OjOSTEMHero Competition
<!-- Begin Mailchimp Signup Form -->
<link href="//cdn-images.mailchimp.com/embedcode/classic-10_7.css" rel="stylesheet" type="text/css">
<style type="text/css">
#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }
/* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.
We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */
</style>
<div id="mc_embed_signup">
<form action="https://learnwithojo.us14.list-manage.com/subscribe/post?u=2ac639b9980c3c0914dd495f8&id=d720930e70" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
<div id="mc_embed_signup_scroll">
<h2>Enter the competition</h2>
<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group">
<label for="mce-NAME">Name </label>
<input type="text" value="" name="NAME" class="" id="mce-NAME">
</div>
<div class="mc-field-group">
<label for="mce-EMAIL">Email Address <span class="asterisk">*</span>
</label>
<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
</div>
<div class="mc-field-group">
<label for="mce-MMERGE1">What is the name of your #OjOSTEMHero </label>
<input type="text" value="" name="MMERGE1" class="" id="mce-MMERGE1">
</div>
<div class="mc-field-group">
<label for="mce-MMERGE4">Why are you nominating them? </label>
<input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4">
</div>
<div class="mc-field-group">
<label for="mce-MMERGE6">What country do you reside in? </label>
<input type="text" value="" name="MMERGE6" class="" id="mce-MMERGE6">
</div>
<div class="mc-field-group input-group">
<strong>Age Range of Children </strong>
<ul><li><input type="checkbox" value="1" name="group[20009][1]" id="mce-group[20009]-20009-0"><label for="mce-group[20009]-20009-0">Early Years (2-4)</label></li>
<li><input type="checkbox" value="2" name="group[20009][2]" id="mce-group[20009]-20009-1"><label for="mce-group[20009]-20009-1">Primary Years (5-8)</label></li>
</ul>
</div>
<div id="mce-responses" class="clear">
<div class="response" id="mce-error-response" style="display:none"></div>
<div class="response" id="mce-success-response" style="display:none"></div>
</div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->
<div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_2ac639b9980c3c0914dd495f8_d720930e70" tabindex="-1" value=""></div>
<div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
</div>
</form>
</div>
<script type='text/javascript' src='//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js'></script><script type='text/javascript'>(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[2]='NAME';ftypes[2]='text';fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='MMERGE1';ftypes[1]='text';fnames[4]='MMERGE4';ftypes[4]='text';fnames[6]='MMERGE6';ftypes[6]='text';}(jQuery));var $mcj = jQuery.noConflict(true);</script>
<!--End mc_embed_signup-->