{"id":4921,"date":"2025-08-18T09:26:19","date_gmt":"2025-08-18T09:26:19","guid":{"rendered":"https:\/\/bluecircleksa.com\/site\/?page_id=4921"},"modified":"2026-02-11T12:10:09","modified_gmt":"2026-02-11T12:10:09","slug":"training-course-registration-form","status":"publish","type":"page","link":"https:\/\/bluecircleksa.com\/en\/training-course-registration-form\/","title":{"rendered":"Registration form for diving courses and programs"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4921\" class=\"elementor elementor-4921\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0ae4e02 elementor-section-stretched elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"0ae4e02\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3bb9f00 sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"3bb9f00\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c5272f sc_fly_static elementor-widget elementor-widget-trx_sc_icons\" data-id=\"6c5272f\" data-element_type=\"widget\" data-widget_type=\"trx_sc_icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"trx_sc_icons_850041980\" \n\tclass=\"sc_icons sc_icons_default sc_icons_size_small sc_align_left\"><div class=\"sc_icons_columns_wrap sc_item_columns trx_addons_columns_wrap columns_padding_bottom\"><div class=\"trx_addons_column-1_3\"><div class=\"sc_icons_item\"><div class=\"sc_icons_icon sc_icon_type_ icon-group-936\"><span class=\"sc_icon_type_ icon-group-936\"><\/span><\/div><div class=\"sc_icons_item_details\"><h4 class=\"sc_icons_item_title\"><span>Main Headquarters<\/span><\/h4><div class=\"sc_icons_item_description\"><span>Visit us in Jeddah \u2013 Al Lulu District \u2013 Prince Abdulmajeed St.<\/span><\/div><\/div><\/div><\/div><div class=\"trx_addons_column-1_3\"><div class=\"sc_icons_item\"><div class=\"sc_icons_icon sc_icon_type_ icon-group-937\"><span class=\"sc_icon_type_ icon-group-937\"><\/span><\/div><div class=\"sc_icons_item_details\"><h4 class=\"sc_icons_item_title\"><span>Contact Numbers<\/span><\/h4><div class=\"sc_icons_item_description\"><span><a href=\"tel:+966555600981\">+966 555 600 981<\/a><br><\/span><span><a href=\"tel:+966500556109\">+966 500 556 109<\/a><\/span><span><\/span><\/div><\/div><\/div><\/div><div class=\"trx_addons_column-1_3\"><div class=\"sc_icons_item\"><div class=\"sc_icons_icon sc_icon_type_ icon-group-1554\"><span class=\"sc_icon_type_ icon-group-1554\"><\/span><\/div><div class=\"sc_icons_item_details\"><h4 class=\"sc_icons_item_title\"><span>Email<\/span><\/h4><div class=\"sc_icons_item_description\"><span><a href=\"mailto:Info@bluecircleksa.com\"><strong>Info@bluecircleksa.com<\/strong><\/a><\/span><span><\/span><\/div><\/div><\/div><\/div><\/div><\/div><!-- \/.sc_icons -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e37dd47 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e37dd47\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-7fb338d sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"7fb338d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-5e974cd sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"5e974cd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2e82143 sc_fly_static elementor-widget elementor-widget-trx_sc_title\" data-id=\"2e82143\" data-element_type=\"widget\" data-widget_type=\"trx_sc_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"trx_sc_title_696717653\"\n\t\tclass=\"sc_title sc_title_decoration\"><h2 class=\"sc_item_title sc_title_title sc_align_center sc_item_title_style_decoration\"><span class=\"sc_item_title_text\">Registration form for diving courses and programs<\/span><\/h2><div class=\"sc_item_descr sc_title_descr sc_align_center\"><p>Register your details to join diving programs and training courses, and enjoy an exceptional experience deep beneath the sea.<\/p>\n<\/div><\/div><!-- \/.sc_title -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e96387 sc_fly_static elementor-widget elementor-widget-spacer\" data-id=\"7e96387\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d607c2 sc_fly_static elementor-widget elementor-widget-shortcode\" data-id=\"2d607c2\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4920-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"4920\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/4921#wpcf7-f4920-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4920\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4920-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"itm\" style=\"margin-bottom: 20px; direction: ltr;\">\n  <label style=\"display:block; margin-bottom:8px; font-weight:600;\">Selected Course:<\/label>\n  <div id=\"course-display\" style=\"padding:12px 16px; border:1px solid #e9ecef; border-radius:6px; background:#f8f9fa; font-size:16px; color:#4054b2; font-weight:700;\"><\/div>\n<\/div>\n\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"course\" \/>\n\n<div id=\"tec-options\" style=\"display:none; margin-bottom: 20px; direction: ltr; background: #f9fafb; padding: 18px; border:1px dashed #cbd5e1; border-radius: 6px;\">\n  <label style=\"display:block; margin-bottom:10px; font-weight:600; color:#003370;\">Select Technical Level:<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"tec-level\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"tec-level[]\" value=\"TEC 40\" \/><span class=\"wpcf7-list-item-label\">TEC 40<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"tec-level[]\" value=\"TEC 45\" \/><span class=\"wpcf7-list-item-label\">TEC 45<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"tec-level[]\" value=\"TEC 50\" \/><span class=\"wpcf7-list-item-label\">TEC 50<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n\n<div class='itm' style=\"margin-bottom: 20px; direction: ltr;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name*\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><\/div>\n\n<div class='itm' style=\"margin-bottom: 20px; direction: ltr; background: white; padding: 18px; box-shadow: 0 2px 10px rgba(0,0,0,0.1); border: 1px solid #dee2e6; border-radius: 6px;\">\n  <label style=\"display: block; margin-bottom: 10px; font-size: 14px; font-weight: 500; color: #6c757d;\">Date of Birth*<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date date-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birth-date\" \/><\/span>\n<\/div>\n\n<div class='itm' style=\"margin-bottom: 20px; direction: ltr;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone Number*\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span><\/div>\n\n<div class='itm' style=\"margin-bottom: 20px; direction: ltr;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email Address*\" value=\"\" type=\"email\" name=\"email\" \/><\/span><\/div>\n\n<div class='itm' style=\"margin-bottom: 20px; direction: ltr;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"language\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Preferred Language*\" value=\"\" type=\"text\" name=\"language\" \/><\/span><\/div>\n\n<div class='itm' style=\"margin-bottom: 20px; direction: ltr; background: white; padding: 18px; box-shadow: 0 2px 10px rgba(0,0,0,0.1); border: 1px solid #dee2e6; border-radius: 6px;\">\n  <label style=\"display: block; margin-bottom: 10px; font-size: 14px; font-weight: 500; color: #6c757d;\">Program Start Date*<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"program-start\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date date-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"program-start\" \/><\/span>\n<\/div>\n\n<div style=\"margin-bottom: 20px; direction: ltr;\">\n  <label style=\"display:block; margin-bottom:8px; font-weight:600;\">Do you have a diving license?*<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"diving-license\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"diving-license\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"diving-license\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/div>\n\n<div class='itm' style=\"margin-bottom: 25px; direction: ltr;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"license-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"License Number (if yes)\" value=\"\" type=\"text\" name=\"license-number\" \/><\/span><\/div>\n\n<div class='itm' style=\"margin-bottom: 8px; direction: ltr; font-size:14px; line-height:1.8;\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"privacy-accept\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"privacy-accept[]\" value=\"I agree to the terms and the collection of my data.\" \/><span class=\"wpcf7-list-item-label\">I agree to the terms and the collection of my data.<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n<div style=\"direction: ltr; font-size:14px; margin-bottom:20px; padding-left: 28px;\">\n  By reading the <a href=\"https:\/\/bluecircleksa.com\/en\/privacy-policy\/\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a> \n  and the \n  <a href=\"https:\/\/bluecircleksa.com\/en\/training-and-cruise-agreement\/\" target=\"_blank\" rel=\"noopener\">Training & Cruise Agreement<\/a>\n<\/div>\n\n<div class=\"sc_form_field sc_form_field_button sc_form_field_submit\" style=\"direction: ltr;\">\n  <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Application\" \/>\n<\/div>\n\n<style>\n.date-field {\n    width: 100% !important;\n    padding: 12px 16px !important;\n    border: 1px solid #e9ecef !important;\n    font-size: 16px !important;\n    background-color: #fff !important;\n    border-radius: 6px !important;\n}\n.date-field:focus {\n    border-color: #4054b2 !important;\n    outline: none !important;\n    box-shadow: 0 0 0 3px rgba(64, 84, 178, 0.1) !important;\n}\n<\/style>\n\n<script>\ndocument.addEventListener(\"DOMContentLoaded\", function () {\n  const urlParams = new URLSearchParams(window.location.search);\n  const courseValue = urlParams.get(\"q\"); \n\n  if (courseValue) {\n    const decoded = decodeURIComponent(courseValue);\n\n    \/\/ Display course name\n    const courseDisplay = document.getElementById(\"course-display\");\n    if (courseDisplay) {\n      courseDisplay.textContent = decoded;\n    }\n\n    \/\/ Set value in hidden field\n    const hiddenField = document.querySelector('input[name=\"course\"]');\n    if (hiddenField) {\n      hiddenField.value = decoded;\n    }\n\n    \/\/ Show Tec options if course name contains \"Technical\" or \"Tec\"\n    const lowerDecoded = decoded.toLowerCase();\n    if (lowerDecoded.includes(\"technical\") || lowerDecoded.includes(\"tec\")) {\n      document.getElementById(\"tec-options\").style.display = \"block\";\n    }\n  }\n});\n<\/script><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-6dfa2db sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"6dfa2db\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Main Headquarters Visit us in Jeddah \u2013 Al Lulu District \u2013 Prince&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-4921","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/pages\/4921","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/comments?post=4921"}],"version-history":[{"count":5,"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/pages\/4921\/revisions"}],"predecessor-version":[{"id":5329,"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/pages\/4921\/revisions\/5329"}],"wp:attachment":[{"href":"https:\/\/bluecircleksa.com\/en\/wp-json\/wp\/v2\/media?parent=4921"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}