfce8d2-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376162__field--address-1-country_69ef7ccfce8d2-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376162__field--address-1-country_69ef7ccfce8d2\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376162__field--address-1-country_69ef7ccfce8d2-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7ccfce8d2-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-2-day_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-2-day_69ef7ccfce8d2-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376162__field--date-2-day_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7ccfce8d2-description\" aria-labelledby=\"forminator-field-376162__field--date-2-day_69ef7ccfce8d2-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-2-month_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-2-month_69ef7ccfce8d2-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376162__field--date-2-month_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7ccfce8d2-description\" aria-labelledby=\"forminator-field-376162__field--date-2-month_69ef7ccfce8d2-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-2-year_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-2-year_69ef7ccfce8d2-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376162__field--date-2-year_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7ccfce8d2-description\" aria-labelledby=\"forminator-field-376162__field--date-2-year_69ef7ccfce8d2-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7ccfce8d2-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-3-day_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-3-day_69ef7ccfce8d2-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376162__field--date-3-day_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7ccfce8d2-description\" aria-labelledby=\"forminator-field-376162__field--date-3-day_69ef7ccfce8d2-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-3-month_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-3-month_69ef7ccfce8d2-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376162__field--date-3-month_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7ccfce8d2-description\" aria-labelledby=\"forminator-field-376162__field--date-3-month_69ef7ccfce8d2-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-3-year_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-3-year_69ef7ccfce8d2-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376162__field--date-3-year_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7ccfce8d2-description\" aria-labelledby=\"forminator-field-376162__field--date-3-year_69ef7ccfce8d2-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376162__field--select-3_69ef7ccfce8d2\" id=\"forminator-form-376162__field--select-3_69ef7ccfce8d2-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376162__field--select-3_69ef7ccfce8d2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376162__field--select-3_69ef7ccfce8d2-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376162__field--select-3_69ef7ccfce8d2\" name=\"custom-select-3\" class=\"forminator-input\" placeholder=\"Otros\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">\u00a1Vamos a llevarte a bucear en el lugar adecuado!<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376162__field--select-1_69ef7ccfce8d2\" id=\"forminator-form-376162__field--select-1_69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfCu\u00e1l es tu certificaci\u00f3n de buceo m\u00e1s alta? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376162__field--select-1_69ef7ccfce8d2-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376162__field--select-1_69ef7ccfce8d2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376162__field--select-1_69ef7ccfce8d2-label\" aria-describedby=\"forminator-form-376162__field--select-1_69ef7ccfce8d2-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Open Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced Open Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Trainer\"  data-calculation=\"0\">Instructor<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376162__field--select-4_69ef7ccfce8d2\" id=\"forminator-form-376162__field--select-4_69ef7ccfce8d2-label\" class=\"forminator-label\">What is your highest freediving certification? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376162__field--select-4_69ef7ccfce8d2-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376162__field--select-4_69ef7ccfce8d2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376162__field--select-4_69ef7ccfce8d2-label\" aria-describedby=\"forminator-form-376162__field--select-4_69ef7ccfce8d2-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Level 1\"  data-calculation=\"0\">Level 1<\/option><option value=\"Level 2\"  data-calculation=\"0\">Level 2<\/option><option value=\"Level 3\"  data-calculation=\"0\">Level 3<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376162__field--select-2_69ef7ccfce8d2\" id=\"forminator-form-376162__field--select-2_69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376162__field--select-2_69ef7ccfce8d2-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376162__field--select-2_69ef7ccfce8d2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376162__field--select-2_69ef7ccfce8d2-label\" aria-describedby=\"forminator-form-376162__field--select-2_69ef7ccfce8d2-description\"><option value=\"\"  >SSI<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376162__field--select-5_69ef7ccfce8d2\" id=\"forminator-form-376162__field--select-5_69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376162__field--select-5_69ef7ccfce8d2-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376162__field--select-5_69ef7ccfce8d2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376162__field--select-5_69ef7ccfce8d2-label\" aria-describedby=\"forminator-form-376162__field--select-5_69ef7ccfce8d2-description\"><option value=\"\"  >SSI<\/option><option value=\"SDI\"  data-calculation=\"0\">Molchanovs<\/option><option value=\"AIDA\"  data-calculation=\"0\">AIDA<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69ef7ccfce8d2\" id=\"forminator-field-text-2_69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-2_69ef7ccfce8d2-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-2_69ef7ccfce8d2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-2_69ef7ccfce8d2-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-1-day_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-1-day_69ef7ccfce8d2-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376162__field--date-1-day_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376162__field--date-1-day_69ef7ccfce8d2-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-1-month_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-1-month_69ef7ccfce8d2-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376162__field--date-1-month_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376162__field--date-1-month_69ef7ccfce8d2-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376162__field--date-1-year_69ef7ccfce8d2\" id=\"forminator-field-376162__field--date-1-year_69ef7ccfce8d2-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376162__field--date-1-year_69ef7ccfce8d2\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376162__field--date-1-year_69ef7ccfce8d2-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7ccfce8d2-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7ccfce8d2-description\"><span id=\"forminator-radiogroup-radio-2-69ef7ccfce8d2-label\" class=\"forminator-label\">Elige la inmersi\u00f3n que te gustar\u00eda hacer en Bah\u00eda Solano. <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7ccfce8d2-description\" class=\"forminator-description\">Bah\u00eda Solano ofrece impresionantes sitios de buceo con una rica vida marina. \u00a1Cu\u00e9ntanos qu\u00e9 aventura te emociona m\u00e1s!<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7ccfce8d2\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"3 Inmersiones | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"3 Scuba Dives | 1 Day\" id=\"forminator-field-radio-2-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"680000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3 Inmersiones | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover0.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7ccfce8d2-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7ccfce8d2-description\"><span id=\"forminator-radiogroup-radio-10-69ef7ccfce8d2-label\" class=\"forminator-label\">\u00a1Necesito un Repaso!<\/span><span id=\"forminator-radiogroup-radio-10-69ef7ccfce8d2-description\" class=\"forminator-description\">(Recomendado si no has buceado en m\u00e1s de un a\u00f1o. Incluye una revisi\u00f3n de habilidades y una sesi\u00f3n en aguas poco profundas con un instructor.)<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7ccfce8d2\" class=\"forminator-radio\" title=\"Curso de repaso\"><input type=\"radio\" name=\"radio-10\" value=\"Refresh Course\" id=\"forminator-field-radio-10-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"220000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Curso de repaso<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7ccfce8d2-label\"><span id=\"forminator-radiogroup-radio-4-69ef7ccfce8d2-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7ccfce8d2\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"320000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7ccfce8d2\" id=\"calculation-1-field_69ef7ccfce8d2-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7ccfce8d2\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7ccfce8d2\" id=\"calculation-4-field_69ef7ccfce8d2-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7ccfce8d2\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7ccfce8d2-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7ccfce8d2-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7ccfce8d2-label\" for=\"forminator-field-checkbox-1-1-69ef7ccfce8d2\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-1-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7ccfce8d2-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7ccfce8d2-label\" for=\"forminator-field-checkbox-1-2-69ef7ccfce8d2\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-2-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7ccfce8d2-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-69ef7ccfce8d2-label\" for=\"forminator-field-checkbox-1-3-69ef7ccfce8d2\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-3-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-checkbox-1-3-69ef7ccfce8d2-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><label id=\"forminator-field-checkbox-1-4-69ef7ccfce8d2-label\" for=\"forminator-field-checkbox-1-4-69ef7ccfce8d2\" class=\"forminator-checkbox\" title=\"Boquilla nueva para regulador\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"New Mouthpiece\" id=\"forminator-field-checkbox-1-4-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-checkbox-1-4-69ef7ccfce8d2-label\" data-calculation=\"30000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Boquilla nueva para regulador<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7ccfce8d2-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7ccfce8d2-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-2-1-69ef7ccfce8d2-label\" for=\"forminator-field-checkbox-2-1-69ef7ccfce8d2\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-2-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-checkbox-2-1-69ef7ccfce8d2-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69ef7ccfce8d2-label\" for=\"forminator-field-checkbox-2-2-69ef7ccfce8d2\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Lunch\" id=\"forminator-field-checkbox-2-2-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-checkbox-2-2-69ef7ccfce8d2-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-69ef7ccfce8d2-label\" for=\"forminator-field-checkbox-2-3-69ef7ccfce8d2\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"GoPro\" id=\"forminator-field-checkbox-2-3-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-checkbox-2-3-69ef7ccfce8d2-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-2-field_69ef7ccfce8d2\" id=\"calculation-2-field_69ef7ccfce8d2-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69ef7ccfce8d2\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-5-field_69ef7ccfce8d2\" id=\"calculation-5-field_69ef7ccfce8d2-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_69ef7ccfce8d2\" class=\"forminator-calculation\" data-formula=\"{checkbox-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-3-field_69ef7ccfce8d2\" id=\"calculation-3-field_69ef7ccfce8d2-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69ef7ccfce8d2\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{checkbox-1}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-6\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-6-field_69ef7ccfce8d2\" id=\"calculation-6-field_69ef7ccfce8d2-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-6\" value=\"\" id=\"calculation-6-field_69ef7ccfce8d2\" class=\"forminator-calculation\" data-formula=\"{radio-4}+{checkbox-2}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7ccfce8d2-label\"><span id=\"forminator-radiogroup-radio-5-69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7ccfce8d2\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7ccfce8d2\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7ccfce8d2\" id=\"forminator-field-text-4_69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7ccfce8d2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7ccfce8d2-label\"><span id=\"forminator-radiogroup-radio-6-69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7ccfce8d2\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7ccfce8d2\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7ccfce8d2\" id=\"forminator-field-text-5_69ef7ccfce8d2-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7ccfce8d2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7ccfce8d2-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7ccfce8d2-description\"><span id=\"forminator-radiogroup-radio-7-69ef7ccfce8d2-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7ccfce8d2-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7ccfce8d2-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7ccfce8d2-description\"><span id=\"forminator-radiogroup-radio-8-69ef7ccfce8d2-label\" class=\"forminator-label\">Talla Wetsuit:<\/span><span id=\"forminator-radiogroup-radio-8-69ef7ccfce8d2-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7ccfce8d2-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7ccfce8d2-description\"><span id=\"forminator-radiogroup-radio-9-69ef7ccfce8d2-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7ccfce8d2-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7ccfce8d2\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7ccfce8d2\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccfce8d2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376162--page-7\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376162--page-7-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"7\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 7\"\r\n\t\t\t\tdata-actual-label=\"Page 8\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7ccfce8d2\" id=\"forminator-field-consent-1_69ef7ccfce8d2-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7ccfce8d2__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7ccfce8d2\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7ccfce8d2-label\" aria-describedby=\"forminator-field-consent-1_69ef7ccfce8d2__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7ccfce8d2__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul <a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>, <a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y <a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7ccfce8d2\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"b8b8286af6\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376162\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_36\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_36\" type=\"text\" name=\"input_36\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_5 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_6 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_2 et_pb_image et-interaction-target-guyyk0xl99 et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"i45wffkjx5\" data-interaction-target=\"guyyk0xl99\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-2024-1.jpg\" alt=\"Fun Dive Cover page in Bahia Solano\" title=\"Combo Fun dive cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-2024-1.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-2024-1-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-2024-1-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-2024-1-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372345\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_3 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-mcwrw96yg7\" data-interaction-target=\"mcwrw96yg7\">\n<div class=\"et_pb_icon_2 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"sszvi7nrfr\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_6 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376173 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376173\" data-uid=\"69ef7ccff4217\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376173\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376173 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376173\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7ccff4217\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Del Amanecer a las Estrellas: El Combo Definitivo de D\u00eda y Noche<\/h2><h3 class=\"forminator-subtitle\">Experimenta las dos caras del oc\u00e9ano por 690.000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7ccff4217-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7ccff4217-description\"><span id=\"forminator-radiogroup-radio-3-69ef7ccff4217-label\" class=\"forminator-label\">Buceo o Apnea <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7ccff4217-description\" class=\"forminator-description\">Este servicio requiere una certificaci\u00f3n de buceo v\u00e1lida.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"Buceador\"><input type=\"radio\" name=\"radio-3\" value=\"Scuba-Diver\" id=\"forminator-field-radio-3-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceador<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7ccff4217\" id=\"forminator-field-first-name-1_69ef7ccff4217-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7ccff4217-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7ccff4217\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7ccff4217-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7ccff4217\" id=\"forminator-field-last-name-1_69ef7ccff4217-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7ccff4217-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7ccff4217\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7ccff4217-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7ccff4217\" id=\"forminator-field-email-1_69ef7ccff4217-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7ccff4217-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7ccff4217\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7ccff4217-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7ccff4217\" id=\"forminator-field-phone-1_69ef7ccff4217-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7ccff4217-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 3112811079\" id=\"forminator-field-phone-1_69ef7ccff4217\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7ccff4217-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7ccff4217\" id=\"forminator-field-text-3_69ef7ccff4217-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7ccff4217-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7ccff4217\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7ccff4217-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--address-1-country_69ef7ccff4217\" id=\"forminator-field-376173__field--address-1-country_69ef7ccff4217-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376173__field--address-1-country_69ef7ccff4217-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376173__field--address-1-country_69ef7ccff4217\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376173__field--address-1-country_69ef7ccff4217-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7ccff4217-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-2-day_69ef7ccff4217\" id=\"forminator-field-376173__field--date-2-day_69ef7ccff4217-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376173__field--date-2-day_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7ccff4217-description\" aria-labelledby=\"forminator-field-376173__field--date-2-day_69ef7ccff4217-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-2-month_69ef7ccff4217\" id=\"forminator-field-376173__field--date-2-month_69ef7ccff4217-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376173__field--date-2-month_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7ccff4217-description\" aria-labelledby=\"forminator-field-376173__field--date-2-month_69ef7ccff4217-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-2-year_69ef7ccff4217\" id=\"forminator-field-376173__field--date-2-year_69ef7ccff4217-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376173__field--date-2-year_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7ccff4217-description\" aria-labelledby=\"forminator-field-376173__field--date-2-year_69ef7ccff4217-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7ccff4217-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-3-day_69ef7ccff4217\" id=\"forminator-field-376173__field--date-3-day_69ef7ccff4217-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376173__field--date-3-day_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7ccff4217-description\" aria-labelledby=\"forminator-field-376173__field--date-3-day_69ef7ccff4217-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-3-month_69ef7ccff4217\" id=\"forminator-field-376173__field--date-3-month_69ef7ccff4217-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376173__field--date-3-month_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7ccff4217-description\" aria-labelledby=\"forminator-field-376173__field--date-3-month_69ef7ccff4217-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-3-year_69ef7ccff4217\" id=\"forminator-field-376173__field--date-3-year_69ef7ccff4217-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376173__field--date-3-year_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7ccff4217-description\" aria-labelledby=\"forminator-field-376173__field--date-3-year_69ef7ccff4217-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376173__field--select-3_69ef7ccff4217\" id=\"forminator-form-376173__field--select-3_69ef7ccff4217-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376173__field--select-3_69ef7ccff4217\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376173__field--select-3_69ef7ccff4217-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376173__field--select-3_69ef7ccff4217\" name=\"custom-select-3\" class=\"forminator-input\" placeholder=\"Otros\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">\u00a1Vamos a llevarte a bucear en el lugar adecuado!<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376173__field--select-1_69ef7ccff4217\" id=\"forminator-form-376173__field--select-1_69ef7ccff4217-label\" class=\"forminator-label\">\u00bfCu\u00e1l es tu certificaci\u00f3n de buceo m\u00e1s alta? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376173__field--select-1_69ef7ccff4217-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376173__field--select-1_69ef7ccff4217\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376173__field--select-1_69ef7ccff4217-label\" aria-describedby=\"forminator-form-376173__field--select-1_69ef7ccff4217-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Open Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced Open Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Trainer\"  data-calculation=\"0\">Instructor<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376173__field--select-4_69ef7ccff4217\" id=\"forminator-form-376173__field--select-4_69ef7ccff4217-label\" class=\"forminator-label\">What is your highest freediving certification? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376173__field--select-4_69ef7ccff4217-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376173__field--select-4_69ef7ccff4217\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376173__field--select-4_69ef7ccff4217-label\" aria-describedby=\"forminator-form-376173__field--select-4_69ef7ccff4217-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Level 1\"  data-calculation=\"0\">Level 1<\/option><option value=\"Level 2\"  data-calculation=\"0\">Level 2<\/option><option value=\"Level 3\"  data-calculation=\"0\">Level 3<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376173__field--select-2_69ef7ccff4217\" id=\"forminator-form-376173__field--select-2_69ef7ccff4217-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376173__field--select-2_69ef7ccff4217-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376173__field--select-2_69ef7ccff4217\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376173__field--select-2_69ef7ccff4217-label\" aria-describedby=\"forminator-form-376173__field--select-2_69ef7ccff4217-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376173__field--select-5_69ef7ccff4217\" id=\"forminator-form-376173__field--select-5_69ef7ccff4217-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376173__field--select-5_69ef7ccff4217-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376173__field--select-5_69ef7ccff4217\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376173__field--select-5_69ef7ccff4217-label\" aria-describedby=\"forminator-form-376173__field--select-5_69ef7ccff4217-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"SDI\"  data-calculation=\"0\">Molchanovs<\/option><option value=\"AIDA\"  data-calculation=\"0\">AIDA<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69ef7ccff4217\" id=\"forminator-field-text-2_69ef7ccff4217-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-2_69ef7ccff4217-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-2_69ef7ccff4217\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-2_69ef7ccff4217-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-1-day_69ef7ccff4217\" id=\"forminator-field-376173__field--date-1-day_69ef7ccff4217-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376173__field--date-1-day_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376173__field--date-1-day_69ef7ccff4217-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-1-month_69ef7ccff4217\" id=\"forminator-field-376173__field--date-1-month_69ef7ccff4217-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376173__field--date-1-month_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376173__field--date-1-month_69ef7ccff4217-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376173__field--date-1-year_69ef7ccff4217\" id=\"forminator-field-376173__field--date-1-year_69ef7ccff4217-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376173__field--date-1-year_69ef7ccff4217\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376173__field--date-1-year_69ef7ccff4217-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7ccff4217-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7ccff4217-description\"><span id=\"forminator-radiogroup-radio-2-69ef7ccff4217-label\" class=\"forminator-label\">Elige la inmersi\u00f3n que te gustar\u00eda hacer en Bah\u00eda Solano. <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7ccff4217-description\" class=\"forminator-description\">Bah\u00eda Solano ofrece impresionantes sitios de buceo con una rica vida marina. \u00a1Cu\u00e9ntanos qu\u00e9 aventura te emociona m\u00e1s!<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7ccff4217\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Buceo en Combo\"><input type=\"radio\" name=\"radio-2\" value=\"Combo-Dive\" id=\"forminator-field-radio-2-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"690000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceo en Combo<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-2024-1.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7ccff4217-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7ccff4217-description\"><span id=\"forminator-radiogroup-radio-10-69ef7ccff4217-label\" class=\"forminator-label\">\u00a1Necesito un Repaso!<\/span><span id=\"forminator-radiogroup-radio-10-69ef7ccff4217-description\" class=\"forminator-description\">(Recomendado si no has buceado en m\u00e1s de un a\u00f1o. Incluye una revisi\u00f3n de habilidades y una sesi\u00f3n en aguas poco profundas con un instructor.)<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7ccff4217\" class=\"forminator-radio\" title=\"Curso de repaso\"><input type=\"radio\" name=\"radio-10\" value=\"Refresh Course\" id=\"forminator-field-radio-10-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"220000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Curso de repaso<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7ccff4217-label\"><span id=\"forminator-radiogroup-radio-4-69ef7ccff4217-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7ccff4217\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"320000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7ccff4217\" id=\"calculation-1-field_69ef7ccff4217-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7ccff4217\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7ccff4217\" id=\"calculation-4-field_69ef7ccff4217-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7ccff4217\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7ccff4217-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7ccff4217-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7ccff4217-label\" for=\"forminator-field-checkbox-1-1-69ef7ccff4217\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-1-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7ccff4217-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7ccff4217-label\" for=\"forminator-field-checkbox-1-2-69ef7ccff4217\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-2-69ef7ccff4217\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7ccff4217-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-69ef7ccff4217-label\" for=\"forminator-field-checkbox-1-3-69ef7ccff4217\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-3-69ef7ccff4217\" aria-labelledby=\"forminator-field-checkbox-1-3-69ef7ccff4217-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><label id=\"forminator-field-checkbox-1-4-69ef7ccff4217-label\" for=\"forminator-field-checkbox-1-4-69ef7ccff4217\" class=\"forminator-checkbox\" title=\"Boquilla nueva para regulador\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"New Mouthpiece\" id=\"forminator-field-checkbox-1-4-69ef7ccff4217\" aria-labelledby=\"forminator-field-checkbox-1-4-69ef7ccff4217-label\" data-calculation=\"30000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Boquilla nueva para regulador<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7ccff4217-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7ccff4217-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-2-1-69ef7ccff4217-label\" for=\"forminator-field-checkbox-2-1-69ef7ccff4217\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-2-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-checkbox-2-1-69ef7ccff4217-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69ef7ccff4217-label\" for=\"forminator-field-checkbox-2-2-69ef7ccff4217\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Lunch\" id=\"forminator-field-checkbox-2-2-69ef7ccff4217\" aria-labelledby=\"forminator-field-checkbox-2-2-69ef7ccff4217-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-69ef7ccff4217-label\" for=\"forminator-field-checkbox-2-3-69ef7ccff4217\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"GoPro\" id=\"forminator-field-checkbox-2-3-69ef7ccff4217\" aria-labelledby=\"forminator-field-checkbox-2-3-69ef7ccff4217-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-2-field_69ef7ccff4217\" id=\"calculation-2-field_69ef7ccff4217-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69ef7ccff4217\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-5-field_69ef7ccff4217\" id=\"calculation-5-field_69ef7ccff4217-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_69ef7ccff4217\" class=\"forminator-calculation\" data-formula=\"{checkbox-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-3-field_69ef7ccff4217\" id=\"calculation-3-field_69ef7ccff4217-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69ef7ccff4217\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{checkbox-1}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-6\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-6-field_69ef7ccff4217\" id=\"calculation-6-field_69ef7ccff4217-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-6\" value=\"\" id=\"calculation-6-field_69ef7ccff4217\" class=\"forminator-calculation\" data-formula=\"{radio-4}+{checkbox-2}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7ccff4217-label\"><span id=\"forminator-radiogroup-radio-5-69ef7ccff4217-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7ccff4217\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7ccff4217\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7ccff4217\" id=\"forminator-field-text-4_69ef7ccff4217-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7ccff4217\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7ccff4217-label\"><span id=\"forminator-radiogroup-radio-6-69ef7ccff4217-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7ccff4217\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7ccff4217\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7ccff4217\" id=\"forminator-field-text-5_69ef7ccff4217-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7ccff4217\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7ccff4217-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7ccff4217-description\"><span id=\"forminator-radiogroup-radio-7-69ef7ccff4217-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7ccff4217-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7ccff4217-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7ccff4217-description\"><span id=\"forminator-radiogroup-radio-8-69ef7ccff4217-label\" class=\"forminator-label\">Talla Wetsuit:<\/span><span id=\"forminator-radiogroup-radio-8-69ef7ccff4217-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7ccff4217-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7ccff4217-description\"><span id=\"forminator-radiogroup-radio-9-69ef7ccff4217-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7ccff4217-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7ccff4217\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7ccff4217\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7ccff4217-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376173--page-7\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376173--page-7-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"7\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 7\"\r\n\t\t\t\tdata-actual-label=\"Page 8\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7ccff4217\" id=\"forminator-field-consent-1_69ef7ccff4217-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7ccff4217__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7ccff4217\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7ccff4217-label\" aria-describedby=\"forminator-field-consent-1_69ef7ccff4217__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7ccff4217__description\" class=\"forminator-checkbox__label forminator-consent__label\"><div data-name=\"\" data-label=\"Page  7\" data-step=\"7\" aria-labelledby=\"forminator-custom-form-376017--page-7-label\" role=\"tabpanel\" class=\"forminator-pagination\" id=\"forminator-custom-form-376017--page-7\">\n<div class=\"forminator-pagination--content\">\n<div class=\"forminator-row\">\n<div class=\"forminator-field-consent forminator-col forminator-col-12\" id=\"consent-1\">\n<div class=\"forminator-field\">\n<div class=\"forminator-checkbox__wrapper\">\n<div class=\"forminator-checkbox__label forminator-consent__label\" id=\"forminator-field-consent-1_68f46a173917e__description\">\n<p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7ccff4217\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"0a20cb6e7d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376173\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_36\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_36\" type=\"text\" name=\"input_36\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_column_7 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_row_6 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_8 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_3 et_pb_image et-interaction-target-lydig2w7xw et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"e6nd2dl2cd\" data-interaction-target=\"lydig2w7xw\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/North-Dive-Cover-1.jpg\" alt=\"Fun Dive Cover page in Bahia Solano\" title=\"North Dive Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/North-Dive-Cover-1.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/North-Dive-Cover-1-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/North-Dive-Cover-1-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/North-Dive-Cover-1-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372493\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_4 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-poxtvbh80k\" data-interaction-target=\"poxtvbh80k\">\n<div class=\"et_pb_icon_3 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"d4z4mtv8au\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_7 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376186 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376186\" data-uid=\"69ef7cd027279\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376186\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376186 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376186\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd027279\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">La Expedici\u00f3n Definitiva a Cabo Marzo<\/h2><h3 class=\"forminator-subtitle\">Una aventura premium de d\u00eda completo para buzos avanzados por 1.050.000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd027279-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd027279-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd027279-label\" class=\"forminator-label\">Buceo o Apnea <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd027279-description\" class=\"forminator-description\">Este servicio requiere una certificaci\u00f3n de buceo v\u00e1lida.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"Buceador\"><input type=\"radio\" name=\"radio-3\" value=\"Scuba-Diver\" id=\"forminator-field-radio-3-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceador<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd027279\" id=\"forminator-field-first-name-1_69ef7cd027279-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd027279-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"E.g. John\" id=\"forminator-field-first-name-1_69ef7cd027279\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd027279-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd027279\" id=\"forminator-field-last-name-1_69ef7cd027279-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7cd027279-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"E.g. Doe\" id=\"forminator-field-last-name-1_69ef7cd027279\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd027279-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd027279\" id=\"forminator-field-email-1_69ef7cd027279-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd027279-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd027279\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd027279-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd027279\" id=\"forminator-field-phone-1_69ef7cd027279-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd027279-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 311 28 11079\" id=\"forminator-field-phone-1_69ef7cd027279\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd027279-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd027279\" id=\"forminator-field-text-3_69ef7cd027279-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd027279-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd027279\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd027279-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--address-1-country_69ef7cd027279\" id=\"forminator-field-376186__field--address-1-country_69ef7cd027279-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376186__field--address-1-country_69ef7cd027279-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376186__field--address-1-country_69ef7cd027279\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376186__field--address-1-country_69ef7cd027279-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd027279-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-2-day_69ef7cd027279\" id=\"forminator-field-376186__field--date-2-day_69ef7cd027279-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376186__field--date-2-day_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd027279-description\" aria-labelledby=\"forminator-field-376186__field--date-2-day_69ef7cd027279-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-2-month_69ef7cd027279\" id=\"forminator-field-376186__field--date-2-month_69ef7cd027279-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376186__field--date-2-month_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd027279-description\" aria-labelledby=\"forminator-field-376186__field--date-2-month_69ef7cd027279-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-2-year_69ef7cd027279\" id=\"forminator-field-376186__field--date-2-year_69ef7cd027279-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376186__field--date-2-year_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd027279-description\" aria-labelledby=\"forminator-field-376186__field--date-2-year_69ef7cd027279-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7cd027279-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-3-day_69ef7cd027279\" id=\"forminator-field-376186__field--date-3-day_69ef7cd027279-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376186__field--date-3-day_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd027279-description\" aria-labelledby=\"forminator-field-376186__field--date-3-day_69ef7cd027279-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-3-month_69ef7cd027279\" id=\"forminator-field-376186__field--date-3-month_69ef7cd027279-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376186__field--date-3-month_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd027279-description\" aria-labelledby=\"forminator-field-376186__field--date-3-month_69ef7cd027279-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-3-year_69ef7cd027279\" id=\"forminator-field-376186__field--date-3-year_69ef7cd027279-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376186__field--date-3-year_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd027279-description\" aria-labelledby=\"forminator-field-376186__field--date-3-year_69ef7cd027279-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376186__field--select-3_69ef7cd027279\" id=\"forminator-form-376186__field--select-3_69ef7cd027279-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376186__field--select-3_69ef7cd027279\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376186__field--select-3_69ef7cd027279-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376186__field--select-3_69ef7cd027279\" name=\"custom-select-3\" class=\"forminator-input\" placeholder=\"Otros\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">\u00a1Vamos a llevarte a bucear en el lugar adecuado!<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376186__field--select-1_69ef7cd027279\" id=\"forminator-form-376186__field--select-1_69ef7cd027279-label\" class=\"forminator-label\">\u00bfCu\u00e1l es tu certificaci\u00f3n de buceo m\u00e1s alta? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376186__field--select-1_69ef7cd027279-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376186__field--select-1_69ef7cd027279\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376186__field--select-1_69ef7cd027279-label\" aria-describedby=\"forminator-form-376186__field--select-1_69ef7cd027279-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Open Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced Open Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Trainer\"  data-calculation=\"0\">Instructor<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376186__field--select-4_69ef7cd027279\" id=\"forminator-form-376186__field--select-4_69ef7cd027279-label\" class=\"forminator-label\">What is your highest freediving certification? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376186__field--select-4_69ef7cd027279-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376186__field--select-4_69ef7cd027279\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376186__field--select-4_69ef7cd027279-label\" aria-describedby=\"forminator-form-376186__field--select-4_69ef7cd027279-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Level 1\"  data-calculation=\"0\">Level 1<\/option><option value=\"Level 2\"  data-calculation=\"0\">Level 2<\/option><option value=\"Level 3\"  data-calculation=\"0\">Level 3<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376186__field--select-2_69ef7cd027279\" id=\"forminator-form-376186__field--select-2_69ef7cd027279-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376186__field--select-2_69ef7cd027279-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376186__field--select-2_69ef7cd027279\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376186__field--select-2_69ef7cd027279-label\" aria-describedby=\"forminator-form-376186__field--select-2_69ef7cd027279-description\"><option value=\"\"  >SSI<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376186__field--select-5_69ef7cd027279\" id=\"forminator-form-376186__field--select-5_69ef7cd027279-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376186__field--select-5_69ef7cd027279\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376186__field--select-5_69ef7cd027279-label\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"SDI\"  data-calculation=\"0\">Molchanovs<\/option><option value=\"AIDA\"  data-calculation=\"0\">AIDA<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69ef7cd027279\" id=\"forminator-field-text-2_69ef7cd027279-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-2_69ef7cd027279-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-2_69ef7cd027279\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-2_69ef7cd027279-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-1-day_69ef7cd027279\" id=\"forminator-field-376186__field--date-1-day_69ef7cd027279-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376186__field--date-1-day_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376186__field--date-1-day_69ef7cd027279-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-1-month_69ef7cd027279\" id=\"forminator-field-376186__field--date-1-month_69ef7cd027279-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376186__field--date-1-month_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376186__field--date-1-month_69ef7cd027279-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376186__field--date-1-year_69ef7cd027279\" id=\"forminator-field-376186__field--date-1-year_69ef7cd027279-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376186__field--date-1-year_69ef7cd027279\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376186__field--date-1-year_69ef7cd027279-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7cd027279-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7cd027279-description\"><span id=\"forminator-radiogroup-radio-2-69ef7cd027279-label\" class=\"forminator-label\">Elige la inmersi\u00f3n que te gustar\u00eda hacer en Bah\u00eda Solano. <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7cd027279-description\" class=\"forminator-description\">Bah\u00eda Solano ofrece impresionantes sitios de buceo con una rica vida marina. \u00a1Cu\u00e9ntanos qu\u00e9 aventura te emociona m\u00e1s!<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7cd027279\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Buceo al norte\"><input type=\"radio\" name=\"radio-2\" value=\"North-Dive\" id=\"forminator-field-radio-2-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"1080000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceo al norte<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/North-Dive-Cover-1.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7cd027279-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7cd027279-description\"><span id=\"forminator-radiogroup-radio-10-69ef7cd027279-label\" class=\"forminator-label\">\u00a1Necesito un Repaso!<\/span><span id=\"forminator-radiogroup-radio-10-69ef7cd027279-description\" class=\"forminator-description\">(Recomendado si no has buceado en m\u00e1s de un a\u00f1o. Incluye una revisi\u00f3n de habilidades y una sesi\u00f3n en aguas poco profundas con un instructor.)<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7cd027279\" class=\"forminator-radio\" title=\"Curso de repaso\"><input type=\"radio\" name=\"radio-10\" value=\"Refresh Course\" id=\"forminator-field-radio-10-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"220000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Curso de repaso<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd027279-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd027279-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd027279\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"320000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd027279\" id=\"calculation-1-field_69ef7cd027279-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd027279\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7cd027279\" id=\"calculation-4-field_69ef7cd027279-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7cd027279\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd027279-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd027279-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7cd027279-label\" for=\"forminator-field-checkbox-1-1-69ef7cd027279\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-1-1-69ef7cd027279\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7cd027279-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7cd027279-label\" for=\"forminator-field-checkbox-1-2-69ef7cd027279\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-2-69ef7cd027279\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7cd027279-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-69ef7cd027279-label\" for=\"forminator-field-checkbox-1-3-69ef7cd027279\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-3-69ef7cd027279\" aria-labelledby=\"forminator-field-checkbox-1-3-69ef7cd027279-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><label id=\"forminator-field-checkbox-1-4-69ef7cd027279-label\" for=\"forminator-field-checkbox-1-4-69ef7cd027279\" class=\"forminator-checkbox\" title=\"Boquilla nueva para regulador\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"New Mouthpiece\" id=\"forminator-field-checkbox-1-4-69ef7cd027279\" aria-labelledby=\"forminator-field-checkbox-1-4-69ef7cd027279-label\" data-calculation=\"30000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Boquilla nueva para regulador<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7cd027279-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7cd027279-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-2-1-69ef7cd027279-label\" for=\"forminator-field-checkbox-2-1-69ef7cd027279\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-2-1-69ef7cd027279\" aria-labelledby=\"forminator-field-checkbox-2-1-69ef7cd027279-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69ef7cd027279-label\" for=\"forminator-field-checkbox-2-2-69ef7cd027279\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Lunch\" id=\"forminator-field-checkbox-2-2-69ef7cd027279\" aria-labelledby=\"forminator-field-checkbox-2-2-69ef7cd027279-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-69ef7cd027279-label\" for=\"forminator-field-checkbox-2-3-69ef7cd027279\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"GoPro\" id=\"forminator-field-checkbox-2-3-69ef7cd027279\" aria-labelledby=\"forminator-field-checkbox-2-3-69ef7cd027279-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-2-field_69ef7cd027279\" id=\"calculation-2-field_69ef7cd027279-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69ef7cd027279\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-5-field_69ef7cd027279\" id=\"calculation-5-field_69ef7cd027279-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_69ef7cd027279\" class=\"forminator-calculation\" data-formula=\"{checkbox-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-3-field_69ef7cd027279\" id=\"calculation-3-field_69ef7cd027279-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69ef7cd027279\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{checkbox-1}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-6\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-6-field_69ef7cd027279\" id=\"calculation-6-field_69ef7cd027279-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-6\" value=\"\" id=\"calculation-6-field_69ef7cd027279\" class=\"forminator-calculation\" data-formula=\"{radio-4}+{checkbox-2}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7cd027279-label\"><span id=\"forminator-radiogroup-radio-5-69ef7cd027279-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7cd027279\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7cd027279\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd027279\" id=\"forminator-field-text-4_69ef7cd027279-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"Medical Conditions\" placeholder=\"\" id=\"forminator-field-text-4_69ef7cd027279\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd027279-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd027279-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd027279\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd027279\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd027279\" id=\"forminator-field-text-5_69ef7cd027279-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"Describe in text what Food allergies or dietary\" placeholder=\"\" id=\"forminator-field-text-5_69ef7cd027279\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7cd027279-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7cd027279-description\"><span id=\"forminator-radiogroup-radio-7-69ef7cd027279-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7cd027279-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd027279-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd027279-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd027279-label\" class=\"forminator-label\">Talla Wetsuit:<\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd027279-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd027279-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd027279-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd027279-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd027279-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7cd027279\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7cd027279\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd027279-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376186--page-7\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376186--page-7-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"7\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 7\"\r\n\t\t\t\tdata-actual-label=\"Page 8\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd027279\" id=\"forminator-field-consent-1_69ef7cd027279-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd027279__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd027279\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd027279-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd027279__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd027279__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd027279\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Enviar mensaje<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"488a21cc2f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376186\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_36\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_36\" type=\"text\" name=\"input_36\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_7 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_9 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_4 et_pb_image et-interaction-target-bwilxru26z et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"a6i3f9rqw1\" data-interaction-target=\"bwilxru26z\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Night-Dive-Cover.jpg\" alt=\"Night Dive Cover\" title=\"Night Dive Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Night-Dive-Cover.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Night-Dive-Cover-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Night-Dive-Cover-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Night-Dive-Cover-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372492\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_5 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-nvqw8sxv0n\" data-interaction-target=\"nvqw8sxv0n\">\n<div class=\"et_pb_icon_4 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"ytjuwe6un3\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_8 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376168 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376168\" data-uid=\"69ef7cd04a9af\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376168\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376168 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376168\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd04a9af\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Light up the reef: your unforgettable night dive journey<\/h2><h3 class=\"forminator-subtitle\">Your Unforgettable Night Dive Adventure For 410,000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd04a9af-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd04a9af-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd04a9af-label\" class=\"forminator-label\">Buceo o Apnea <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd04a9af-description\" class=\"forminator-description\">Este servicio requiere una certificaci\u00f3n de buceo v\u00e1lida.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"Buceador\"><input type=\"radio\" name=\"radio-3\" value=\"Scuba-Diver\" id=\"forminator-field-radio-3-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceador<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd04a9af\" id=\"forminator-field-first-name-1_69ef7cd04a9af-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd04a9af-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd04a9af\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd04a9af-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd04a9af\" id=\"forminator-field-last-name-1_69ef7cd04a9af-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7cd04a9af-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd04a9af\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd04a9af-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd04a9af\" id=\"forminator-field-email-1_69ef7cd04a9af-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd04a9af-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd04a9af\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd04a9af-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd04a9af\" id=\"forminator-field-phone-1_69ef7cd04a9af-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd04a9af-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 3112811079\" id=\"forminator-field-phone-1_69ef7cd04a9af\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd04a9af-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd04a9af\" id=\"forminator-field-text-3_69ef7cd04a9af-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd04a9af-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd04a9af\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd04a9af-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--address-1-country_69ef7cd04a9af\" id=\"forminator-field-376168__field--address-1-country_69ef7cd04a9af-label\" class=\"forminator-label\">Pa\u00eds<\/label><span id=\"forminator-field-376168__field--address-1-country_69ef7cd04a9af-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376168__field--address-1-country_69ef7cd04a9af\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376168__field--address-1-country_69ef7cd04a9af-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd04a9af-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-2-day_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-2-day_69ef7cd04a9af-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376168__field--date-2-day_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd04a9af-description\" aria-labelledby=\"forminator-field-376168__field--date-2-day_69ef7cd04a9af-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-2-month_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-2-month_69ef7cd04a9af-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376168__field--date-2-month_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd04a9af-description\" aria-labelledby=\"forminator-field-376168__field--date-2-month_69ef7cd04a9af-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-2-year_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-2-year_69ef7cd04a9af-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376168__field--date-2-year_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd04a9af-description\" aria-labelledby=\"forminator-field-376168__field--date-2-year_69ef7cd04a9af-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7cd04a9af-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-3-day_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-3-day_69ef7cd04a9af-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376168__field--date-3-day_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd04a9af-description\" aria-labelledby=\"forminator-field-376168__field--date-3-day_69ef7cd04a9af-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-3-month_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-3-month_69ef7cd04a9af-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376168__field--date-3-month_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd04a9af-description\" aria-labelledby=\"forminator-field-376168__field--date-3-month_69ef7cd04a9af-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-3-year_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-3-year_69ef7cd04a9af-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376168__field--date-3-year_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd04a9af-description\" aria-labelledby=\"forminator-field-376168__field--date-3-year_69ef7cd04a9af-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376168__field--select-3_69ef7cd04a9af\" id=\"forminator-form-376168__field--select-3_69ef7cd04a9af-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376168__field--select-3_69ef7cd04a9af\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376168__field--select-3_69ef7cd04a9af-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">\u00a1Vamos a llevarte a bucear en el lugar adecuado!<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376168__field--select-1_69ef7cd04a9af\" id=\"forminator-form-376168__field--select-1_69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfCu\u00e1l es tu certificaci\u00f3n de buceo m\u00e1s alta? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376168__field--select-1_69ef7cd04a9af-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376168__field--select-1_69ef7cd04a9af\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376168__field--select-1_69ef7cd04a9af-label\" aria-describedby=\"forminator-form-376168__field--select-1_69ef7cd04a9af-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Open Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced Open Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Trainer\"  data-calculation=\"0\">Instructor<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376168__field--select-4_69ef7cd04a9af\" id=\"forminator-form-376168__field--select-4_69ef7cd04a9af-label\" class=\"forminator-label\">What is your highest freediving certification? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376168__field--select-4_69ef7cd04a9af-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376168__field--select-4_69ef7cd04a9af\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376168__field--select-4_69ef7cd04a9af-label\" aria-describedby=\"forminator-form-376168__field--select-4_69ef7cd04a9af-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Level 1\"  data-calculation=\"0\">Level 1<\/option><option value=\"Level 2\"  data-calculation=\"0\">Level 2<\/option><option value=\"Level 3\"  data-calculation=\"0\">Level 3<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376168__field--select-2_69ef7cd04a9af\" id=\"forminator-form-376168__field--select-2_69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376168__field--select-2_69ef7cd04a9af-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376168__field--select-2_69ef7cd04a9af\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376168__field--select-2_69ef7cd04a9af-label\" aria-describedby=\"forminator-form-376168__field--select-2_69ef7cd04a9af-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376168__field--select-5_69ef7cd04a9af\" id=\"forminator-form-376168__field--select-5_69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376168__field--select-5_69ef7cd04a9af\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376168__field--select-5_69ef7cd04a9af-label\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"SDI\"  data-calculation=\"0\">Molchanovs<\/option><option value=\"AIDA\"  data-calculation=\"0\">AIDA<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69ef7cd04a9af\" id=\"forminator-field-text-2_69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-2_69ef7cd04a9af-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-2_69ef7cd04a9af\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-2_69ef7cd04a9af-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-1-day_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-1-day_69ef7cd04a9af-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376168__field--date-1-day_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376168__field--date-1-day_69ef7cd04a9af-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-1-month_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-1-month_69ef7cd04a9af-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376168__field--date-1-month_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376168__field--date-1-month_69ef7cd04a9af-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376168__field--date-1-year_69ef7cd04a9af\" id=\"forminator-field-376168__field--date-1-year_69ef7cd04a9af-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376168__field--date-1-year_69ef7cd04a9af\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376168__field--date-1-year_69ef7cd04a9af-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7cd04a9af-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7cd04a9af-description\"><span id=\"forminator-radiogroup-radio-2-69ef7cd04a9af-label\" class=\"forminator-label\">Elige la inmersi\u00f3n que te gustar\u00eda hacer en Bah\u00eda Solano. <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7cd04a9af-description\" class=\"forminator-description\">Bah\u00eda Solano ofrece impresionantes sitios de buceo con una rica vida marina. \u00a1Cu\u00e9ntanos qu\u00e9 aventura te emociona m\u00e1s!<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7cd04a9af\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Buceo Nocturno\"><input type=\"radio\" name=\"radio-2\" value=\"Night-Dive\" id=\"forminator-field-radio-2-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"410000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceo Nocturno<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Night-Dive-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7cd04a9af-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7cd04a9af-description\"><span id=\"forminator-radiogroup-radio-10-69ef7cd04a9af-label\" class=\"forminator-label\">\u00a1Necesito un Repaso!<\/span><span id=\"forminator-radiogroup-radio-10-69ef7cd04a9af-description\" class=\"forminator-description\">(Recomendado si no has buceado en m\u00e1s de un a\u00f1o. Incluye una revisi\u00f3n de habilidades y una sesi\u00f3n en aguas poco profundas con un instructor.)<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7cd04a9af\" class=\"forminator-radio\" title=\"Curso de repaso\"><input type=\"radio\" name=\"radio-10\" value=\"Refresh Course\" id=\"forminator-field-radio-10-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"220000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Curso de repaso<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd04a9af-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd04a9af-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd04a9af\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"320000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd04a9af\" id=\"calculation-1-field_69ef7cd04a9af-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd04a9af\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7cd04a9af\" id=\"calculation-4-field_69ef7cd04a9af-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7cd04a9af\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd04a9af-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd04a9af-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7cd04a9af-label\" for=\"forminator-field-checkbox-1-1-69ef7cd04a9af\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-1-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7cd04a9af-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7cd04a9af-label\" for=\"forminator-field-checkbox-1-2-69ef7cd04a9af\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-2-69ef7cd04a9af\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7cd04a9af-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-69ef7cd04a9af-label\" for=\"forminator-field-checkbox-1-3-69ef7cd04a9af\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-3-69ef7cd04a9af\" aria-labelledby=\"forminator-field-checkbox-1-3-69ef7cd04a9af-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><label id=\"forminator-field-checkbox-1-4-69ef7cd04a9af-label\" for=\"forminator-field-checkbox-1-4-69ef7cd04a9af\" class=\"forminator-checkbox\" title=\"Boquilla nueva para regulador\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"New Mouthpiece\" id=\"forminator-field-checkbox-1-4-69ef7cd04a9af\" aria-labelledby=\"forminator-field-checkbox-1-4-69ef7cd04a9af-label\" data-calculation=\"30000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Boquilla nueva para regulador<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7cd04a9af-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7cd04a9af-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-2-1-69ef7cd04a9af-label\" for=\"forminator-field-checkbox-2-1-69ef7cd04a9af\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-2-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-checkbox-2-1-69ef7cd04a9af-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69ef7cd04a9af-label\" for=\"forminator-field-checkbox-2-2-69ef7cd04a9af\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Lunch\" id=\"forminator-field-checkbox-2-2-69ef7cd04a9af\" aria-labelledby=\"forminator-field-checkbox-2-2-69ef7cd04a9af-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-69ef7cd04a9af-label\" for=\"forminator-field-checkbox-2-3-69ef7cd04a9af\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"GoPro\" id=\"forminator-field-checkbox-2-3-69ef7cd04a9af\" aria-labelledby=\"forminator-field-checkbox-2-3-69ef7cd04a9af-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-2-field_69ef7cd04a9af\" id=\"calculation-2-field_69ef7cd04a9af-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69ef7cd04a9af\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-5-field_69ef7cd04a9af\" id=\"calculation-5-field_69ef7cd04a9af-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_69ef7cd04a9af\" class=\"forminator-calculation\" data-formula=\"{checkbox-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-3-field_69ef7cd04a9af\" id=\"calculation-3-field_69ef7cd04a9af-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69ef7cd04a9af\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{checkbox-1}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-6\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-6-field_69ef7cd04a9af\" id=\"calculation-6-field_69ef7cd04a9af-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-6\" value=\"\" id=\"calculation-6-field_69ef7cd04a9af\" class=\"forminator-calculation\" data-formula=\"{radio-4}+{checkbox-2}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7cd04a9af-label\"><span id=\"forminator-radiogroup-radio-5-69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7cd04a9af\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7cd04a9af\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd04a9af\" id=\"forminator-field-text-4_69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7cd04a9af\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd04a9af-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd04a9af\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd04a9af\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd04a9af\" id=\"forminator-field-text-5_69ef7cd04a9af-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7cd04a9af\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7cd04a9af-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7cd04a9af-description\"><span id=\"forminator-radiogroup-radio-7-69ef7cd04a9af-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7cd04a9af-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd04a9af-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd04a9af-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd04a9af-label\" class=\"forminator-label\">Talla Wetsuit:<\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd04a9af-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd04a9af-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd04a9af-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd04a9af-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd04a9af-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7cd04a9af\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7cd04a9af\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd04a9af-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376168--page-7\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376168--page-7-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"7\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 7\"\r\n\t\t\t\tdata-actual-label=\"Page 8\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd04a9af\" id=\"forminator-field-consent-1_69ef7cd04a9af-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd04a9af__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd04a9af\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd04a9af-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd04a9af__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd04a9af__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd04a9af\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"c4c95bf396\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376168\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_36\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_36\" type=\"text\" name=\"input_36\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_8 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_10 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_5 et_pb_image et-interaction-target-dxvqh8r2g0 et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"odsj8cxosj\" data-interaction-target=\"dxvqh8r2g0\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover.jpg\" alt=\"Apnea Dive Cover\" title=\"Apnea Dive Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372281\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_6 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-3u4cd1pwsa\" data-interaction-target=\"3u4cd1pwsa\">\n<div class=\"et_pb_icon_5 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"hnmekixgb9\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_9 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376458 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376458\" data-uid=\"69ef7cd06dda9\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376458\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376458 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376458\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd06dda9\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Connect With The Ocean, Silently<\/h2><h3 class=\"forminator-subtitle\">A Guided Freediving Session To Explore The Reef For 350,000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd06dda9-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd06dda9-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd06dda9-label\" class=\"forminator-label\">Buceo o Apnea <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd06dda9-description\" class=\"forminator-description\">Este servicio requiere una certificaci\u00f3n de buceo v\u00e1lida.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"Apne\u00edsta\"><input type=\"radio\" name=\"radio-3\" value=\"Freediver\" id=\"forminator-field-radio-3-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apne\u00edsta<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd06dda9\" id=\"forminator-field-first-name-1_69ef7cd06dda9-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd06dda9-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd06dda9\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd06dda9-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd06dda9\" id=\"forminator-field-last-name-1_69ef7cd06dda9-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7cd06dda9-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd06dda9\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd06dda9-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd06dda9\" id=\"forminator-field-email-1_69ef7cd06dda9-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd06dda9-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd06dda9\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd06dda9-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd06dda9\" id=\"forminator-field-phone-1_69ef7cd06dda9-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd06dda9-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"3112811079\" id=\"forminator-field-phone-1_69ef7cd06dda9\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"co\" data-validation=\"international\" aria-describedby=\"forminator-field-phone-1_69ef7cd06dda9-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd06dda9\" id=\"forminator-field-text-3_69ef7cd06dda9-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd06dda9-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd06dda9\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd06dda9-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--address-1-country_69ef7cd06dda9\" id=\"forminator-field-376458__field--address-1-country_69ef7cd06dda9-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376458__field--address-1-country_69ef7cd06dda9-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376458__field--address-1-country_69ef7cd06dda9\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376458__field--address-1-country_69ef7cd06dda9-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd06dda9-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-2-day_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-2-day_69ef7cd06dda9-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376458__field--date-2-day_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd06dda9-description\" aria-labelledby=\"forminator-field-376458__field--date-2-day_69ef7cd06dda9-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-2-month_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-2-month_69ef7cd06dda9-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376458__field--date-2-month_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd06dda9-description\" aria-labelledby=\"forminator-field-376458__field--date-2-month_69ef7cd06dda9-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-2-year_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-2-year_69ef7cd06dda9-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376458__field--date-2-year_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd06dda9-description\" aria-labelledby=\"forminator-field-376458__field--date-2-year_69ef7cd06dda9-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7cd06dda9-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-3-day_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-3-day_69ef7cd06dda9-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376458__field--date-3-day_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd06dda9-description\" aria-labelledby=\"forminator-field-376458__field--date-3-day_69ef7cd06dda9-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-3-month_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-3-month_69ef7cd06dda9-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376458__field--date-3-month_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd06dda9-description\" aria-labelledby=\"forminator-field-376458__field--date-3-month_69ef7cd06dda9-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-3-year_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-3-year_69ef7cd06dda9-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376458__field--date-3-year_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd06dda9-description\" aria-labelledby=\"forminator-field-376458__field--date-3-year_69ef7cd06dda9-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376458__field--select-3_69ef7cd06dda9\" id=\"forminator-form-376458__field--select-3_69ef7cd06dda9-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376458__field--select-3_69ef7cd06dda9\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376458__field--select-3_69ef7cd06dda9-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">\u00a1Vamos a llevarte a bucear en el lugar adecuado!<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376458__field--select-1_69ef7cd06dda9\" id=\"forminator-form-376458__field--select-1_69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfCu\u00e1l es tu certificaci\u00f3n de buceo m\u00e1s alta? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376458__field--select-1_69ef7cd06dda9-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376458__field--select-1_69ef7cd06dda9\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376458__field--select-1_69ef7cd06dda9-label\" aria-describedby=\"forminator-form-376458__field--select-1_69ef7cd06dda9-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Open Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced Open Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Trainer\"  data-calculation=\"0\">Instructor<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376458__field--select-4_69ef7cd06dda9\" id=\"forminator-form-376458__field--select-4_69ef7cd06dda9-label\" class=\"forminator-label\">What is your highest freediving certification? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376458__field--select-4_69ef7cd06dda9-description\" class=\"forminator-description\">Esto ayuda a verificar tus credenciales y confirmar si cumples los requisitos para la inmersi\u00f3n.<\/span><select  id=\"forminator-form-376458__field--select-4_69ef7cd06dda9\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Certification Level\" data-search=\"false\" data-search-placeholder=\"Certification Level\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376458__field--select-4_69ef7cd06dda9-label\" aria-describedby=\"forminator-form-376458__field--select-4_69ef7cd06dda9-description\"><option value=\"\"  >Nivel de Certificaci\u00f3n<\/option><option value=\"Level 1\"  data-calculation=\"0\">Level 1<\/option><option value=\"Level 2\"  data-calculation=\"0\">Level 2<\/option><option value=\"Level 3\"  data-calculation=\"0\">Level 3<\/option><option value=\"Instructor\"  data-calculation=\"0\">Instructor<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376458__field--select-2_69ef7cd06dda9\" id=\"forminator-form-376458__field--select-2_69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376458__field--select-2_69ef7cd06dda9-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376458__field--select-2_69ef7cd06dda9\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376458__field--select-2_69ef7cd06dda9-label\" aria-describedby=\"forminator-form-376458__field--select-2_69ef7cd06dda9-description\"><option value=\"\"  >SSI<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376458__field--select-5_69ef7cd06dda9\" id=\"forminator-form-376458__field--select-5_69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376458__field--select-5_69ef7cd06dda9-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376458__field--select-5_69ef7cd06dda9\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376458__field--select-5_69ef7cd06dda9-label\" aria-describedby=\"forminator-form-376458__field--select-5_69ef7cd06dda9-description\"><option value=\"\"  >SSI<\/option><option value=\"SDI\"  data-calculation=\"0\">Molchanovs<\/option><option value=\"AIDA\"  data-calculation=\"0\">AIDA<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"Other\"  data-calculation=\"0\">Otros<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69ef7cd06dda9\" id=\"forminator-field-text-2_69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-2_69ef7cd06dda9-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-2_69ef7cd06dda9\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-2_69ef7cd06dda9-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-1-day_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-1-day_69ef7cd06dda9-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376458__field--date-1-day_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376458__field--date-1-day_69ef7cd06dda9-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-1-month_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-1-month_69ef7cd06dda9-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376458__field--date-1-month_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376458__field--date-1-month_69ef7cd06dda9-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376458__field--date-1-year_69ef7cd06dda9\" id=\"forminator-field-376458__field--date-1-year_69ef7cd06dda9-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376458__field--date-1-year_69ef7cd06dda9\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376458__field--date-1-year_69ef7cd06dda9-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7cd06dda9-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7cd06dda9-description\"><span id=\"forminator-radiogroup-radio-2-69ef7cd06dda9-label\" class=\"forminator-label\">Elige la inmersi\u00f3n que te gustar\u00eda hacer en Bah\u00eda Solano. <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7cd06dda9-description\" class=\"forminator-description\">Bah\u00eda Solano ofrece impresionantes sitios de buceo con una rica vida marina. \u00a1Cu\u00e9ntanos qu\u00e9 aventura te emociona m\u00e1s!<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7cd06dda9\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"2 Inmersiones | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"2 Scuba Dives | 1 Day\" id=\"forminator-field-radio-2-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"480000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2 Inmersiones | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover-1.jpg);\"><\/span><\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69ef7cd06dda9\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"3 Inmersiones | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"3 Scuba Dives | 1 Day\" id=\"forminator-field-radio-2-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"680000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3 Inmersiones | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-Cover0.jpg);\"><\/span><\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-69ef7cd06dda9\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Buceo Nocturno\"><input type=\"radio\" name=\"radio-2\" value=\"Night-Dive\" id=\"forminator-field-radio-2-3-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"410000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceo Nocturno<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Night-Dive-Cover.jpg);\"><\/span><\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-69ef7cd06dda9\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Buceo al norte\"><input type=\"radio\" name=\"radio-2\" value=\"North-Dive\" id=\"forminator-field-radio-2-4-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"1080000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceo al norte<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/North-Dive-Cover-1.jpg);\"><\/span><\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-69ef7cd06dda9\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Buceo en Combo\"><input type=\"radio\" name=\"radio-2\" value=\"Combo-Dive\" id=\"forminator-field-radio-2-5-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"690000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Buceo en Combo<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Fun-Dive-2024-1.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7cd06dda9-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7cd06dda9-description\"><span id=\"forminator-radiogroup-radio-10-69ef7cd06dda9-label\" class=\"forminator-label\">\u00a1Necesito un Repaso!<\/span><span id=\"forminator-radiogroup-radio-10-69ef7cd06dda9-description\" class=\"forminator-description\">(Recomendado si no has buceado en m\u00e1s de un a\u00f1o. Incluye una revisi\u00f3n de habilidades y una sesi\u00f3n en aguas poco profundas con un instructor.)<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7cd06dda9\" class=\"forminator-radio\" title=\"Curso de repaso\"><input type=\"radio\" name=\"radio-10\" value=\"Refresh Course\" id=\"forminator-field-radio-10-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"220000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Curso de repaso<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd06dda9-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd06dda9-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd06dda9\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"350000\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Apnea-Dive-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd06dda9\" id=\"calculation-1-field_69ef7cd06dda9-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd06dda9\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7cd06dda9\" id=\"calculation-4-field_69ef7cd06dda9-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7cd06dda9\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd06dda9-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd06dda9-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7cd06dda9-label\" for=\"forminator-field-checkbox-1-1-69ef7cd06dda9\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-1-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7cd06dda9-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7cd06dda9-label\" for=\"forminator-field-checkbox-1-2-69ef7cd06dda9\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7cd06dda9-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-69ef7cd06dda9-label\" for=\"forminator-field-checkbox-1-3-69ef7cd06dda9\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-3-69ef7cd06dda9\" aria-labelledby=\"forminator-field-checkbox-1-3-69ef7cd06dda9-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><label id=\"forminator-field-checkbox-1-4-69ef7cd06dda9-label\" for=\"forminator-field-checkbox-1-4-69ef7cd06dda9\" class=\"forminator-checkbox\" title=\"Boquilla nueva para regulador\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"New Mouthpiece\" id=\"forminator-field-checkbox-1-4-69ef7cd06dda9\" aria-labelledby=\"forminator-field-checkbox-1-4-69ef7cd06dda9-label\" data-calculation=\"30000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Boquilla nueva para regulador<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7cd06dda9-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69ef7cd06dda9-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-2-1-69ef7cd06dda9-label\" for=\"forminator-field-checkbox-2-1-69ef7cd06dda9\" class=\"forminator-checkbox\" title=\"Alquiler del computador de buceo\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Dive Computer\" id=\"forminator-field-checkbox-2-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-checkbox-2-1-69ef7cd06dda9-label\" data-calculation=\"35000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler del computador de buceo<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69ef7cd06dda9-label\" for=\"forminator-field-checkbox-2-2-69ef7cd06dda9\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Lunch\" id=\"forminator-field-checkbox-2-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-checkbox-2-2-69ef7cd06dda9-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-69ef7cd06dda9-label\" for=\"forminator-field-checkbox-2-3-69ef7cd06dda9\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"GoPro\" id=\"forminator-field-checkbox-2-3-69ef7cd06dda9\" aria-labelledby=\"forminator-field-checkbox-2-3-69ef7cd06dda9-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-2-field_69ef7cd06dda9\" id=\"calculation-2-field_69ef7cd06dda9-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69ef7cd06dda9\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-5-field_69ef7cd06dda9\" id=\"calculation-5-field_69ef7cd06dda9-label\" class=\"forminator-label\">Costo Extra<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_69ef7cd06dda9\" class=\"forminator-calculation\" data-formula=\"{checkbox-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-3-field_69ef7cd06dda9\" id=\"calculation-3-field_69ef7cd06dda9-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69ef7cd06dda9\" class=\"forminator-calculation\" data-formula=\"{radio-2}+{checkbox-1}+{radio-10}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-6\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-6-field_69ef7cd06dda9\" id=\"calculation-6-field_69ef7cd06dda9-label\" class=\"forminator-label\">Costo total de la inmersi\u00f3n<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-6\" value=\"\" id=\"calculation-6-field_69ef7cd06dda9\" class=\"forminator-calculation\" data-formula=\"{radio-4}+{checkbox-2}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7cd06dda9-label\"><span id=\"forminator-radiogroup-radio-5-69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7cd06dda9\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7cd06dda9\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd06dda9\" id=\"forminator-field-text-4_69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7cd06dda9\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd06dda9-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd06dda9\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd06dda9\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd06dda9\" id=\"forminator-field-text-5_69ef7cd06dda9-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7cd06dda9\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7cd06dda9-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7cd06dda9-description\"><span id=\"forminator-radiogroup-radio-7-69ef7cd06dda9-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7cd06dda9-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd06dda9-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd06dda9-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd06dda9-label\" class=\"forminator-label\">Talla Wetsuit:<\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd06dda9-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd06dda9-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd06dda9-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd06dda9-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd06dda9-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7cd06dda9\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7cd06dda9\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd06dda9-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376458--page-7\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376458--page-7-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"7\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 7\"\r\n\t\t\t\tdata-actual-label=\"Page 8\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd06dda9\" id=\"forminator-field-consent-1_69ef7cd06dda9-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd06dda9__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd06dda9\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd06dda9-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd06dda9__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd06dda9__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd06dda9\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Enviar mensaje<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"38b2968389\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376458\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_36\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_36\" type=\"text\" name=\"input_36\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_2 et_pb_section et_section_regular et_flex_section section_has_divider et_pb_top_divider\" id=\"all-try-dives\"><div class=\"et_pb_top_inside_divider et-no-transition\"><\/div>\n<div class=\"et_pb_row_9 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_11 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_text_10 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--efokf8vg5e\"><div class=\"et_pb_text_inner\"><h2 style=\"text-align: center;\">Reserva tu Mini Curso | Apnea<\/h2>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_10 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_12 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_text_11 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--7rqaibtxuz\"><div class=\"et_pb_text_inner\" data-et-mv-hidden-phone=\"true\"><h3 style=\"text-align: left;\">Prueba<br \/>el buceo o<br \/>Apnea<\/h3>\n<h3 style=\"text-align: left;\"><span style=\"color: #82cce4;\">No requiere experiencia<\/span><\/h3>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_13 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_row_11 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_14 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_6 et_pb_image et-interaction-target-gv2gad5qt7 et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"ciwgfr3hg5\" data-interaction-target=\"gv2gad5qt7\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-3.jpg\" alt=\"Try 1 Scuba dives in Bahia Solano\" title=\"Try Scuba Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-3.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-3-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-3-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-3-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-373372\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_7 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-euyrl8vl5b\" data-interaction-target=\"euyrl8vl5b\">\n<div class=\"et_pb_icon_6 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"hc2of22hl6\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_12 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376308 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376308\" data-uid=\"69ef7cd09a494\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376308\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376308 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376308\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd09a494\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376308--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376308--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Toma tu primera respiraci\u00f3n bajo el agua<\/h2><h3 class=\"forminator-subtitle\">Una introducci\u00f3n guiada de una inmersi\u00f3n al mundo del buceo por 450.000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd09a494-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd09a494-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd09a494-label\" class=\"forminator-label\">Selecciona la actividad que quieres probar: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd09a494-description\" class=\"forminator-description\">No requiere experiencia<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"Mini Curso de Buceo\"><input type=\"radio\" name=\"radio-3\" value=\"Try Scuba Diving\" id=\"forminator-field-radio-3-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Mini Curso de Buceo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376308--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376308--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd09a494\" id=\"forminator-field-first-name-1_69ef7cd09a494-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd09a494-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd09a494\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd09a494-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd09a494\" id=\"forminator-field-last-name-1_69ef7cd09a494-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7cd09a494-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd09a494\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd09a494-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd09a494\" id=\"forminator-field-email-1_69ef7cd09a494-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd09a494-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd09a494\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd09a494-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd09a494\" id=\"forminator-field-phone-1_69ef7cd09a494-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd09a494-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"3112811079\" id=\"forminator-field-phone-1_69ef7cd09a494\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"tel-national\" aria-describedby=\"forminator-field-phone-1_69ef7cd09a494-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd09a494\" id=\"forminator-field-text-3_69ef7cd09a494-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd09a494-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd09a494\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd09a494-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376308__field--address-1-country_69ef7cd09a494\" id=\"forminator-field-376308__field--address-1-country_69ef7cd09a494-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376308__field--address-1-country_69ef7cd09a494-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376308__field--address-1-country_69ef7cd09a494\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376308__field--address-1-country_69ef7cd09a494-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd09a494-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376308__field--date-2-day_69ef7cd09a494\" id=\"forminator-field-376308__field--date-2-day_69ef7cd09a494-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376308__field--date-2-day_69ef7cd09a494\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd09a494-description\" aria-labelledby=\"forminator-field-376308__field--date-2-day_69ef7cd09a494-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376308__field--date-2-month_69ef7cd09a494\" id=\"forminator-field-376308__field--date-2-month_69ef7cd09a494-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376308__field--date-2-month_69ef7cd09a494\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd09a494-description\" aria-labelledby=\"forminator-field-376308__field--date-2-month_69ef7cd09a494-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376308__field--date-2-year_69ef7cd09a494\" id=\"forminator-field-376308__field--date-2-year_69ef7cd09a494-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376308__field--date-2-year_69ef7cd09a494\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd09a494-description\" aria-labelledby=\"forminator-field-376308__field--date-2-year_69ef7cd09a494-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376308__field--select-3_69ef7cd09a494\" id=\"forminator-form-376308__field--select-3_69ef7cd09a494-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376308__field--select-3_69ef7cd09a494\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376308__field--select-3_69ef7cd09a494-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376308__field--select-3_69ef7cd09a494\" name=\"custom-select-3\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376308--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376308--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376308__field--date-1-day_69ef7cd09a494\" id=\"forminator-field-376308__field--date-1-day_69ef7cd09a494-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376308__field--date-1-day_69ef7cd09a494\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376308__field--date-1-day_69ef7cd09a494-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376308__field--date-1-month_69ef7cd09a494\" id=\"forminator-field-376308__field--date-1-month_69ef7cd09a494-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376308__field--date-1-month_69ef7cd09a494\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376308__field--date-1-month_69ef7cd09a494-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376308__field--date-1-year_69ef7cd09a494\" id=\"forminator-field-376308__field--date-1-year_69ef7cd09a494-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376308__field--date-1-year_69ef7cd09a494\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376308__field--date-1-year_69ef7cd09a494-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7cd09a494-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7cd09a494-description\"><span id=\"forminator-radiogroup-radio-2-69ef7cd09a494-label\" class=\"forminator-label\">Elige las inmersiones que te gustar\u00eda probar en Bah\u00eda Solano <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7cd09a494-description\" class=\"forminator-description\">eBook SSI Try Scuba (antes de tu llegada)\nInmersi\u00f3n guiada en el oc\u00e9ano (m\u00e1x. 12 m\/40 ft)\nSesi\u00f3n interactiva en aula (introducci\u00f3n a lo b\u00e1sico)\nPr\u00e1cticas en piscina (habilidades y comodidad)\nPaseo en bote y apoyo en superficie (sitio seleccionado seg\u00fan las condiciones del d\u00eda)\nInstructor certificado SSI (m\u00e1x. 1:2; totalmente guiado y sin prisas)\nEquipo completo de alquiler (m\u00e1scara, snorkel, aletas, traje de neopreno, chaleco BCD, regulador, pesos, tanque)\nSeguro de buceo\nS\u00e1ndwich y bebidas (agua, caf\u00e9 y jugo)\nTarjeta de reconocimiento digital (SSI Try Scuba)<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7cd09a494\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"1 Inmersi\u00f3n | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"1 Try Scuba\" id=\"forminator-field-radio-2-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"450000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1 Inmersi\u00f3n | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd09a494-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd09a494-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd09a494\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"380000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-69ef7cd09a494-label\"><span id=\"forminator-radiogroup-radio-11-69ef7cd09a494-label\" class=\"forminator-label\">Snorkel | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-69ef7cd09a494\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Snorkel | 1 D\u00eda\"><input type=\"radio\" name=\"radio-11\" value=\"Snorkel\" id=\"forminator-field-radio-11-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"180000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Snorkel | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd09a494\" id=\"calculation-1-field_69ef7cd09a494-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd09a494\" class=\"forminator-calculation\" data-formula=\"{radio-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7cd09a494\" id=\"calculation-4-field_69ef7cd09a494-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7cd09a494\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-7\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-7-field_69ef7cd09a494\" id=\"calculation-7-field_69ef7cd09a494-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-7\" value=\"\" id=\"calculation-7-field_69ef7cd09a494\" class=\"forminator-calculation\" data-formula=\"{radio-11}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376308--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376308--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd09a494-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd09a494-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7cd09a494-label\" for=\"forminator-field-checkbox-1-1-69ef7cd09a494\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7cd09a494-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7cd09a494-label\" for=\"forminator-field-checkbox-1-2-69ef7cd09a494\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-2-69ef7cd09a494\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7cd09a494-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-10\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-10-field_69ef7cd09a494\" id=\"calculation-10-field_69ef7cd09a494-label\" class=\"forminator-label\">Costo Extra:<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-10\" value=\"\" id=\"calculation-10-field_69ef7cd09a494\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-11\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-11-field_69ef7cd09a494\" id=\"calculation-11-field_69ef7cd09a494-label\" class=\"forminator-label\">Costo Total del Servicio<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-11\" value=\"\" id=\"calculation-11-field_69ef7cd09a494\" class=\"forminator-calculation\" data-formula=\"{calculation-1}+{calculation-4}+{calculation-7}+{checkbox-1}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376308--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376308--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7cd09a494-label\"><span id=\"forminator-radiogroup-radio-5-69ef7cd09a494-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7cd09a494\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7cd09a494\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd09a494\" id=\"forminator-field-text-4_69ef7cd09a494-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7cd09a494\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd09a494-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd09a494-label\" class=\"forminator-label\">\u00bfTe sientes c\u00f3modo nadando en aguas abiertas? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd09a494\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd09a494\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-69ef7cd09a494-label\"><span id=\"forminator-radiogroup-radio-12-69ef7cd09a494-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-69ef7cd09a494\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-12\" value=\"Yes\" id=\"forminator-field-radio-12-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-69ef7cd09a494\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-12\" value=\"No\" id=\"forminator-field-radio-12-2-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd09a494\" id=\"forminator-field-text-5_69ef7cd09a494-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7cd09a494\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376308--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376308--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd09a494-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd09a494-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd09a494-label\" class=\"forminator-label\">BCD <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd09a494-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7cd09a494-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7cd09a494-description\"><span id=\"forminator-radiogroup-radio-10-69ef7cd09a494-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-10-69ef7cd09a494-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-10\" value=\"XS\" id=\"forminator-field-radio-10-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-10-label-2\" for=\"forminator-field-radio-10-2-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-10\" value=\"S\" id=\"forminator-field-radio-10-2-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-10-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-10-label-3\" for=\"forminator-field-radio-10-3-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-10\" value=\"M\" id=\"forminator-field-radio-10-3-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-10-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-10-label-4\" for=\"forminator-field-radio-10-4-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-10\" value=\"L\" id=\"forminator-field-radio-10-4-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-10-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-10-label-5\" for=\"forminator-field-radio-10-5-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-10\" value=\"XL\" id=\"forminator-field-radio-10-5-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-10-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd09a494-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd09a494-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd09a494-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd09a494-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd09a494\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd09a494\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd09a494-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376308--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376308--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd09a494\" id=\"forminator-field-consent-1_69ef7cd09a494-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd09a494__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd09a494\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd09a494-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd09a494__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd09a494__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul <a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>, <a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y <a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd09a494\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"009a5cc1ed\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376308\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_29\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_29\" type=\"text\" name=\"input_29\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_12 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_15 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_7 et_pb_image et-interaction-target-h5oy3094if et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"cb6c5t9ywf\" data-interaction-target=\"h5oy3094if\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2-2.jpg\" alt=\"Try 2 Scuba dives in Bahia Solano\" title=\"Try Scuba Cover (2)\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2-2.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2-2-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2-2-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2-2-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-373371\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_8 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-kp5h0u7j0f\" data-interaction-target=\"kp5h0u7j0f\">\n<div class=\"et_pb_icon_7 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"miyqj8mlk4\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_13 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376314 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376314\" data-uid=\"69ef7cd0bc933\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376314\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376314 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376314\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd0bc933\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376314--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376314--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">La Introducci\u00f3n Definitiva al Buceo<\/h2><h3 class=\"forminator-subtitle\">Construye tu confianza y explora m\u00e1s con dos inmersiones guiadas por 550.000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd0bc933-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd0bc933-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd0bc933-label\" class=\"forminator-label\">Selecciona la actividad que quieres probar: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd0bc933-description\" class=\"forminator-description\">No requiere experiencia<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"Mini Curso de Buceo\"><input type=\"radio\" name=\"radio-3\" value=\"Try Scuba Diving\" id=\"forminator-field-radio-3-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Mini Curso de Buceo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376314--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376314--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd0bc933\" id=\"forminator-field-first-name-1_69ef7cd0bc933-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd0bc933-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"E.g. John\" id=\"forminator-field-first-name-1_69ef7cd0bc933\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd0bc933-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd0bc933\" id=\"forminator-field-last-name-1_69ef7cd0bc933-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7cd0bc933-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"E.g. Doe\" id=\"forminator-field-last-name-1_69ef7cd0bc933\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd0bc933-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd0bc933\" id=\"forminator-field-email-1_69ef7cd0bc933-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd0bc933-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd0bc933\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd0bc933-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd0bc933\" id=\"forminator-field-phone-1_69ef7cd0bc933-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd0bc933-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"3112811079\" id=\"forminator-field-phone-1_69ef7cd0bc933\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"tel-national\" aria-describedby=\"forminator-field-phone-1_69ef7cd0bc933-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd0bc933\" id=\"forminator-field-text-3_69ef7cd0bc933-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd0bc933-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd0bc933\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd0bc933-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376314__field--address-1-country_69ef7cd0bc933\" id=\"forminator-field-376314__field--address-1-country_69ef7cd0bc933-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376314__field--address-1-country_69ef7cd0bc933-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376314__field--address-1-country_69ef7cd0bc933\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376314__field--address-1-country_69ef7cd0bc933-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd0bc933-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376314__field--date-2-day_69ef7cd0bc933\" id=\"forminator-field-376314__field--date-2-day_69ef7cd0bc933-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376314__field--date-2-day_69ef7cd0bc933\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd0bc933-description\" aria-labelledby=\"forminator-field-376314__field--date-2-day_69ef7cd0bc933-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376314__field--date-2-month_69ef7cd0bc933\" id=\"forminator-field-376314__field--date-2-month_69ef7cd0bc933-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376314__field--date-2-month_69ef7cd0bc933\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd0bc933-description\" aria-labelledby=\"forminator-field-376314__field--date-2-month_69ef7cd0bc933-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376314__field--date-2-year_69ef7cd0bc933\" id=\"forminator-field-376314__field--date-2-year_69ef7cd0bc933-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376314__field--date-2-year_69ef7cd0bc933\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd0bc933-description\" aria-labelledby=\"forminator-field-376314__field--date-2-year_69ef7cd0bc933-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376314__field--select-3_69ef7cd0bc933\" id=\"forminator-form-376314__field--select-3_69ef7cd0bc933-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376314__field--select-3_69ef7cd0bc933\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376314__field--select-3_69ef7cd0bc933-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376314--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376314--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376314__field--date-1-day_69ef7cd0bc933\" id=\"forminator-field-376314__field--date-1-day_69ef7cd0bc933-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376314__field--date-1-day_69ef7cd0bc933\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376314__field--date-1-day_69ef7cd0bc933-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376314__field--date-1-month_69ef7cd0bc933\" id=\"forminator-field-376314__field--date-1-month_69ef7cd0bc933-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376314__field--date-1-month_69ef7cd0bc933\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376314__field--date-1-month_69ef7cd0bc933-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376314__field--date-1-year_69ef7cd0bc933\" id=\"forminator-field-376314__field--date-1-year_69ef7cd0bc933-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376314__field--date-1-year_69ef7cd0bc933\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376314__field--date-1-year_69ef7cd0bc933-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7cd0bc933-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7cd0bc933-description\"><span id=\"forminator-radiogroup-radio-2-69ef7cd0bc933-label\" class=\"forminator-label\">Elige las inmersiones que te gustar\u00eda probar en Bah\u00eda Solano <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7cd0bc933-description\" class=\"forminator-description\">eBook SSI Try Scuba (antes de tu llegada)\nDos inmersiones guiadas en el oc\u00e9ano (m\u00e1x. 12 m\/40 ft)\nSesi\u00f3n interactiva en aula (introducci\u00f3n a lo b\u00e1sico)\nPr\u00e1cticas en piscina (habilidades y comodidad)\nPaseo en bote y apoyo en superficie (sitio seleccionado seg\u00fan las condiciones del d\u00eda)\nInstructor certificado SSI (m\u00e1x. 1:2; totalmente guiado y sin prisas)\nEquipo completo de alquiler (m\u00e1scara, snorkel, aletas, traje de neopreno, chaleco BCD, regulador, pesos, tanque)\nSeguro de buceo\nS\u00e1ndwich y bebidas (agua, caf\u00e9 y jugo)\nTarjeta de reconocimiento digital (SSI Try Scuba)<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7cd0bc933\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"2 Inmersiones | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"2 Try Scuba\" id=\"forminator-field-radio-2-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"550000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2 Inmersiones | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd0bc933-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd0bc933-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd0bc933\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"380000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-69ef7cd0bc933-label\"><span id=\"forminator-radiogroup-radio-11-69ef7cd0bc933-label\" class=\"forminator-label\">Snorkel | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-69ef7cd0bc933\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Snorkel | 1 D\u00eda\"><input type=\"radio\" name=\"radio-11\" value=\"Snorkel\" id=\"forminator-field-radio-11-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"180000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Snorkel | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd0bc933\" id=\"calculation-1-field_69ef7cd0bc933-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd0bc933\" class=\"forminator-calculation\" data-formula=\"{radio-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7cd0bc933\" id=\"calculation-4-field_69ef7cd0bc933-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7cd0bc933\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-7\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-7-field_69ef7cd0bc933\" id=\"calculation-7-field_69ef7cd0bc933-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-7\" value=\"\" id=\"calculation-7-field_69ef7cd0bc933\" class=\"forminator-calculation\" data-formula=\"{radio-11}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376314--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376314--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd0bc933-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd0bc933-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7cd0bc933-label\" for=\"forminator-field-checkbox-1-1-69ef7cd0bc933\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7cd0bc933-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7cd0bc933-label\" for=\"forminator-field-checkbox-1-2-69ef7cd0bc933\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-2-69ef7cd0bc933\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7cd0bc933-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-10\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-10-field_69ef7cd0bc933\" id=\"calculation-10-field_69ef7cd0bc933-label\" class=\"forminator-label\">Costo Extra:<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-10\" value=\"\" id=\"calculation-10-field_69ef7cd0bc933\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-11\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-11-field_69ef7cd0bc933\" id=\"calculation-11-field_69ef7cd0bc933-label\" class=\"forminator-label\">Costo Total del Servicio<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-11\" value=\"\" id=\"calculation-11-field_69ef7cd0bc933\" class=\"forminator-calculation\" data-formula=\"{calculation-1}+{calculation-4}+{calculation-7}+{checkbox-1}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376314--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376314--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7cd0bc933-label\"><span id=\"forminator-radiogroup-radio-5-69ef7cd0bc933-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7cd0bc933\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7cd0bc933\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd0bc933\" id=\"forminator-field-text-4_69ef7cd0bc933-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7cd0bc933\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd0bc933-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd0bc933-label\" class=\"forminator-label\">\u00bfTe sientes c\u00f3modo nadando en aguas abiertas? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd0bc933\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd0bc933\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-69ef7cd0bc933-label\"><span id=\"forminator-radiogroup-radio-12-69ef7cd0bc933-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-69ef7cd0bc933\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-12\" value=\"Yes\" id=\"forminator-field-radio-12-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-69ef7cd0bc933\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-12\" value=\"No\" id=\"forminator-field-radio-12-2-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd0bc933\" id=\"forminator-field-text-5_69ef7cd0bc933-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7cd0bc933\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376314--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376314--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd0bc933-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd0bc933-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd0bc933-label\" class=\"forminator-label\">BCD <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd0bc933-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7cd0bc933-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7cd0bc933-description\"><span id=\"forminator-radiogroup-radio-10-69ef7cd0bc933-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-10-69ef7cd0bc933-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-10\" value=\"XS\" id=\"forminator-field-radio-10-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-10-label-2\" for=\"forminator-field-radio-10-2-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-10\" value=\"S\" id=\"forminator-field-radio-10-2-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-10-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-10-label-3\" for=\"forminator-field-radio-10-3-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-10\" value=\"M\" id=\"forminator-field-radio-10-3-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-10-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-10-label-4\" for=\"forminator-field-radio-10-4-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-10\" value=\"L\" id=\"forminator-field-radio-10-4-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-10-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-10-label-5\" for=\"forminator-field-radio-10-5-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-10\" value=\"XL\" id=\"forminator-field-radio-10-5-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-10-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd0bc933-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd0bc933-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd0bc933-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd0bc933-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd0bc933\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd0bc933\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0bc933-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376314--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376314--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd0bc933\" id=\"forminator-field-consent-1_69ef7cd0bc933-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd0bc933__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd0bc933\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd0bc933-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd0bc933__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd0bc933__description\" class=\"forminator-checkbox__label forminator-consent__label\"><div data-name=\"\" data-label=\"Page  7\" data-step=\"7\" aria-labelledby=\"forminator-custom-form-376017--page-7-label\" role=\"tabpanel\" class=\"forminator-pagination\" id=\"forminator-custom-form-376017--page-7\">\n<div class=\"forminator-pagination--content\">\n<div class=\"forminator-row\">\n<div class=\"forminator-field-consent forminator-col forminator-col-12\" id=\"consent-1\">\n<div class=\"forminator-field\">\n<div class=\"forminator-checkbox__wrapper\">\n<div class=\"forminator-checkbox__label forminator-consent__label\" id=\"forminator-field-consent-1_68f684c72add2__description\">\n<p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd0bc933\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"29969703ef\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376314\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_29\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_29\" type=\"text\" name=\"input_29\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_column_16 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_row_13 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_17 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_8 et_pb_image et-interaction-target-2y7f3lqzbi et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"c8kuwd4ydi\" data-interaction-target=\"2y7f3lqzbi\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover.jpg\" alt=\"Try Freediving in Bahia Solano\" title=\"Try Apnea Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372291\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_9 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-l4fsrrqkcb\" data-interaction-target=\"l4fsrrqkcb\">\n<div class=\"et_pb_icon_8 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"c94ylrwr3c\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_14 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376326 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376326\" data-uid=\"69ef7cd0e4f54\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376326\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376326 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376326\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd0e4f54\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376326--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376326--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Descubre el oc\u00e9ano con una sola respiraci\u00f3n<\/h2><h3 class=\"forminator-subtitle\">Tu primera introducci\u00f3n guiada al arte de la apnea por 350.000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd0e4f54-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd0e4f54-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd0e4f54-label\" class=\"forminator-label\">Selecciona la actividad que quieres probar: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd0e4f54-description\" class=\"forminator-description\">No requiere experiencia<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"Prueba apnea\"><input type=\"radio\" name=\"radio-3\" value=\"Try Freediving\" id=\"forminator-field-radio-3-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Prueba apnea<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376326--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376326--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd0e4f54\" id=\"forminator-field-first-name-1_69ef7cd0e4f54-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd0e4f54-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd0e4f54\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd0e4f54-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd0e4f54\" id=\"forminator-field-last-name-1_69ef7cd0e4f54-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7cd0e4f54-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd0e4f54\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd0e4f54-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd0e4f54\" id=\"forminator-field-email-1_69ef7cd0e4f54-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd0e4f54-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69ef7cd0e4f54\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd0e4f54-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd0e4f54\" id=\"forminator-field-phone-1_69ef7cd0e4f54-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd0e4f54-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 311 28 11079\" id=\"forminator-field-phone-1_69ef7cd0e4f54\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd0e4f54-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd0e4f54\" id=\"forminator-field-text-3_69ef7cd0e4f54-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd0e4f54-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd0e4f54\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd0e4f54-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376326__field--address-1-country_69ef7cd0e4f54\" id=\"forminator-field-376326__field--address-1-country_69ef7cd0e4f54-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376326__field--address-1-country_69ef7cd0e4f54-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376326__field--address-1-country_69ef7cd0e4f54\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376326__field--address-1-country_69ef7cd0e4f54-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd0e4f54-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376326__field--date-2-day_69ef7cd0e4f54\" id=\"forminator-field-376326__field--date-2-day_69ef7cd0e4f54-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376326__field--date-2-day_69ef7cd0e4f54\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd0e4f54-description\" aria-labelledby=\"forminator-field-376326__field--date-2-day_69ef7cd0e4f54-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376326__field--date-2-month_69ef7cd0e4f54\" id=\"forminator-field-376326__field--date-2-month_69ef7cd0e4f54-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376326__field--date-2-month_69ef7cd0e4f54\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd0e4f54-description\" aria-labelledby=\"forminator-field-376326__field--date-2-month_69ef7cd0e4f54-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376326__field--date-2-year_69ef7cd0e4f54\" id=\"forminator-field-376326__field--date-2-year_69ef7cd0e4f54-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376326__field--date-2-year_69ef7cd0e4f54\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd0e4f54-description\" aria-labelledby=\"forminator-field-376326__field--date-2-year_69ef7cd0e4f54-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376326__field--select-3_69ef7cd0e4f54\" id=\"forminator-form-376326__field--select-3_69ef7cd0e4f54-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376326__field--select-3_69ef7cd0e4f54\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376326__field--select-3_69ef7cd0e4f54-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376326--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376326--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376326__field--date-1-day_69ef7cd0e4f54\" id=\"forminator-field-376326__field--date-1-day_69ef7cd0e4f54-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376326__field--date-1-day_69ef7cd0e4f54\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376326__field--date-1-day_69ef7cd0e4f54-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376326__field--date-1-month_69ef7cd0e4f54\" id=\"forminator-field-376326__field--date-1-month_69ef7cd0e4f54-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376326__field--date-1-month_69ef7cd0e4f54\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376326__field--date-1-month_69ef7cd0e4f54-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376326__field--date-1-year_69ef7cd0e4f54\" id=\"forminator-field-376326__field--date-1-year_69ef7cd0e4f54-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376326__field--date-1-year_69ef7cd0e4f54\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376326__field--date-1-year_69ef7cd0e4f54-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7cd0e4f54-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7cd0e4f54-description\"><span id=\"forminator-radiogroup-radio-2-69ef7cd0e4f54-label\" class=\"forminator-label\">Elige las inmersiones que te gustar\u00eda probar en Bah\u00eda Solano <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7cd0e4f54-description\" class=\"forminator-description\">Bah\u00eda Solano ofrece impresionantes sitios de buceo con una rica vida marina. \u00a1Cu\u00e9ntanos qu\u00e9 aventura te emociona m\u00e1s!<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7cd0e4f54\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"1 Inmersi\u00f3n | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"1 Try Scuba\" id=\"forminator-field-radio-2-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"450000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1 Inmersi\u00f3n | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover.jpg);\"><\/span><\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69ef7cd0e4f54\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"2 Inmersiones | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"2 Try Scuba\" id=\"forminator-field-radio-2-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"550000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2 Inmersiones | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd0e4f54-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd0e4f54-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd0e4f54\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"380000\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-69ef7cd0e4f54-label\"><span id=\"forminator-radiogroup-radio-11-69ef7cd0e4f54-label\" class=\"forminator-label\">Snorkel | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-69ef7cd0e4f54\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Snorkel | 1 D\u00eda\"><input type=\"radio\" name=\"radio-11\" value=\"Snorkel\" id=\"forminator-field-radio-11-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"180000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Snorkel | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd0e4f54\" id=\"calculation-1-field_69ef7cd0e4f54-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd0e4f54\" class=\"forminator-calculation\" data-formula=\"{radio-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7cd0e4f54\" id=\"calculation-4-field_69ef7cd0e4f54-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7cd0e4f54\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-7\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-7-field_69ef7cd0e4f54\" id=\"calculation-7-field_69ef7cd0e4f54-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-7\" value=\"\" id=\"calculation-7-field_69ef7cd0e4f54\" class=\"forminator-calculation\" data-formula=\"{radio-11}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376326--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376326--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd0e4f54-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd0e4f54-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7cd0e4f54-label\" for=\"forminator-field-checkbox-1-1-69ef7cd0e4f54\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7cd0e4f54-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7cd0e4f54-label\" for=\"forminator-field-checkbox-1-2-69ef7cd0e4f54\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7cd0e4f54-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-10\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-10-field_69ef7cd0e4f54\" id=\"calculation-10-field_69ef7cd0e4f54-label\" class=\"forminator-label\">Costo Extra:<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-10\" value=\"\" id=\"calculation-10-field_69ef7cd0e4f54\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-11\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-11-field_69ef7cd0e4f54\" id=\"calculation-11-field_69ef7cd0e4f54-label\" class=\"forminator-label\">Costo Total del Servicio<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-11\" value=\"\" id=\"calculation-11-field_69ef7cd0e4f54\" class=\"forminator-calculation\" data-formula=\"{calculation-1}+{calculation-4}+{calculation-7}+{checkbox-1}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376326--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376326--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7cd0e4f54-label\"><span id=\"forminator-radiogroup-radio-5-69ef7cd0e4f54-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7cd0e4f54\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7cd0e4f54\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd0e4f54\" id=\"forminator-field-text-4_69ef7cd0e4f54-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7cd0e4f54\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd0e4f54-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd0e4f54-label\" class=\"forminator-label\">\u00bfTe sientes c\u00f3modo nadando en aguas abiertas? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd0e4f54\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd0e4f54\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-69ef7cd0e4f54-label\"><span id=\"forminator-radiogroup-radio-12-69ef7cd0e4f54-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-69ef7cd0e4f54\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-12\" value=\"Yes\" id=\"forminator-field-radio-12-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-69ef7cd0e4f54\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-12\" value=\"No\" id=\"forminator-field-radio-12-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd0e4f54\" id=\"forminator-field-text-5_69ef7cd0e4f54-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7cd0e4f54\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376326--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376326--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd0e4f54-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd0e4f54-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd0e4f54-label\" class=\"forminator-label\">BCD <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd0e4f54-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7cd0e4f54-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7cd0e4f54-description\"><span id=\"forminator-radiogroup-radio-10-69ef7cd0e4f54-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-10-69ef7cd0e4f54-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-10\" value=\"XS\" id=\"forminator-field-radio-10-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-10-label-2\" for=\"forminator-field-radio-10-2-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-10\" value=\"S\" id=\"forminator-field-radio-10-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-10-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-10-label-3\" for=\"forminator-field-radio-10-3-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-10\" value=\"M\" id=\"forminator-field-radio-10-3-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-10-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-10-label-4\" for=\"forminator-field-radio-10-4-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-10\" value=\"L\" id=\"forminator-field-radio-10-4-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-10-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-10-label-5\" for=\"forminator-field-radio-10-5-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-10\" value=\"XL\" id=\"forminator-field-radio-10-5-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-10-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd0e4f54-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd0e4f54-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd0e4f54-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd0e4f54-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd0e4f54\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd0e4f54\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd0e4f54-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376326--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376326--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd0e4f54\" id=\"forminator-field-consent-1_69ef7cd0e4f54-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd0e4f54__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd0e4f54\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd0e4f54-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd0e4f54__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd0e4f54__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd0e4f54\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"aef25e2609\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376326\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_29\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_29\" type=\"text\" name=\"input_29\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_14 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_18 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_9 et_pb_image et-interaction-target-n5wub5onse et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"abjojsoocv\" data-interaction-target=\"n5wub5onse\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel.jpg\" alt=\"Snorkel Cover\" title=\"Snorkel Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372381\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_10 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-wdb1fqnqjq\" data-interaction-target=\"wdb1fqnqjq\">\n<div class=\"et_pb_icon_9 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"sv2o2u81lp\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_15 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376321 forminator-design--bold forminator-enclosed forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-376321\" data-uid=\"69ef7cd111be4\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376321\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376321 forminator-design--bold forminator-enclosed forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376321\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd111be4\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376321--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376321--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Explora el vibrante arrecife desde la superficie<\/h2><h3 class=\"forminator-subtitle\">Una divertida y sencilla aventura de snorkel guiada para todas las edades por 180.000 COP<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd111be4-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd111be4-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd111be4-label\" class=\"forminator-label\">Selecciona la actividad que quieres probar: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd111be4-description\" class=\"forminator-description\">No requiere experiencia<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"Careteo\"><input type=\"radio\" name=\"radio-3\" value=\"Snorkeling\" id=\"forminator-field-radio-3-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Careteo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376321--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376321--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd111be4\" id=\"forminator-field-first-name-1_69ef7cd111be4-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd111be4-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd111be4\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd111be4-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd111be4\" id=\"forminator-field-last-name-1_69ef7cd111be4-label\" class=\"forminator-label\">Apellido<\/label><span id=\"forminator-field-last-name-1_69ef7cd111be4-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd111be4\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd111be4-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd111be4\" id=\"forminator-field-email-1_69ef7cd111be4-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69ef7cd111be4\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd111be4\" id=\"forminator-field-phone-1_69ef7cd111be4-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd111be4-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"3112811079\" id=\"forminator-field-phone-1_69ef7cd111be4\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd111be4-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd111be4\" id=\"forminator-field-text-3_69ef7cd111be4-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd111be4-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd111be4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd111be4-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376321__field--address-1-country_69ef7cd111be4\" id=\"forminator-field-376321__field--address-1-country_69ef7cd111be4-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376321__field--address-1-country_69ef7cd111be4-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376321__field--address-1-country_69ef7cd111be4\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376321__field--address-1-country_69ef7cd111be4-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd111be4-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376321__field--date-2-day_69ef7cd111be4\" id=\"forminator-field-376321__field--date-2-day_69ef7cd111be4-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376321__field--date-2-day_69ef7cd111be4\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd111be4-description\" aria-labelledby=\"forminator-field-376321__field--date-2-day_69ef7cd111be4-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376321__field--date-2-month_69ef7cd111be4\" id=\"forminator-field-376321__field--date-2-month_69ef7cd111be4-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376321__field--date-2-month_69ef7cd111be4\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd111be4-description\" aria-labelledby=\"forminator-field-376321__field--date-2-month_69ef7cd111be4-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376321__field--date-2-year_69ef7cd111be4\" id=\"forminator-field-376321__field--date-2-year_69ef7cd111be4-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376321__field--date-2-year_69ef7cd111be4\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd111be4-description\" aria-labelledby=\"forminator-field-376321__field--date-2-year_69ef7cd111be4-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376321__field--select-3_69ef7cd111be4\" id=\"forminator-form-376321__field--select-3_69ef7cd111be4-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376321__field--select-3_69ef7cd111be4\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376321__field--select-3_69ef7cd111be4-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376321--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376321--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Buceo y Servicios<\/h2><h3 class=\"forminator-subtitle\">Elige una inmersi\u00f3n y la fecha en la que deseas bucear.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo te gustar\u00eda bucear? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376321__field--date-1-day_69ef7cd111be4\" id=\"forminator-field-376321__field--date-1-day_69ef7cd111be4-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376321__field--date-1-day_69ef7cd111be4\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376321__field--date-1-day_69ef7cd111be4-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376321__field--date-1-month_69ef7cd111be4\" id=\"forminator-field-376321__field--date-1-month_69ef7cd111be4-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376321__field--date-1-month_69ef7cd111be4\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376321__field--date-1-month_69ef7cd111be4-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376321__field--date-1-year_69ef7cd111be4\" id=\"forminator-field-376321__field--date-1-year_69ef7cd111be4-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376321__field--date-1-year_69ef7cd111be4\" class=\"forminator-select2\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" aria-labelledby=\"forminator-field-376321__field--date-1-year_69ef7cd111be4-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ef7cd111be4-label\" aria-describedby=\"forminator-radiogroup-radio-2-69ef7cd111be4-description\"><span id=\"forminator-radiogroup-radio-2-69ef7cd111be4-label\" class=\"forminator-label\">Elige las inmersiones que te gustar\u00eda probar en Bah\u00eda Solano <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-2-69ef7cd111be4-description\" class=\"forminator-description\">Bah\u00eda Solano ofrece impresionantes sitios de buceo con una rica vida marina. \u00a1Cu\u00e9ntanos qu\u00e9 aventura te emociona m\u00e1s!<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ef7cd111be4\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"1 Inmersi\u00f3n | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"1 Try Scuba\" id=\"forminator-field-radio-2-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"450000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1 Inmersi\u00f3n | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover.jpg);\"><\/span><\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69ef7cd111be4\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"2 Inmersiones | 1 D\u00eda\"><input type=\"radio\" name=\"radio-2\" value=\"2 Try Scuba\" id=\"forminator-field-radio-2-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"550000\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2 Inmersiones | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/04\/Try-Scuba-Cover-2.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd111be4-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd111be4-label\" class=\"forminator-label\">Apnea | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd111be4\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Apnea | 1 D\u00eda\"><input type=\"radio\" name=\"radio-4\" value=\"Freedive | 1 Day\" id=\"forminator-field-radio-4-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"380000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apnea | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Try-Apnea-Cover.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-69ef7cd111be4-label\"><span id=\"forminator-radiogroup-radio-11-69ef7cd111be4-label\" class=\"forminator-label\">Snorkel | 1 D\u00eda <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-69ef7cd111be4\" class=\"forminator-radio forminator-has_image forminator-has_bullet\" title=\"Snorkel | 1 D\u00eda\"><input type=\"radio\" name=\"radio-11\" value=\"Snorkel\" id=\"forminator-field-radio-11-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"180000\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Snorkel | 1 D\u00eda<\/span><span class=\"forminator-radio-image\" aria-hidden=\"true\"><span style=\"background-image: url(https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/Snorkel.jpg);\"><\/span><\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd111be4\" id=\"calculation-1-field_69ef7cd111be4-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd111be4\" class=\"forminator-calculation\" data-formula=\"{radio-2}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69ef7cd111be4\" id=\"calculation-4-field_69ef7cd111be4-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69ef7cd111be4\" class=\"forminator-calculation\" data-formula=\"{radio-4}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-7\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-7-field_69ef7cd111be4\" id=\"calculation-7-field_69ef7cd111be4-label\" class=\"forminator-label\">Costo Total<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-7\" value=\"\" id=\"calculation-7-field_69ef7cd111be4\" class=\"forminator-calculation\" data-formula=\"{radio-11}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376321--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376321--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Cosas no incluidas en el precio (pero que podr\u00edas necesitar).<\/h2><h3 class=\"forminator-subtitle\">Algunos extras no est\u00e1n incluidos en el precio base, pero pueden a\u00f1adirse para tu comodidad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd111be4-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ef7cd111be4-label\" class=\"forminator-label\">Extras<\/span><label id=\"forminator-field-checkbox-1-1-69ef7cd111be4-label\" for=\"forminator-field-checkbox-1-1-69ef7cd111be4\" class=\"forminator-checkbox\" title=\"Mejora tu s\u00e1ndwich a un almuerzo completo.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Lunch\" id=\"forminator-field-checkbox-1-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-checkbox-1-1-69ef7cd111be4-label\" data-calculation=\"25000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mejora tu s\u00e1ndwich a un almuerzo completo.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69ef7cd111be4-label\" for=\"forminator-field-checkbox-1-2-69ef7cd111be4\" class=\"forminator-checkbox\" title=\"Alquiler GoPro 13\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"GoPro\" id=\"forminator-field-checkbox-1-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-checkbox-1-2-69ef7cd111be4-label\" data-calculation=\"80000\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alquiler GoPro 13<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-10\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-10-field_69ef7cd111be4\" id=\"calculation-10-field_69ef7cd111be4-label\" class=\"forminator-label\">Costo Extra:<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-10\" value=\"\" id=\"calculation-10-field_69ef7cd111be4\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}*1\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-11\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-11-field_69ef7cd111be4\" id=\"calculation-11-field_69ef7cd111be4-label\" class=\"forminator-label\">Costo Total del Servicio<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">$<\/span><input type=\"text\" name=\"calculation-11\" value=\"\" id=\"calculation-11-field_69ef7cd111be4\" class=\"forminator-calculation\" data-formula=\"{calculation-1}+{calculation-4}+{calculation-7}+{checkbox-1}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">COP<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376321--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376321--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ef7cd111be4-label\"><span id=\"forminator-radiogroup-radio-5-69ef7cd111be4-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ef7cd111be4\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ef7cd111be4\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd111be4\" id=\"forminator-field-text-4_69ef7cd111be4-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-4_69ef7cd111be4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd111be4-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd111be4-label\" class=\"forminator-label\">\u00bfTe sientes c\u00f3modo nadando en aguas abiertas? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd111be4\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd111be4\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-69ef7cd111be4-label\"><span id=\"forminator-radiogroup-radio-12-69ef7cd111be4-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-69ef7cd111be4\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-12\" value=\"Yes\" id=\"forminator-field-radio-12-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-69ef7cd111be4\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-12\" value=\"No\" id=\"forminator-field-radio-12-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd111be4\" id=\"forminator-field-text-5_69ef7cd111be4-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-5_69ef7cd111be4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376321--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376321--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd111be4-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd111be4-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd111be4-label\" class=\"forminator-label\">BCD <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd111be4-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-10\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-10-69ef7cd111be4-label\" aria-describedby=\"forminator-radiogroup-radio-10-69ef7cd111be4-description\"><span id=\"forminator-radiogroup-radio-10-69ef7cd111be4-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-10-69ef7cd111be4-description\" class=\"forminator-description\">Por favor, selecciona tu talla de wetsuit:<\/span><label id=\"forminator-field-radio-10-label-1\" for=\"forminator-field-radio-10-1-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-10\" value=\"XS\" id=\"forminator-field-radio-10-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-10-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-10-label-2\" for=\"forminator-field-radio-10-2-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-10\" value=\"S\" id=\"forminator-field-radio-10-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-10-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-10-label-3\" for=\"forminator-field-radio-10-3-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-10\" value=\"M\" id=\"forminator-field-radio-10-3-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-10-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-10-label-4\" for=\"forminator-field-radio-10-4-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-10\" value=\"L\" id=\"forminator-field-radio-10-4-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-10-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-10-label-5\" for=\"forminator-field-radio-10-5-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-10\" value=\"XL\" id=\"forminator-field-radio-10-5-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-10-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-10-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd111be4-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd111be4-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd111be4-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd111be4-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd111be4\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd111be4\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd111be4-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376321--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376321--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd111be4\" id=\"forminator-field-consent-1_69ef7cd111be4-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd111be4__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd111be4\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd111be4-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd111be4__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd111be4__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>S\u00ed, estoy de acuerdo con Ankla Azul. <a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/anklaazul.com\/es\/privacy-policy-2\/\">Pol\u00edtica de privacidad<\/a> y <a rel=\"noopener\" target=\"_blank\" href=\"#\">t\u00e9rminos y condiciones.<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd111be4\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"adca85bf97\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376321\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_29\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_29\" type=\"text\" name=\"input_29\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_3 et_pb_section et_section_regular et_flex_section section_has_divider et_pb_top_divider et_pb_bottom_divider et-interaction-target-kvdvkzcclh preset--module--divi-section--l0z5yv0fmd\" data-interaction-target=\"kvdvkzcclh\" id=\"Courses-Booking-Section\"><div class=\"et_pb_top_inside_divider et-no-transition\"><\/div>\n<div class=\"et_pb_row_15 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_19 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_text_16 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--efokf8vg5e\"><div class=\"et_pb_text_inner\"><h2 style=\"text-align: center;\">Inscr\u00edbete en un curso SSI<\/h2>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_16 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_20 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_text_17 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--7rqaibtxuz\"><div class=\"et_pb_text_inner\" data-et-mv-hidden-phone=\"true\"><h3 style=\"text-align: left;\">From Your First <br \/>Certification To Going Pro<\/h3>\n<h3 style=\"text-align: left;\"><span style=\"color: #004aad;\">Begginer to Pro<\/span><\/h3>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_21 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_row_17 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_22 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_10 et_pb_image et-interaction-target-9aphq231ba et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"3uo2qn6gp0\" data-interaction-target=\"9aphq231ba\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Open-Water-Course-Cover.jpg\" alt=\"Open Water Course in Bah\u00eda Solano\" title=\"Open Water Course in Bah\u00eda Solano\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Open-Water-Course-Cover.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Open-Water-Course-Cover-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Open-Water-Course-Cover-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Open-Water-Course-Cover-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372286\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_11 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-earuh63l5y\" data-interaction-target=\"earuh63l5y\">\n<div class=\"et_pb_icon_10 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"3njy6dojxm\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_18 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376485 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\" data-forminator-render=\"0\" data-form=\"forminator-module-376485\" data-uid=\"69ef7cd13230b\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376485\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376485 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376485\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd13230b\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376485--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376485--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd13230b\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Convi\u00e9rtete en un Buceador Certificado: El Curso Open Water de SSI<\/h2><h3 class=\"forminator-subtitle\">Tu aventura submarina de por vida comienza aqu\u00ed por 2.660.000 COP (3\u20134 d\u00edas)<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd13230b-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd13230b-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd13230b-label\" class=\"forminator-label\">Cursos <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd13230b-description\" class=\"forminator-description\">No requiere experiencia<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd13230b\" class=\"forminator-radio\" title=\"SSI Open Water Diver\"><input type=\"radio\" name=\"radio-3\" value=\"SSI-Open-Water-Diver\" id=\"forminator-field-radio-3-1-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"2660000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">SSI Open Water Diver<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376485--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376485--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd13230b\" id=\"forminator-field-first-name-1_69ef7cd13230b-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd13230b-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd13230b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd13230b-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd13230b\" id=\"forminator-field-last-name-1_69ef7cd13230b-label\" class=\"forminator-label\">Apellido <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-last-name-1_69ef7cd13230b-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd13230b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd13230b-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd13230b\" id=\"forminator-field-email-1_69ef7cd13230b-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd13230b-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd13230b\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd13230b-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd13230b\" id=\"forminator-field-phone-1_69ef7cd13230b-label\" class=\"forminator-label\">Tel\u00e9fono <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd13230b-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 3112811079\" id=\"forminator-field-phone-1_69ef7cd13230b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd13230b-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd13230b\" id=\"forminator-field-text-3_69ef7cd13230b-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd13230b-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd13230b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd13230b-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--address-1-country_69ef7cd13230b\" id=\"forminator-field-376485__field--address-1-country_69ef7cd13230b-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376485__field--address-1-country_69ef7cd13230b-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376485__field--address-1-country_69ef7cd13230b\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376485__field--address-1-country_69ef7cd13230b-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-1_69ef7cd13230b-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-1-month_69ef7cd13230b\" id=\"forminator-field-376485__field--date-1-month_69ef7cd13230b-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376485__field--date-1-month_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-1-month_69ef7cd13230b-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-1-day_69ef7cd13230b\" id=\"forminator-field-376485__field--date-1-day_69ef7cd13230b-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376485__field--date-1-day_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-1-day_69ef7cd13230b-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-1-year_69ef7cd13230b\" id=\"forminator-field-376485__field--date-1-year_69ef7cd13230b-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376485__field--date-1-year_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-1-year_69ef7cd13230b-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376485__field--select-3_69ef7cd13230b\" id=\"forminator-form-376485__field--select-3_69ef7cd13230b-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376485__field--select-3_69ef7cd13230b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376485__field--select-3_69ef7cd13230b-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376485__field--select-3_69ef7cd13230b\" name=\"custom-select-3\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd13230b-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-2-month_69ef7cd13230b\" id=\"forminator-field-376485__field--date-2-month_69ef7cd13230b-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376485__field--date-2-month_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-2-month_69ef7cd13230b-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-2-day_69ef7cd13230b\" id=\"forminator-field-376485__field--date-2-day_69ef7cd13230b-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376485__field--date-2-day_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-2-day_69ef7cd13230b-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-2-year_69ef7cd13230b\" id=\"forminator-field-376485__field--date-2-year_69ef7cd13230b-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376485__field--date-2-year_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-2-year_69ef7cd13230b-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376485--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376485--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">Verifiquemos que cumples los requisitos para este curso.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376485__field--select-4_69ef7cd13230b\" id=\"forminator-form-376485__field--select-4_69ef7cd13230b-label\" class=\"forminator-label\">Estoy Certificado<\/label><span id=\"forminator-form-376485__field--select-4_69ef7cd13230b-description\" class=\"forminator-description\">Debes tener una certificaci\u00f3n para realizar este curso.<\/span><select  id=\"forminator-form-376485__field--select-4_69ef7cd13230b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376485__field--select-4_69ef7cd13230b-label\" aria-describedby=\"forminator-form-376485__field--select-4_69ef7cd13230b-description\"><option value=\"Open-Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced-Open-Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue-Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive-Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376485__field--select-4_69ef7cd13230b\" name=\"custom-select-4\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376485__field--select-5_69ef7cd13230b\" id=\"forminator-form-376485__field--select-5_69ef7cd13230b-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376485__field--select-5_69ef7cd13230b-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376485__field--select-5_69ef7cd13230b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376485__field--select-5_69ef7cd13230b-label\" aria-describedby=\"forminator-form-376485__field--select-5_69ef7cd13230b-description\"><option value=\"\"  >SSI<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376485__field--select-5_69ef7cd13230b\" name=\"custom-select-5\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd13230b\" id=\"forminator-field-text-4_69ef7cd13230b-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-4_69ef7cd13230b-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-4_69ef7cd13230b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-4_69ef7cd13230b-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376485--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376485--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd13230b-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd13230b-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd13230b\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-4\" value=\"Yes\" id=\"forminator-field-radio-4-1-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69ef7cd13230b\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"No\" id=\"forminator-field-radio-4-2-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd13230b\" id=\"forminator-field-text-5_69ef7cd13230b-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer?<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-5_69ef7cd13230b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd13230b-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd13230b-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd13230b\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd13230b\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69ef7cd13230b\" id=\"forminator-field-text-6_69ef7cd13230b-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer?<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-6_69ef7cd13230b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376485--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376485--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7cd13230b-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7cd13230b-description\"><span id=\"forminator-radiogroup-radio-7-69ef7cd13230b-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7cd13230b-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd13230b-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd13230b-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd13230b-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd13230b-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd13230b-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd13230b-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd13230b-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd13230b-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7cd13230b\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7cd13230b\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd13230b-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376485--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376485--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Comienza tu curso cuando quieras<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">Fecha del curso <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7cd13230b-description\" class=\"forminator-description\">Selecciona la fecha en la que deseas comenzar tu curso.<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-3-month_69ef7cd13230b\" id=\"forminator-field-376485__field--date-3-month_69ef7cd13230b-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376485__field--date-3-month_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-3-month_69ef7cd13230b-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-3-day_69ef7cd13230b\" id=\"forminator-field-376485__field--date-3-day_69ef7cd13230b-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376485__field--date-3-day_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-3-day_69ef7cd13230b-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376485__field--date-3-year_69ef7cd13230b\" id=\"forminator-field-376485__field--date-3-year_69ef7cd13230b-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376485__field--date-3-year_69ef7cd13230b\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd13230b-description\" aria-labelledby=\"forminator-field-376485__field--date-3-year_69ef7cd13230b-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd13230b\" id=\"calculation-1-field_69ef7cd13230b-label\" class=\"forminator-label\">Precio total del curso<\/label><span id=\"calculation-1-field_69ef7cd13230b-description\" class=\"forminator-description\">Visita nuestros cursos para conocer m\u00e1s sobre los servicios: https:\/\/anklaazul.com\/courses<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd13230b\" class=\"forminator-calculation forminator-input\" data-formula=\"{radio-3}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" aria-describedby=\"calculation-1-field_69ef7cd13230b-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376485--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376485--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd13230b\" id=\"forminator-field-consent-1_69ef7cd13230b-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd13230b__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd13230b\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd13230b-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd13230b__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd13230b__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"f02858b076\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376485\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"save_draft\" value=\"false\"><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_18 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_23 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_11 et_pb_image et-interaction-target-xjtl3h7frh et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"mfcy3cj44j\" data-interaction-target=\"xjtl3h7frh\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/11\/Advanced-Adventurer-featured.jpg\" alt=\"Advanced Adventurer featured\" title=\"Advanced Adventurer featured\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/11\/Advanced-Adventurer-featured.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/11\/Advanced-Adventurer-featured-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/11\/Advanced-Adventurer-featured-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/11\/Advanced-Adventurer-featured-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-378353\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_12 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-jghnyx5ejh\" data-interaction-target=\"jghnyx5ejh\">\n<div class=\"et_pb_icon_11 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"2i7910uzct\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_19 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376488 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\" data-forminator-render=\"0\" data-form=\"forminator-module-376488\" data-uid=\"69ef7cd14ffca\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376488\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376488 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376488\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd14ffca\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376488--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376488--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd14ffca\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Ampl\u00eda tus habilidades: El curso Advanced Adventurer de SSI<\/h2><h3 class=\"forminator-subtitle\">Explora m\u00e1s profundo y llega m\u00e1s lejos por 2.660.000 COP (2\u20133 d\u00edas)<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd14ffca-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd14ffca-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd14ffca-label\" class=\"forminator-label\">Cursos <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd14ffca-description\" class=\"forminator-description\">Debes tener una certificaci\u00f3n Open Water o equivalente para este curso.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd14ffca\" class=\"forminator-radio\" title=\"SSI Advanced Adventurer\"><input type=\"radio\" name=\"radio-3\" value=\"SSI-Advanced-Adventurer\" id=\"forminator-field-radio-3-1-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"2660000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">SSI Advanced Adventurer<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376488--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376488--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd14ffca\" id=\"forminator-field-first-name-1_69ef7cd14ffca-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd14ffca-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd14ffca\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd14ffca-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd14ffca\" id=\"forminator-field-last-name-1_69ef7cd14ffca-label\" class=\"forminator-label\">Apellido <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-last-name-1_69ef7cd14ffca-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd14ffca\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd14ffca-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd14ffca\" id=\"forminator-field-email-1_69ef7cd14ffca-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd14ffca-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd14ffca\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd14ffca-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd14ffca\" id=\"forminator-field-phone-1_69ef7cd14ffca-label\" class=\"forminator-label\">Tel\u00e9fono <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd14ffca-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"3112811079\" id=\"forminator-field-phone-1_69ef7cd14ffca\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd14ffca-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd14ffca\" id=\"forminator-field-text-3_69ef7cd14ffca-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd14ffca-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd14ffca\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd14ffca-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--address-1-country_69ef7cd14ffca\" id=\"forminator-field-376488__field--address-1-country_69ef7cd14ffca-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><select name=\"address-1-country\" id=\"forminator-field-376488__field--address-1-country_69ef7cd14ffca\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-1_69ef7cd14ffca-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-1-month_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-1-month_69ef7cd14ffca-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376488__field--date-1-month_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-1-month_69ef7cd14ffca-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-1-day_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-1-day_69ef7cd14ffca-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376488__field--date-1-day_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-1-day_69ef7cd14ffca-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-1-year_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-1-year_69ef7cd14ffca-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376488__field--date-1-year_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-1-year_69ef7cd14ffca-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376488__field--select-3_69ef7cd14ffca\" id=\"forminator-form-376488__field--select-3_69ef7cd14ffca-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376488__field--select-3_69ef7cd14ffca\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376488__field--select-3_69ef7cd14ffca-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376488__field--select-3_69ef7cd14ffca\" name=\"custom-select-3\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd14ffca-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-2-month_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-2-month_69ef7cd14ffca-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376488__field--date-2-month_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-2-month_69ef7cd14ffca-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-2-day_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-2-day_69ef7cd14ffca-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376488__field--date-2-day_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-2-day_69ef7cd14ffca-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-2-year_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-2-year_69ef7cd14ffca-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376488__field--date-2-year_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-2-year_69ef7cd14ffca-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376488--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376488--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">Verifiquemos que cumples los requisitos para este curso.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376488__field--select-4_69ef7cd14ffca\" id=\"forminator-form-376488__field--select-4_69ef7cd14ffca-label\" class=\"forminator-label\">Estoy Certificado<\/label><span id=\"forminator-form-376488__field--select-4_69ef7cd14ffca-description\" class=\"forminator-description\">Debes tener una certificaci\u00f3n para realizar este curso.<\/span><select  id=\"forminator-form-376488__field--select-4_69ef7cd14ffca\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376488__field--select-4_69ef7cd14ffca-label\" aria-describedby=\"forminator-form-376488__field--select-4_69ef7cd14ffca-description\"><option value=\"Open-Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced-Open-Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue-Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive-Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376488__field--select-4_69ef7cd14ffca\" name=\"custom-select-4\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376488__field--select-5_69ef7cd14ffca\" id=\"forminator-form-376488__field--select-5_69ef7cd14ffca-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376488__field--select-5_69ef7cd14ffca-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376488__field--select-5_69ef7cd14ffca\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376488__field--select-5_69ef7cd14ffca-label\" aria-describedby=\"forminator-form-376488__field--select-5_69ef7cd14ffca-description\"><option value=\"\"  >SSI<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376488__field--select-5_69ef7cd14ffca\" name=\"custom-select-5\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd14ffca\" id=\"forminator-field-text-4_69ef7cd14ffca-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-4_69ef7cd14ffca-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-4_69ef7cd14ffca\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-4_69ef7cd14ffca-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376488--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376488--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd14ffca-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd14ffca-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd14ffca\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-4\" value=\"Yes\" id=\"forminator-field-radio-4-1-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69ef7cd14ffca\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"No\" id=\"forminator-field-radio-4-2-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd14ffca\" id=\"forminator-field-text-5_69ef7cd14ffca-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer?<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-5_69ef7cd14ffca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd14ffca-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd14ffca-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd14ffca\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd14ffca\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69ef7cd14ffca\" id=\"forminator-field-text-6_69ef7cd14ffca-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer?<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-6_69ef7cd14ffca\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376488--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376488--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7cd14ffca-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7cd14ffca-description\"><span id=\"forminator-radiogroup-radio-7-69ef7cd14ffca-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7cd14ffca-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd14ffca-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd14ffca-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd14ffca-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd14ffca-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd14ffca-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd14ffca-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd14ffca-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd14ffca-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7cd14ffca\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7cd14ffca\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd14ffca-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376488--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376488--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Comienza tu curso cuando quieras<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">Fecha del curso <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7cd14ffca-description\" class=\"forminator-description\">Selecciona la fecha en la que deseas comenzar tu curso.<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-3-month_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-3-month_69ef7cd14ffca-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376488__field--date-3-month_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-3-month_69ef7cd14ffca-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-3-day_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-3-day_69ef7cd14ffca-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376488__field--date-3-day_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-3-day_69ef7cd14ffca-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376488__field--date-3-year_69ef7cd14ffca\" id=\"forminator-field-376488__field--date-3-year_69ef7cd14ffca-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376488__field--date-3-year_69ef7cd14ffca\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd14ffca-description\" aria-labelledby=\"forminator-field-376488__field--date-3-year_69ef7cd14ffca-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd14ffca\" id=\"calculation-1-field_69ef7cd14ffca-label\" class=\"forminator-label\">Precio total del curso<\/label><span id=\"calculation-1-field_69ef7cd14ffca-description\" class=\"forminator-description\">Visita nuestros cursos para conocer m\u00e1s sobre los servicios: https:\/\/anklaazul.com\/courses<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd14ffca\" class=\"forminator-calculation forminator-input\" data-formula=\"{radio-3}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" aria-describedby=\"calculation-1-field_69ef7cd14ffca-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376488--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376488--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd14ffca\" id=\"forminator-field-consent-1_69ef7cd14ffca-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd14ffca__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd14ffca\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd14ffca-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd14ffca__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd14ffca__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"d46b9be335\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376488\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"save_draft\" value=\"false\"><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_column_24 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\">\n<div class=\"et_pb_row_19 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_25 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_12 et_pb_image et-interaction-target-sjwmn9dotq et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"nwk0c02mp5\" data-interaction-target=\"sjwmn9dotq\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/React-Right-Cover.jpg\" alt=\"React Right Cover\" title=\"React Right Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/React-Right-Cover.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/React-Right-Cover-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/React-Right-Cover-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/02\/React-Right-Cover-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372488\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_13 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-6b60k3pi41\" data-interaction-target=\"6b60k3pi41\">\n<div class=\"et_pb_icon_12 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"z0vblg7og5\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_20 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376492 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\" data-forminator-render=\"0\" data-form=\"forminator-module-376492\" data-uid=\"69ef7cd169806\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376492\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376492 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376492\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd169806\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376492--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376492--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd169806\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Convi\u00e9rtete en un buzo m\u00e1s seguro y capaz: el curso SSI Estr\u00e9s y Rescate.<\/h2><h3 class=\"forminator-subtitle\">Aprende a prevenir y manejar problemas por 1.860.000 COP (2\u20133 d\u00edas).<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd169806-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd169806-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd169806-label\" class=\"forminator-label\">Cursos <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd169806-description\" class=\"forminator-description\">Debes tener una certificaci\u00f3n Advanced Adventurer o equivalente para realizar este curso.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd169806\" class=\"forminator-radio\" title=\"SSI Stress &amp; Rescue\"><input type=\"radio\" name=\"radio-3\" value=\"SSI-Stress-&amp;-Rescue\" id=\"forminator-field-radio-3-1-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"1860000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">SSI Estr\u00e9s y Rescate<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376492--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376492--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd169806\" id=\"forminator-field-first-name-1_69ef7cd169806-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd169806-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd169806\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd169806-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd169806\" id=\"forminator-field-last-name-1_69ef7cd169806-label\" class=\"forminator-label\">Apellido <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-last-name-1_69ef7cd169806-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd169806\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd169806-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd169806\" id=\"forminator-field-email-1_69ef7cd169806-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd169806-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd169806\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd169806-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd169806\" id=\"forminator-field-phone-1_69ef7cd169806-label\" class=\"forminator-label\">Tel\u00e9fono <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd169806-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 3112811079\" id=\"forminator-field-phone-1_69ef7cd169806\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd169806-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd169806\" id=\"forminator-field-text-3_69ef7cd169806-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd169806-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd169806\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd169806-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--address-1-country_69ef7cd169806\" id=\"forminator-field-376492__field--address-1-country_69ef7cd169806-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><select name=\"address-1-country\" id=\"forminator-field-376492__field--address-1-country_69ef7cd169806\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-1_69ef7cd169806-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-1-month_69ef7cd169806\" id=\"forminator-field-376492__field--date-1-month_69ef7cd169806-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376492__field--date-1-month_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-1-month_69ef7cd169806-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-1-day_69ef7cd169806\" id=\"forminator-field-376492__field--date-1-day_69ef7cd169806-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376492__field--date-1-day_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-1-day_69ef7cd169806-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-1-year_69ef7cd169806\" id=\"forminator-field-376492__field--date-1-year_69ef7cd169806-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376492__field--date-1-year_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-1-year_69ef7cd169806-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376492__field--select-3_69ef7cd169806\" id=\"forminator-form-376492__field--select-3_69ef7cd169806-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376492__field--select-3_69ef7cd169806\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376492__field--select-3_69ef7cd169806-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376492__field--select-3_69ef7cd169806\" name=\"custom-select-3\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd169806-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-2-month_69ef7cd169806\" id=\"forminator-field-376492__field--date-2-month_69ef7cd169806-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376492__field--date-2-month_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-2-month_69ef7cd169806-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-2-day_69ef7cd169806\" id=\"forminator-field-376492__field--date-2-day_69ef7cd169806-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376492__field--date-2-day_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-2-day_69ef7cd169806-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-2-year_69ef7cd169806\" id=\"forminator-field-376492__field--date-2-year_69ef7cd169806-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376492__field--date-2-year_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-2-year_69ef7cd169806-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376492--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376492--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">Verifiquemos que cumples los requisitos para este curso.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376492__field--select-4_69ef7cd169806\" id=\"forminator-form-376492__field--select-4_69ef7cd169806-label\" class=\"forminator-label\">Estoy Certificado<\/label><span id=\"forminator-form-376492__field--select-4_69ef7cd169806-description\" class=\"forminator-description\">Debes tener una certificaci\u00f3n para realizar este curso.<\/span><select  id=\"forminator-form-376492__field--select-4_69ef7cd169806\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376492__field--select-4_69ef7cd169806-label\" aria-describedby=\"forminator-form-376492__field--select-4_69ef7cd169806-description\"><option value=\"Open-Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced-Open-Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue-Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive-Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376492__field--select-4_69ef7cd169806\" name=\"custom-select-4\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376492__field--select-5_69ef7cd169806\" id=\"forminator-form-376492__field--select-5_69ef7cd169806-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376492__field--select-5_69ef7cd169806-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376492__field--select-5_69ef7cd169806\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376492__field--select-5_69ef7cd169806-label\" aria-describedby=\"forminator-form-376492__field--select-5_69ef7cd169806-description\"><option value=\"\"  >SSI<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376492__field--select-5_69ef7cd169806\" name=\"custom-select-5\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd169806\" id=\"forminator-field-text-4_69ef7cd169806-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-4_69ef7cd169806-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-4_69ef7cd169806\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-4_69ef7cd169806-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376492--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376492--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd169806-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd169806-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd169806\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-4\" value=\"Yes\" id=\"forminator-field-radio-4-1-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69ef7cd169806\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"No\" id=\"forminator-field-radio-4-2-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd169806\" id=\"forminator-field-text-5_69ef7cd169806-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer?<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-5_69ef7cd169806\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd169806-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd169806-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd169806\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd169806\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69ef7cd169806\" id=\"forminator-field-text-6_69ef7cd169806-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer?<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-6_69ef7cd169806\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376492--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376492--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7cd169806-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7cd169806-description\"><span id=\"forminator-radiogroup-radio-7-69ef7cd169806-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7cd169806-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd169806-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd169806-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd169806-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd169806-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd169806-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd169806-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd169806-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd169806-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7cd169806\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7cd169806\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd169806-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376492--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376492--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Comienza tu curso cuando quieras<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">Fecha del curso <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7cd169806-description\" class=\"forminator-description\">Selecciona la fecha en la que deseas comenzar tu curso.<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-3-month_69ef7cd169806\" id=\"forminator-field-376492__field--date-3-month_69ef7cd169806-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376492__field--date-3-month_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-3-month_69ef7cd169806-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-3-day_69ef7cd169806\" id=\"forminator-field-376492__field--date-3-day_69ef7cd169806-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376492__field--date-3-day_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-3-day_69ef7cd169806-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376492__field--date-3-year_69ef7cd169806\" id=\"forminator-field-376492__field--date-3-year_69ef7cd169806-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376492__field--date-3-year_69ef7cd169806\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd169806-description\" aria-labelledby=\"forminator-field-376492__field--date-3-year_69ef7cd169806-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd169806\" id=\"calculation-1-field_69ef7cd169806-label\" class=\"forminator-label\">Precio total del curso<\/label><span id=\"calculation-1-field_69ef7cd169806-description\" class=\"forminator-description\">Visita nuestros cursos para conocer m\u00e1s sobre los servicios: https:\/\/anklaazul.com\/courses<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd169806\" class=\"forminator-calculation forminator-input\" data-formula=\"{radio-3}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" aria-describedby=\"calculation-1-field_69ef7cd169806-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376492--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376492--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd169806\" id=\"forminator-field-consent-1_69ef7cd169806-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd169806__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd169806\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd169806-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd169806__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd169806__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"c756b3dd54\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376492\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"save_draft\" value=\"false\"><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_20 et_pb_row et_pb_row_nested et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_26 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_image_13 et_pb_image et-interaction-target-ookvtzadjt et_pb_module et_flex_module preset--module--divi-image--84d96edb-64d8-4704-8187-9bc27fc04c3a\" data-interaction-trigger=\"ej4mu6h9bv\" data-interaction-target=\"ookvtzadjt\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Dive-Master-Cover.jpg\" alt=\"Dive Master Cover\" title=\"Dive Master Cover\" width=\"2000\" height=\"1545\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Dive-Master-Cover.jpg 2000w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Dive-Master-Cover-1280x989.jpg 1280w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Dive-Master-Cover-980x757.jpg 980w, https:\/\/anklaazul.com\/wp-content\/uploads\/2025\/01\/Dive-Master-Cover-480x371.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2000px, 100vw\" class=\"wp-image-372283\" \/><\/span><\/div>\n\n<div class=\"et_pb_group_14 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough et-interaction-target-b1nz027cum\" data-interaction-target=\"b1nz027cum\">\n<div class=\"et_pb_icon_13 et_pb_icon et_pb_module et_flex_module\" data-interaction-trigger=\"lyzrklzk2n\"><span class=\"et_pb_icon_wrap\"><span class=\"et-pb-icon\">\uf00d<\/span><\/span><\/div>\n\n<div class=\"et_pb_text_21 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-376504 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\" data-forminator-render=\"0\" data-form=\"forminator-module-376504\" data-uid=\"69ef7cd183bb7\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-376504\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-376504 forminator-design--bold forminator-enclosed forminator_ajax draft-enabled\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"376504\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"bold\" data-grid=\"enclosed\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69ef7cd183bb7\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376504--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376504--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finalizar\"\r\n\t\t\t\tdata-actual-label=\"Diver Information\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69ef7cd183bb7\" name=\"hidden-1\" value=\"submission_id\" \/><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Hazte profesional: el curso SSI Divemaster<\/h2><h3 class=\"forminator-subtitle\">Convierte tu pasi\u00f3n en una carrera por 6.775.000 COP (2\u20133 semanas)<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69ef7cd183bb7-label\" aria-describedby=\"forminator-radiogroup-radio-3-69ef7cd183bb7-description\"><span id=\"forminator-radiogroup-radio-3-69ef7cd183bb7-label\" class=\"forminator-label\">Cursos <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-3-69ef7cd183bb7-description\" class=\"forminator-description\">Debes tener una certificaci\u00f3n de Stress &amp; Rescue (o equivalente) y un m\u00ednimo de 40 inmersiones registradas para tomar este curso.<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69ef7cd183bb7\" class=\"forminator-radio\" title=\"SSI Dive Master\"><input type=\"radio\" name=\"radio-3\" value=\"SSI-Dive-Master\" id=\"forminator-field-radio-3-1-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"6775000\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-3-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">SSI Dive Master<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376504--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376504--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Diver Information\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Antes de sumergirnos, \u00a1conozc\u00e1monos mejor!<\/h2><h3 class=\"forminator-subtitle\">Por favor, proporciona tus datos de contacto para que podamos confirmar tu reserva y cubrirte con el seguro seg\u00fan lo requerido.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ef7cd183bb7\" id=\"forminator-field-first-name-1_69ef7cd183bb7-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-first-name-1_69ef7cd183bb7-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ef7cd183bb7\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" aria-describedby=\"forminator-field-first-name-1_69ef7cd183bb7-description\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ef7cd183bb7\" id=\"forminator-field-last-name-1_69ef7cd183bb7-label\" class=\"forminator-label\">Apellido <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-last-name-1_69ef7cd183bb7-description\" class=\"forminator-description\">Tu Nombre<\/span><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ef7cd183bb7\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" aria-describedby=\"forminator-field-last-name-1_69ef7cd183bb7-description\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ef7cd183bb7\" id=\"forminator-field-email-1_69ef7cd183bb7-label\" class=\"forminator-label\">Correo Electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-email-1_69ef7cd183bb7-description\" class=\"forminator-description\">Tu correo de contacto<\/span><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"@gmail.com\" id=\"forminator-field-email-1_69ef7cd183bb7\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_69ef7cd183bb7-description\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ef7cd183bb7\" id=\"forminator-field-phone-1_69ef7cd183bb7-label\" class=\"forminator-label\">Tel\u00e9fono <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_69ef7cd183bb7-description\" class=\"forminator-description\">Tu Tel\u00e9fono<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+57 3112811079\" id=\"forminator-field-phone-1_69ef7cd183bb7\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_69ef7cd183bb7-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ef7cd183bb7\" id=\"forminator-field-text-3_69ef7cd183bb7-label\" class=\"forminator-label\">N\u00famero de Identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-3_69ef7cd183bb7-description\" class=\"forminator-description\">Requerido por el seguro<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"ID o N\u00famero de Pasaporte\" id=\"forminator-field-text-3_69ef7cd183bb7\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_69ef7cd183bb7-description\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--address-1-country_69ef7cd183bb7\" id=\"forminator-field-376504__field--address-1-country_69ef7cd183bb7-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-376504__field--address-1-country_69ef7cd183bb7-description\" class=\"forminator-description\">Nacionalidad<\/span><select name=\"address-1-country\" id=\"forminator-field-376504__field--address-1-country_69ef7cd183bb7\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Seleccionar pa\u00eds\" autocomplete=\"country-name country\" aria-describedby=\"forminator-field-376504__field--address-1-country_69ef7cd183bb7-description\" data-default-value=\"Colombia\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afganist\u00e1n\" data-country-code=\"AF\" >Afganist\u00e1n<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Alemania\" data-country-code=\"DE\" >Alemania<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguila\" data-country-code=\"AI\" >Anguila<\/option><option value=\"Antigua y Barbuda\" data-country-code=\"AG\" >Antigua y Barbuda<\/option><option value=\"Antillas Neerlandesas\" data-country-code=\"AN\" >Antillas Neerlandesas<\/option><option value=\"Ant\u00e1rtida\" data-country-code=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"Arabia Saudita\" data-country-code=\"SA\" >Arabia Saudita<\/option><option value=\"Argelia\" data-country-code=\"DZ\" >Argelia<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Atol\u00f3n Johnston\" data-country-code=\"JT\" >Atol\u00f3n Johnston<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaiy\u00e1n\" data-country-code=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belice\" data-country-code=\"BZ\" >Belice<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bielorrusia\" data-country-code=\"BY\" >Bielorrusia<\/option><option value=\"Birmania\" data-country-code=\"MM\" >Birmania<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia y Herzegovina\" data-country-code=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e1n\" data-country-code=\"BT\" >But\u00e1n<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camboya\" data-country-code=\"KH\" >Camboya<\/option><option value=\"Camer\u00fan\" data-country-code=\"CM\" >Camer\u00fan<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, Rep\u00fablica Popular de\" data-country-code=\"CN\" >China, Rep\u00fablica Popular de<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Ciudad del Vaticano\" data-country-code=\"VA\" >Ciudad del Vaticano<\/option><option value=\"Colombia\" data-country-code=\"CO\" selected=\"selected\">Colombia<\/option><option value=\"Comoras\" data-country-code=\"KM\" >Comoras<\/option><option value=\"Congo, Rep\u00fablica Democr\u00e1tica del\" data-country-code=\"CD\" >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value=\"Congo, Rep\u00fablica del\" data-country-code=\"CG\" >Congo, Rep\u00fablica del<\/option><option value=\"Corea del Norte\" data-country-code=\"KP\" >Corea del Norte<\/option><option value=\"Corea del Sur\" data-country-code=\"KR\" >Corea del Sur<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa de Marfil\" data-country-code=\"CI\" >Costa de Marfil<\/option><option value=\"Croacia\" data-country-code=\"HR\" >Croacia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Curazao\" data-country-code=\"CW\" >Curazao<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egipto\" data-country-code=\"EG\" >Egipto<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\" data-country-code=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Eslovaquia\" data-country-code=\"SK\" >Eslovaquia<\/option><option value=\"Eslovenia\" data-country-code=\"SI\" >Eslovenia<\/option><option value=\"Espa\u00f1a\" data-country-code=\"ES\" >Espa\u00f1a<\/option><option value=\"Estados Unidos\" data-country-code=\"US\" >Estados Unidos<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Etiop\u00eda\" data-country-code=\"ET\" >Etiop\u00eda<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finlandia\" data-country-code=\"FI\" >Finlandia<\/option><option value=\"Fiyi\" data-country-code=\"FJ\" >Fiyi<\/option><option value=\"Francia\" data-country-code=\"FR\" >Francia<\/option><option value=\"Francia Metropolitana\" data-country-code=\"FX\" >Francia Metropolitana<\/option><option value=\"Gab\u00f3n\" data-country-code=\"GA\" >Gab\u00f3n<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Grecia\" data-country-code=\"GR\" >Grecia<\/option><option value=\"Groenlandia\" data-country-code=\"GL\" >Groenlandia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guayana\" data-country-code=\"GY\" >Guayana<\/option><option value=\"Guayana Francesa\" data-country-code=\"GF\" >Guayana Francesa<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea Ecuatorial\" data-country-code=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Hait\u00ed\" data-country-code=\"HT\" >Hait\u00ed<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungr\u00eda\" data-country-code=\"HU\" >Hungr\u00eda<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e1n\" data-country-code=\"IR\" >Ir\u00e1n<\/option><option value=\"Isla Bouvet\" data-country-code=\"BV\" >Isla Bouvet<\/option><option value=\"Isla Norfolk\" data-country-code=\"NF\" >Isla Norfolk<\/option><option value=\"Isla Reuni\u00f3n\" data-country-code=\"RE\" >Isla Reuni\u00f3n<\/option><option value=\"Isla de Navidad\" data-country-code=\"CX\" >Isla de Navidad<\/option><option value=\"Islandia\" data-country-code=\"IS\" >Islandia<\/option><option value=\"Islas Caim\u00e1n\" data-country-code=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\" data-country-code=\"CC\" >Islas Cocos<\/option><option value=\"Islas Cook\" data-country-code=\"CK\" >Islas Cook<\/option><option value=\"Islas Feroe\" data-country-code=\"FO\" >Islas Feroe<\/option><option value=\"Islas Georgias del Sur y Sandwich del Sur\" data-country-code=\"GS\" >Islas Georgias del Sur y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\" data-country-code=\"HM\" >Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\" data-country-code=\"FK\" >Islas Malvinas<\/option><option value=\"Islas Mariana del Norte\" data-country-code=\"MP\" >Islas Mariana del Norte<\/option><option value=\"Islas Marshall\" data-country-code=\"MH\" >Islas Marshall<\/option><option value=\"Islas Pitcairn\" data-country-code=\"PN\" >Islas Pitcairn<\/option><option value=\"Islas Salom\u00f3n\" data-country-code=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\" data-country-code=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"Islas Ultramarinas Menores de Estados Unidos\" data-country-code=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"Islas V\u00edrgenes Brit\u00e1nicas\" data-country-code=\"VG\" >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value=\"Islas V\u00edrgenes de los Estados Unidos\" data-country-code=\"VI\" >Islas V\u00edrgenes de los Estados Unidos<\/option><option value=\"Islas Wallis y Futuna \" data-country-code=\"WF\" >Islas Wallis y Futuna <\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italia\" data-country-code=\"IT\" >Italia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00f3n\" data-country-code=\"JP\" >Jap\u00f3n<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordania\" data-country-code=\"JO\" >Jordania<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazajst\u00e1n\" data-country-code=\"KZ\" >Kazajst\u00e1n<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kirguist\u00e1n\" data-country-code=\"KG\" >Kirguist\u00e1n<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Las Bermudas\" data-country-code=\"BM\" >Las Bermudas<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Letonia\" data-country-code=\"LV\" >Letonia<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libia\" data-country-code=\"LY\" >Libia<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lituania\" data-country-code=\"LT\" >Lituania<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Macedonia Norte\" data-country-code=\"MK\" >Macedonia Norte<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malasia\" data-country-code=\"MY\" >Malasia<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marruecos\" data-country-code=\"MA\" >Marruecos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Mauricio\" data-country-code=\"MU\" >Mauricio<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldavia\" data-country-code=\"MD\" >Moldavia<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f3naco\" data-country-code=\"MC\" >M\u00f3naco<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nigeria\" data-country-code=\"NE\" >Nigeria<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nueva Caledonia\" data-country-code=\"NC\" >Nueva Caledonia<\/option><option value=\"Nueva Guinea\" data-country-code=\"PG\" >Nueva Guinea<\/option><option value=\"Nueva Zelanda\" data-country-code=\"NZ\" >Nueva Zelanda<\/option><option value=\"Om\u00e1n\" data-country-code=\"OM\" >Om\u00e1n<\/option><option value=\"Pakist\u00e1n\" data-country-code=\"PK\" >Pakist\u00e1n<\/option><option value=\"Palaos\" data-country-code=\"PW\" >Palaos<\/option><option value=\"Palestina, Estado de\" data-country-code=\"PS\" >Palestina, Estado de<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pa\u00edses Bajos\" data-country-code=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"Personas Ap\u00e1tridas\" data-country-code=\"XX\" >Personas Ap\u00e1tridas<\/option><option value=\"Per\u00fa\" data-country-code=\"PE\" >Per\u00fa<\/option><option value=\"Polinesia Francesa\" data-country-code=\"PF\" >Polinesia Francesa<\/option><option value=\"Polonia\" data-country-code=\"PL\" >Polonia<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\" data-country-code=\"CF\" >Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\" data-country-code=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular Lao\u200b\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular Lao\u200b<\/option><option value=\"Rep\u00fablica Dominicana\" data-country-code=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"Rumania\" data-country-code=\"RO\" >Rumania<\/option><option value=\"Rusia\" data-country-code=\"RU\" >Rusia<\/option><option value=\"Sahara Occidental\" data-country-code=\"EH\" >Sahara Occidental<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"San Crist\u00f3bal y Nieves\" data-country-code=\"KN\" >San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"San Mart\u00edn\" data-country-code=\"MF\" >San Mart\u00edn<\/option><option value=\"San Pedro y Miquel\u00f3n\" data-country-code=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\" data-country-code=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"Santa Elena\" data-country-code=\"SH\" >Santa Elena<\/option><option value=\"Santa Luc\u00eda\" data-country-code=\"LC\" >Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\" data-country-code=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leona\" data-country-code=\"SL\" >Sierra Leona<\/option><option value=\"Singapur\" data-country-code=\"SG\" >Singapur<\/option><option value=\"Siria\" data-country-code=\"SY\" >Siria<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suazilandia\" data-country-code=\"SZ\" >Suazilandia<\/option><option value=\"Sud\u00e1frica\" data-country-code=\"ZA\" >Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\" data-country-code=\"SD\" >Sud\u00e1n<\/option><option value=\"Sud\u00e1n, sur\" data-country-code=\"SS\" >Sud\u00e1n, sur<\/option><option value=\"Suecia\" data-country-code=\"SE\" >Suecia<\/option><option value=\"Suiza\" data-country-code=\"CH\" >Suiza<\/option><option value=\"Surinam\" data-country-code=\"SR\" >Surinam<\/option><option value=\"Svalbard y Jan Mayen\" data-country-code=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"Tailandia\" data-country-code=\"TH\" >Tailandia<\/option><option value=\"Taiw\u00e1n, Rep\u00fablica de China\" data-country-code=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Tayikist\u00e1n\" data-country-code=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\" data-country-code=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Australes Franceses\" data-country-code=\"TF\" >Territorios Australes Franceses<\/option><option value=\"Timor Oriental\" data-country-code=\"TL\" >Timor Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad y Tobago\" data-country-code=\"TT\" >Trinidad y Tobago<\/option><option value=\"Turkmenist\u00e1n\" data-country-code=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\" data-country-code=\"TR\" >Turqu\u00eda<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"T\u00fanez\" data-country-code=\"TN\" >T\u00fanez<\/option><option value=\"Ucrania\" data-country-code=\"UA\" >Ucrania<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekist\u00e1n\" data-country-code=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Yibuti\" data-country-code=\"DJ\" >Yibuti<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabue\" data-country-code=\"ZW\" >Zimbabue<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-1_69ef7cd183bb7-description\" class=\"forminator-description\">Ingresa tu fecha de nacimiento<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-1-month_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-1-month_69ef7cd183bb7-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-1-month\" id=\"forminator-field-376504__field--date-1-month_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-1-month_69ef7cd183bb7-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-1-day_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-1-day_69ef7cd183bb7-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-1-day\" id=\"forminator-field-376504__field--date-1-day_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-1-day_69ef7cd183bb7-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-1-year_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-1-year_69ef7cd183bb7-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-1-year\" id=\"forminator-field-376504__field--date-1-year_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" aria-describedby=\"forminator-field-date-1_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-1-year_69ef7cd183bb7-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-376504__field--select-3_69ef7cd183bb7\" id=\"forminator-form-376504__field--select-3_69ef7cd183bb7-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-376504__field--select-3_69ef7cd183bb7\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Male\" data-search=\"false\" data-search-placeholder=\"Male\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376504__field--select-3_69ef7cd183bb7-label\"><option value=\"\"  >Masculino<\/option><option value=\"Male\"  data-calculation=\"0\">Masculino<\/option><option value=\"Female\"  data-calculation=\"0\">Femenino<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376504__field--select-3_69ef7cd183bb7\" name=\"custom-select-3\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo fue tu \u00faltima inmersi\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-2_69ef7cd183bb7-description\" class=\"forminator-description\">Ingresa aproximadamente la fecha de tu \u00faltima inmersi\u00f3n:<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-2-month_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-2-month_69ef7cd183bb7-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-2-month\" id=\"forminator-field-376504__field--date-2-month_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-2-month_69ef7cd183bb7-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-2-day_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-2-day_69ef7cd183bb7-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-2-day\" id=\"forminator-field-376504__field--date-2-day_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-2-day_69ef7cd183bb7-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-2-year_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-2-year_69ef7cd183bb7-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-2-year\" id=\"forminator-field-376504__field--date-2-year_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" aria-describedby=\"forminator-field-date-2_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-2-year_69ef7cd183bb7-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">Seleccionar a\u00f1o<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376504--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376504--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00a1Informaci\u00f3n de tu certificaci\u00f3n!<\/h2><h3 class=\"forminator-subtitle\">Verifiquemos que cumples los requisitos para este curso.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376504__field--select-4_69ef7cd183bb7\" id=\"forminator-form-376504__field--select-4_69ef7cd183bb7-label\" class=\"forminator-label\">Estoy Certificado<\/label><span id=\"forminator-form-376504__field--select-4_69ef7cd183bb7-description\" class=\"forminator-description\">Debes tener una certificaci\u00f3n para realizar este curso.<\/span><select  id=\"forminator-form-376504__field--select-4_69ef7cd183bb7\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376504__field--select-4_69ef7cd183bb7-label\" aria-describedby=\"forminator-form-376504__field--select-4_69ef7cd183bb7-description\"><option value=\"Open-Water\"  data-calculation=\"0\">Open Water<\/option><option value=\"Advanced-Open-Water\"  data-calculation=\"0\">Aguas Abiertas Avanzado<\/option><option value=\"Rescue-Diver\"  data-calculation=\"0\">Buzo de Rescate<\/option><option value=\"Dive-Master\"  data-calculation=\"0\">Dive Master<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376504__field--select-4_69ef7cd183bb7\" name=\"custom-select-4\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-376504__field--select-5_69ef7cd183bb7\" id=\"forminator-form-376504__field--select-5_69ef7cd183bb7-label\" class=\"forminator-label\">\u00bfQu\u00e9 agencia te certific\u00f3? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-376504__field--select-5_69ef7cd183bb7-description\" class=\"forminator-description\">Agencia u organizaci\u00f3n certificadora (por ejemplo, SSI, PADI, etc.)<\/span><select  id=\"forminator-form-376504__field--select-5_69ef7cd183bb7\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"SSI\" data-search=\"false\" data-search-placeholder=\"SSI\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-376504__field--select-5_69ef7cd183bb7-label\" aria-describedby=\"forminator-form-376504__field--select-5_69ef7cd183bb7-description\"><option value=\"\"  >SSI<\/option><option value=\"SSI\"  data-calculation=\"0\">SSI<\/option><option value=\"PADI\"  data-calculation=\"0\">PADI<\/option><option value=\"NAUI\"  data-calculation=\"0\">NAUI<\/option><option value=\"CMAS\"  data-calculation=\"0\">CMAS<\/option><option value=\"SDI\"  data-calculation=\"0\">SDI<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otros<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-376504__field--select-5_69ef7cd183bb7\" name=\"custom-select-5\" class=\"forminator-input\" aria-label=\"Otros\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69ef7cd183bb7\" id=\"forminator-field-text-4_69ef7cd183bb7-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero de tu certificaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-4_69ef7cd183bb7-description\" class=\"forminator-description\">N\u00famero de certificaci\u00f3n (encu\u00e9ntralo en tu tarjeta o aplicaci\u00f3n)<\/span><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"#\" id=\"forminator-field-text-4_69ef7cd183bb7\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-4_69ef7cd183bb7-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376504--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376504--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Informaci\u00f3n de salud y seguridad.<\/h2><h3 class=\"forminator-subtitle\">Para tu seguridad, por favor responde las siguientes preguntas con sinceridad.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ef7cd183bb7-label\"><span id=\"forminator-radiogroup-radio-4-69ef7cd183bb7-label\" class=\"forminator-label\">\u00bfTienes alguna condici\u00f3n m\u00e9dica que debamos conocer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ef7cd183bb7\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-4\" value=\"Yes\" id=\"forminator-field-radio-4-1-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69ef7cd183bb7\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"No\" id=\"forminator-field-radio-4-2-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ef7cd183bb7\" id=\"forminator-field-text-5_69ef7cd183bb7-label\" class=\"forminator-label\">\u00bfQu\u00e9 condiciones m\u00e9dicas debemos conocer?<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Por ejemplo: asma, enfermedades card\u00edacas, diabetes, cirug\u00edas recientes, alergias.\" id=\"forminator-field-text-5_69ef7cd183bb7\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ef7cd183bb7-label\"><span id=\"forminator-radiogroup-radio-6-69ef7cd183bb7-label\" class=\"forminator-label\">\u00bfTienes alguna alergia alimentaria o restricci\u00f3n diet\u00e9tica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ef7cd183bb7\" class=\"forminator-radio\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-1-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ef7cd183bb7\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-2-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69ef7cd183bb7\" id=\"forminator-field-text-6_69ef7cd183bb7-label\" class=\"forminator-label\">\u00bfQu\u00e9 alergias alimentarias o restricciones diet\u00e9ticas debemos conocer?<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Por ejemplo: alergia al man\u00ed, sin gluten, vegetariano, vegano.\" id=\"forminator-field-text-6_69ef7cd183bb7\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376504--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376504--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-5\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tallas de Equipo<\/h2><h3 class=\"forminator-subtitle\">Para asegurarnos de proporcionarte el equipo adecuado, por favor selecciona tus tallas:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ef7cd183bb7-label\" aria-describedby=\"forminator-radiogroup-radio-7-69ef7cd183bb7-description\"><span id=\"forminator-radiogroup-radio-7-69ef7cd183bb7-label\" class=\"forminator-label\">Talla BCD: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69ef7cd183bb7-description\" class=\"forminator-description\">Por favor, selecciona una talla que se ajuste c\u00f3modamente a tu cuerpo.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-7\" value=\"XS\" id=\"forminator-field-radio-7-1-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-7\" value=\"S\" id=\"forminator-field-radio-7-2-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-7\" value=\"M\" id=\"forminator-field-radio-7-3-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-7\" value=\"L\" id=\"forminator-field-radio-7-4-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-7\" value=\"XL\" id=\"forminator-field-radio-7-5-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-7\" value=\"I-have-my-own\" id=\"forminator-field-radio-7-6-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ef7cd183bb7-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ef7cd183bb7-description\"><span id=\"forminator-radiogroup-radio-8-69ef7cd183bb7-label\" class=\"forminator-label\">Talla Wetsuit: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-8-69ef7cd183bb7-description\" class=\"forminator-description\">Por favor, selecciona tu talla de camiseta:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"XS\"><input type=\"radio\" name=\"radio-8\" value=\"XS\" id=\"forminator-field-radio-8-1-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XS<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"S\"><input type=\"radio\" name=\"radio-8\" value=\"S\" id=\"forminator-field-radio-8-2-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"M\"><input type=\"radio\" name=\"radio-8\" value=\"M\" id=\"forminator-field-radio-8-3-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"L\"><input type=\"radio\" name=\"radio-8\" value=\"L\" id=\"forminator-field-radio-8-4-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">L<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"XL\"><input type=\"radio\" name=\"radio-8\" value=\"XL\" id=\"forminator-field-radio-8-5-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">XL<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-8\" value=\"I-have-my-own\" id=\"forminator-field-radio-8-6-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-8-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ef7cd183bb7-label\" aria-describedby=\"forminator-radiogroup-radio-9-69ef7cd183bb7-description\"><span id=\"forminator-radiogroup-radio-9-69ef7cd183bb7-label\" class=\"forminator-label\">Talla Aletas: <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69ef7cd183bb7-description\" class=\"forminator-description\">Por favor, indica tu talla de calzado en talla EU.<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"35-36\"><input type=\"radio\" name=\"radio-9\" value=\"35-36\" id=\"forminator-field-radio-9-1-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">35-36<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"37-38\"><input type=\"radio\" name=\"radio-9\" value=\"37-38\" id=\"forminator-field-radio-9-2-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">37-38<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"39-40\"><input type=\"radio\" name=\"radio-9\" value=\"39-40\" id=\"forminator-field-radio-9-3-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">39-40<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"41-42\"><input type=\"radio\" name=\"radio-9\" value=\"41-42\" id=\"forminator-field-radio-9-4-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">41-42<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"43-44\"><input type=\"radio\" name=\"radio-9\" value=\"43-44\" id=\"forminator-field-radio-9-5-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">43-44<\/span><\/label><label id=\"forminator-field-radio-9-label-6\" for=\"forminator-field-radio-9-6-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"45-46\"><input type=\"radio\" name=\"radio-9\" value=\"45-46\" id=\"forminator-field-radio-9-6-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-9-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">45-46<\/span><\/label><label id=\"forminator-field-radio-9-label-7\" for=\"forminator-field-radio-9-7-69ef7cd183bb7\" class=\"forminator-radio forminator-radio-inline\" title=\"Tengo el m\u00edo\"><input type=\"radio\" name=\"radio-9\" value=\"I-have-my-own\" id=\"forminator-field-radio-9-7-69ef7cd183bb7\" aria-labelledby=\"forminator-field-radio-9-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69ef7cd183bb7-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tengo el m\u00edo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376504--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376504--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Comienza tu curso cuando quieras<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">Fecha del curso <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-3_69ef7cd183bb7-description\" class=\"forminator-description\">Selecciona la fecha en la que deseas comenzar tu curso.<\/span><div class=\"forminator-date-select\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-3-month_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-3-month_69ef7cd183bb7-label\" class=\"forminator-label\">Mes<\/label><select name=\"date-3-month\" id=\"forminator-field-376504__field--date-3-month_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-3-month_69ef7cd183bb7-label\" data-default-value=\"4\"><option value=\"\" >Seleccionar mes<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" selected=\"selected\">4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><\/div><\/div><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-3-day_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-3-day_69ef7cd183bb7-label\" class=\"forminator-label\">D\u00eda<\/label><select name=\"date-3-day\" id=\"forminator-field-376504__field--date-3-day_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-3-day_69ef7cd183bb7-label\" data-default-value=\"27\"><option value=\"\" >Seleccionar un d\u00eda<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" selected=\"selected\">27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-376504__field--date-3-year_69ef7cd183bb7\" id=\"forminator-field-376504__field--date-3-year_69ef7cd183bb7-label\" class=\"forminator-label\">A\u00f1o<\/label><select name=\"date-3-year\" id=\"forminator-field-376504__field--date-3-year_69ef7cd183bb7\" class=\"forminator-select2\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" aria-describedby=\"forminator-field-date-3_69ef7cd183bb7-description\" aria-labelledby=\"forminator-field-376504__field--date-3-year_69ef7cd183bb7-label\" data-default-value=\"2026\"><option value=\"\" >Seleccionar a\u00f1o<\/option><option value=\"2126\" >2126<\/option><option value=\"2125\" >2125<\/option><option value=\"2124\" >2124<\/option><option value=\"2123\" >2123<\/option><option value=\"2122\" >2122<\/option><option value=\"2121\" >2121<\/option><option value=\"2120\" >2120<\/option><option value=\"2119\" >2119<\/option><option value=\"2118\" >2118<\/option><option value=\"2117\" >2117<\/option><option value=\"2116\" >2116<\/option><option value=\"2115\" >2115<\/option><option value=\"2114\" >2114<\/option><option value=\"2113\" >2113<\/option><option value=\"2112\" >2112<\/option><option value=\"2111\" >2111<\/option><option value=\"2110\" >2110<\/option><option value=\"2109\" >2109<\/option><option value=\"2108\" >2108<\/option><option value=\"2107\" >2107<\/option><option value=\"2106\" >2106<\/option><option value=\"2105\" >2105<\/option><option value=\"2104\" >2104<\/option><option value=\"2103\" >2103<\/option><option value=\"2102\" >2102<\/option><option value=\"2101\" >2101<\/option><option value=\"2100\" >2100<\/option><option value=\"2099\" >2099<\/option><option value=\"2098\" >2098<\/option><option value=\"2097\" >2097<\/option><option value=\"2096\" >2096<\/option><option value=\"2095\" >2095<\/option><option value=\"2094\" >2094<\/option><option value=\"2093\" >2093<\/option><option value=\"2092\" >2092<\/option><option value=\"2091\" >2091<\/option><option value=\"2090\" >2090<\/option><option value=\"2089\" >2089<\/option><option value=\"2088\" >2088<\/option><option value=\"2087\" >2087<\/option><option value=\"2086\" >2086<\/option><option value=\"2085\" >2085<\/option><option value=\"2084\" >2084<\/option><option value=\"2083\" >2083<\/option><option value=\"2082\" >2082<\/option><option value=\"2081\" >2081<\/option><option value=\"2080\" >2080<\/option><option value=\"2079\" >2079<\/option><option value=\"2078\" >2078<\/option><option value=\"2077\" >2077<\/option><option value=\"2076\" >2076<\/option><option value=\"2075\" >2075<\/option><option value=\"2074\" >2074<\/option><option value=\"2073\" >2073<\/option><option value=\"2072\" >2072<\/option><option value=\"2071\" >2071<\/option><option value=\"2070\" >2070<\/option><option value=\"2069\" >2069<\/option><option value=\"2068\" >2068<\/option><option value=\"2067\" >2067<\/option><option value=\"2066\" >2066<\/option><option value=\"2065\" >2065<\/option><option value=\"2064\" >2064<\/option><option value=\"2063\" >2063<\/option><option value=\"2062\" >2062<\/option><option value=\"2061\" >2061<\/option><option value=\"2060\" >2060<\/option><option value=\"2059\" >2059<\/option><option value=\"2058\" >2058<\/option><option value=\"2057\" >2057<\/option><option value=\"2056\" >2056<\/option><option value=\"2055\" >2055<\/option><option value=\"2054\" >2054<\/option><option value=\"2053\" >2053<\/option><option value=\"2052\" >2052<\/option><option value=\"2051\" >2051<\/option><option value=\"2050\" >2050<\/option><option value=\"2049\" >2049<\/option><option value=\"2048\" >2048<\/option><option value=\"2047\" >2047<\/option><option value=\"2046\" >2046<\/option><option value=\"2045\" >2045<\/option><option value=\"2044\" >2044<\/option><option value=\"2043\" >2043<\/option><option value=\"2042\" >2042<\/option><option value=\"2041\" >2041<\/option><option value=\"2040\" >2040<\/option><option value=\"2039\" >2039<\/option><option value=\"2038\" >2038<\/option><option value=\"2037\" >2037<\/option><option value=\"2036\" >2036<\/option><option value=\"2035\" >2035<\/option><option value=\"2034\" >2034<\/option><option value=\"2033\" >2033<\/option><option value=\"2032\" >2032<\/option><option value=\"2031\" >2031<\/option><option value=\"2030\" >2030<\/option><option value=\"2029\" >2029<\/option><option value=\"2028\" >2028<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" selected=\"selected\">2026<\/option><option value=\"2025\" >2025<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69ef7cd183bb7\" id=\"calculation-1-field_69ef7cd183bb7-label\" class=\"forminator-label\">Precio total del curso<\/label><span id=\"calculation-1-field_69ef7cd183bb7-description\" class=\"forminator-description\">Visita nuestros cursos para conocer m\u00e1s sobre los servicios: https:\/\/anklaazul.com\/courses<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69ef7cd183bb7\" class=\"forminator-calculation forminator-input\" data-formula=\"{radio-3}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" aria-describedby=\"calculation-1-field_69ef7cd183bb7-description\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-376504--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-376504--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">T\u00e9rminos y Condiciones<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69ef7cd183bb7\" id=\"forminator-field-consent-1_69ef7cd183bb7-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69ef7cd183bb7__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69ef7cd183bb7\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69ef7cd183bb7-label\" aria-describedby=\"forminator-field-consent-1_69ef7cd183bb7__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69ef7cd183bb7__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Acepto los t\u00e9rminos de Ankla Azul&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/privacy-policy\/\">Pol\u00edtica de privacidad<\/a>,&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/terms-and-conditions\/\">T\u00e9rminos y condiciones<\/a>, y&nbsp;<a href=\"https:\/\/anklaazul.com\/es\/cancellation\/\">Pol\u00edtica de cancelaci\u00f3n<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Reservar<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"c52e7879bc\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/5721\" \/><input type=\"hidden\" name=\"form_id\" value=\"376504\"><input type=\"hidden\" name=\"page_id\" value=\"5721\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/anklaazul.com\/es\/booking\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"save_draft\" value=\"false\"><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"et_pb_bottom_inside_divider et-no-transition\"><\/div><\/div>\n\n<div class=\"et_pb_section_4 et_pb_section et_section_regular et_block_section\">\n<div class=\"et_pb_row_21 et_pb_row et_flex_row preset--module--divi-row--default\">\n<div class=\"et_pb_column_27 et_pb_column et-last-child et_grid_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\">\n<div class=\"et_pb_text_22 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--efokf8vg5e\"><div class=\"et_pb_text_inner\"><h2>\u00bfNecesitas ayuda para reservar?<\/h2>\n<\/div><\/div>\n\n<div class=\"et_pb_text_23 et_pb_text et_pb_bg_layout_dark et_pb_module et_block_module preset--module--divi-text--3tx68shv89\"><div class=\"et_pb_text_inner\"><p>As\u00ed es como podemos ayudarte a finalizar tu reserva:<\/p>\n<ul>\n<li style=\"text-align: left;\"><b>\u00bfQuieres reservar para un grupo grande?<\/b><\/li>\n<li style=\"text-align: left;\"><b>\u00bfTienes preguntas sobre el formulario m\u00e9dico?<\/b><\/li>\n<li style=\"text-align: left;\"><b>\u00bfNecesitas confirmar fechas espec\u00edficas o disponibilidad?<\/b><\/li>\n<li style=\"text-align: left;\"><b>\u00bfTienes problemas con el pago o el dep\u00f3sito?<\/b><\/li>\n<\/ul>\n<p>Don't guess\u2014just ask. Send us a message, and our team will help you complete your booking in minutes.<\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_3_wrapper preset--module--divi-button--w112ovmeye_wrapper\"><a class=\"et_pb_button_3 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module preset--module--divi-button--w112ovmeye\" href=\"https:\/\/wa.me\/573112811079\" target=\"_blank\" data-icon=\"\uf232\" data-interaction-trigger=\"9w3x074d6z\">Chatea en WhatsApp<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_5 et_pb_section et_section_regular et_flex_section\"><div class=\"et_pb_row_22 et_pb_row et_flex_row preset--module--divi-row--default\"><div class=\"et_pb_column_28 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\"><div class=\"et_pb_text_24 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--efokf8vg5e\"><div class=\"et_pb_text_inner\"><h2 style=\"text-align: center\">Lo que dicen los Buzos<\/h2>\n<\/div><\/div><div class=\"et_pb_text_25 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--3tx68shv89\"><div class=\"et_pb_text_inner\"><p style=\"text-align: center;\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png\" width=\"100\" height=\"26\" alt=\"\" class=\"wp-image-29150 aligncenter size-full\" \/>400+ Reviews<\/p>\n<\/div><\/div><div class=\"et_pb_group_15 et_pb_group et-last-child et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_14 et_pb_image et_pb_module et_block_module preset--module--divi-image--default\"><a href=\"https:\/\/share.google\/EAU6MO52XxyqvOP0h\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/1.png\" alt=\"Google Reviews\" title=\"Read our Google Reviews\" width=\"250\" height=\"250\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/1.png 250w, https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/1-150x150.png 150w\" sizes=\"(max-width: 250px) 100vw, 250px\" class=\"wp-image-29151\" \/><\/span><\/a><\/div><div class=\"et_pb_image_15 et_pb_image et_pb_module et_block_module preset--module--divi-image--default\"><a href=\"https:\/\/www.tripadvisor.com\/Attraction_Review-g1983809-d17747988-Reviews-Ankla_Azul-Bahia_Solano_Choco_Department.html\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/2.png\" alt=\"TripAdvisor Reviews\" title=\"Ankla Azul on TripAdvisor\" width=\"250\" height=\"250\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/2.png 250w, https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/2-150x150.png 150w\" sizes=\"(max-width: 250px) 100vw, 250px\" class=\"wp-image-29152\" \/><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"et_pb_row_23 et_pb_row et_flex_row preset--module--divi-row--default\"><div class=\"et_pb_column_29 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\"><div class=\"et_pb_text_26 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--59427334-4174-403d-867b-228210bb891c\"><div class=\"et_pb_text_inner\"><h3 style=\"text-align: center;\">Vinha Damanta<\/h3>\n<\/div><\/div><div class=\"et_pb_image_16 et_pb_image et_pb_module et_flex_module preset--module--divi-image--default\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png\" alt=\"5 starts\" title=\"5 starts\" width=\"270\" height=\"70\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png 270w\" sizes=\"(max-width: 270px) 100vw, 270px\" class=\"wp-image-29150\" \/><\/span><\/div><div class=\"et_pb_text_27 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\">Hice 3 inmersiones con el equipo de Ankla Azul y las tres fueron geniales\u2026 El centro de buceo presta mucha atenci\u00f3n a la seguridad y a seguir los procedimientos correctos, lo que te da una gran sensaci\u00f3n de seguridad. Tienen un equipo excelente, casi nuevo, y te equipan como a un profesional.<\/p>\n<\/div><\/div><\/div><div class=\"et_pb_column_30 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\"><div class=\"et_pb_text_28 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--59427334-4174-403d-867b-228210bb891c\"><div class=\"et_pb_text_inner\"><h3 style=\"text-align: center;\">Magda K<\/h3>\n<\/div><\/div><div class=\"et_pb_image_17 et_pb_image et_pb_module et_flex_module preset--module--divi-image--default\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png\" alt=\"5 starts\" title=\"5 starts\" width=\"270\" height=\"70\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png 270w\" sizes=\"(max-width: 270px) 100vw, 270px\" class=\"wp-image-29150\" \/><\/span><\/div><div class=\"et_pb_text_29 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\">El centro de buceo nos impresion\u00f3 much\u00edsimo: el equipo era de alt\u00edsima calidad, lo que hizo que cada inmersi\u00f3n fuera c\u00f3moda y segura\u2026 Adem\u00e1s del buceo con tanque, tuvimos la oportunidad de probar el freediving, que en la cascada fue una experiencia absolutamente \u00fanica.<\/p>\n<\/div><\/div><\/div><div class=\"et_pb_column_31 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\"><div class=\"et_pb_text_30 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--59427334-4174-403d-867b-228210bb891c\"><div class=\"et_pb_text_inner\"><h3 style=\"text-align: center;\">Nicole Reynolds<\/h3>\n<\/div><\/div><div class=\"et_pb_image_18 et_pb_image et_pb_module et_flex_module preset--module--divi-image--default\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png\" alt=\"5 starts\" title=\"5 starts\" width=\"270\" height=\"70\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png 270w\" sizes=\"(max-width: 270px) 100vw, 270px\" class=\"wp-image-29150\" \/><\/span><\/div><div class=\"et_pb_text_31 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\">Pas\u00e9 tres d\u00edas con el equipo de Ankla Azul haciendo buceo y fue una experiencia incre\u00edble\u2026 Ja, el dive master principal e instructor, se enorgullece de sus excursiones de buceo y es evidente el enorme amor que siente por Bah\u00eda Solano y la vida silvestre de este lugar.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_24 et_pb_row et_flex_row preset--module--divi-row--default\"><div class=\"et_pb_column_32 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\"><div class=\"et_pb_text_32 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--59427334-4174-403d-867b-228210bb891c\"><div class=\"et_pb_text_inner\"><h3 style=\"text-align: center;\">Gloria Guillin Cuello<\/h3>\n<\/div><\/div><div class=\"et_pb_image_19 et_pb_image et_pb_module et_flex_module preset--module--divi-image--default\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png\" alt=\"5 starts\" title=\"5 starts\" width=\"270\" height=\"70\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png 270w\" sizes=\"(max-width: 270px) 100vw, 270px\" class=\"wp-image-29150\" \/><\/span><\/div><div class=\"et_pb_text_33 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\"><span class=\"citation-174 citation-end-174\">Esta vez hice mi primera inmersi\u00f3n con Ankla Azul y otros tres amigos. La experiencia fue espectacular, desde el inicio de la capacitaci\u00f3n hasta la sesi\u00f3n pr\u00e1ctica. Nuestro instructor demostr\u00f3 amabilidad y conocimiento, brind\u00e1ndonos una gu\u00eda segura.<sup class=\"superscript\" data-turn-source-index=\"2\"><\/sup><\/span>e.\"<\/p>\n<\/div><\/div><\/div><div class=\"et_pb_column_33 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\"><div class=\"et_pb_text_34 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--59427334-4174-403d-867b-228210bb891c\"><div class=\"et_pb_text_inner\"><h3 style=\"text-align: center;\">Ad\u00e8le B<\/h3>\n<\/div><\/div><div class=\"et_pb_image_20 et_pb_image et_pb_module et_flex_module preset--module--divi-image--default\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png\" alt=\"5 starts\" title=\"5 starts\" width=\"270\" height=\"70\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png 270w\" sizes=\"(max-width: 270px) 100vw, 270px\" class=\"wp-image-29150\" \/><\/span><\/div><div class=\"et_pb_text_35 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\">\u00a1Una experiencia absolutamente incre\u00edble! La inmersi\u00f3n fue inolvidable; pudimos escuchar a las ballenas cantar bajo el agua todo el tiempo\u2026 El equipo de Ankla Azul es s\u00faper profesional, el equipo es de primera calidad y todo se sinti\u00f3 muy seguro y bien organizado.<\/p>\n<\/div><\/div><\/div><div class=\"et_pb_column_34 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_8_24 et_flex_column_8_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_8_24_tabletWide\"><div class=\"et_pb_text_36 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--59427334-4174-403d-867b-228210bb891c\"><div class=\"et_pb_text_inner\"><h3>Dayana Jamaica<\/h3>\n<\/div><\/div><div class=\"et_pb_image_21 et_pb_image et_pb_module et_flex_module preset--module--divi-image--default\"><span class=\"et_pb_image_wrap\"><img decoding=\"async\" src=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png\" alt=\"5 starts\" title=\"5 starts\" width=\"270\" height=\"70\" srcset=\"https:\/\/anklaazul.com\/wp-content\/uploads\/2023\/07\/Untitled-design-7.png 270w\" sizes=\"(max-width: 270px) 100vw, 270px\" class=\"wp-image-29150\" \/><\/span><\/div><div class=\"et_pb_text_37 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_flex_module preset--module--divi-text--default\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\"><span>Excellent experience. Andr\u00e9s and V\u00edctor are amazing\u2014very kind, attentive, and careful. They made us feel safe at all times and helped us truly enjoy the dive, even though we had no prior experience. We had a great time, 100% recommended.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div>\n\n<div class=\"et_pb_section_6 et_pb_section et_section_regular et_flex_section\"><div class=\"et_pb_row_25 et_pb_row et_flex_row preset--module--divi-row--default\"><div class=\"et_pb_column_35 et_pb_column et-last-child et_grid_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_phoneWide et_flex_column_24_24_tabletWide\"><div class=\"et_pb_text_38 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--7rqaibtxuz\"><div class=\"et_pb_text_inner\"><h2>Mucho m\u00e1s que solo mover las aletas<\/h2>\n<\/div><\/div><div class=\"et_pb_text_39 et_pb_text et_pb_bg_layout_dark et_pb_module et_block_module preset--module--divi-text--3tx68shv89\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify\">En Ankla Azul, el buceo es mucho m\u00e1s que mover las aletas. Es ense\u00f1anza paciente, seguridad rigurosa y un cuidado genuino por el lugar que llamamos hogar. Como Centro de Formaci\u00f3n de Instructores SSI y Centro SSI Blue Oceans (reconocimiento 2025), combinamos el desarrollo de habilidades con la conciencia oce\u00e1nica\u2014identificaci\u00f3n de peces, trabajo en viveros de coral, educaci\u00f3n comunitaria y apoyo en rescate\u2014para que cada inmersi\u00f3n fortalezca la confianza y el respeto por el Pac\u00edfico salvaje de Bah\u00eda Solano.<\/p>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":375924,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5721","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/pages\/5721","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/comments?post=5721"}],"version-history":[{"count":0,"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/pages\/5721\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/media\/375924"}],"wp:attachment":[{"href":"https:\/\/anklaazul.com\/es\/wp-json\/wp\/v2\/media?parent=5721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}