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</button> <div class="menu-main-nav-logged-out-container"><ul id="menu-main-nav-logged-out" class="navbar-nav"><li id="menu-item-3239" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3239"><a href="https://learn.rarediseases.org/rare-disease-courses/" onClick="return true">Courses</a> <ul class="sub-menu"> <li id="menu-item-3266" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-3266"><a href="https://learn.rarediseases.org/rare-disease-drug-development-series/" onClick="return true">Rare Disease Drug Development Series</a></li> <li id="menu-item-3268" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-3268"><a href="https://learn.rarediseases.org/serie-sobre-el-desarrollo-de-medicamentos-para-las-enfermedades-raras-lo-que-los-pacientes-y-los-defensores-deben-saber/" onClick="return true">Serie Sobre el Desarrollo de Medicamentos para las Enfermedades Raras: Lo que los Pacientes y 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id="menu-item-3255" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-3255"><a href="https://learn.rarediseases.org/about/" onClick="return true">About RareEdu<sup>®</sup></a></li> <li id="menu-item-3240" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-3240"><a href="https://learn.rarediseases.org/support/" onClick="return true">Support</a></li> </ul></div> <div class="navbar-utils"> <div class="utils-btn"><a class="btn-getstarted" href="https://learn.rarediseases.org/default-registration/?redirect_to=https://learn.rarediseases.org/dashboard/">Get Started</a></div> </div> </nav> </header> <div id="content" class="site-content"> <div class="container"> <div class="row align-stretch"> <div class="col-xl-12 col-lg-12 col-sm-12"> <div id="primary" class="content-area"> <main id="main" class="site-main" role="main"> <article id="post-605"class="post-605 page type-page status-publish hentry"> <header class="entry-header"> <h1 class="entry-title">Register for RareEdu®</h1> </header> <div class="entry-content"> <div class='gf_browser_ie gf_browser_ie7 gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_4' style='display:none'> <div class='gform_heading'> <h2 class="gform_title">Student Registration</h2> </div><form method='post' enctype='multipart/form-data' id='gform_4' action='/default-registration/' data-formid='4' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lc_CEopAAAAACjj_tyibG1kHMOp5bOEly7_pvZb' data-tabindex='0'><input id="input_b1d5f7a0c3a2154bb174a190015425ba" class="gfield_recaptcha_response" type="hidden" name="input_b1d5f7a0c3a2154bb174a190015425ba" value=""/></div> <input type='hidden' class='gforms-pum' value='{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}' /> <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id="field_4_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_1" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_1'> <span id='input_4_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.3' id='input_4_1_3' value='' aria-required='true' /> <label for='input_4_1_3' class='gform-field-label gform-field-label--type-sub '>First</label> </span> <span id='input_4_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.6' id='input_4_1_6' value='' aria-required='true' /> <label for='input_4_1_6' class='gform-field-label gform-field-label--type-sub '>Last</label> </span> </div></fieldset><div id="field_4_2" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_2" ><label class='gfield_label gform-field-label' for='input_4_2'>Phone</label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_4_2' type='tel' value='' class='large' aria-invalid="false" /></div></div><div id="field_4_5" class="gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_5" ><label class='gfield_label gform-field-label' for='input_4_5'>Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_5' id='input_4_5' type='email' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_4_7" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_7" ><label class='gfield_label gform-field-label' for='input_4_7'>I am a:<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_4_7' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='Patient' >Patient</option><option value='Caregiver/Family Member' >Caregiver</option><option value='Student' >Student</option><option value='Patient Organization Leader' >Nonprofit Organization</option><option value='Provider/Researcher' >Provider/Researcher</option><option value='Other' >Other</option></select></div></div><div id="field_4_13" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_13" ><label class='gfield_label gform-field-label' for='input_4_13'>If other...</label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_4_13' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_4_6" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_6" ><label class='gfield_label gform-field-label' for='input_4_6'>Organization</label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_4_11" class="gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_11" ><label class='gfield_label gform-field-label' for='input_4_11'>How did you hear about RareEdu®?</label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_4_11' class='large gfield_select' aria-invalid="false" ><option value='NORD's website' >NORD's website</option><option value='Promotion Email' >Promotion Email</option><option value='Social Media' >Social Media</option><option value='Patient Organization' >Patient Organization</option><option value='Clinician / Professional Referral' >Clinician / Professional Referral</option><option value='Personal Referral' >Personal Referral</option><option value='NORD Summit' >NORD Summit</option><option value='Other' >Other</option></select></div></div><div id="field_4_12" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_12" ><label class='gfield_label gform-field-label' for='input_4_12'>If other, please explain.</label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_4_12' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_4_3" class="gfield gfield--type-username gfield--input-type-username gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_3" ><label class='gfield_label gform-field-label' for='input_4_3'>Username<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_4_3' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><fieldset id="field_4_4" class="gfield gfield--type-password gfield--input-type-password gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_4" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Password<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_4_4_container'> <span id='input_4_4_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'> <span class='password_input_container'> <input type='password' name='input_4' id='input_4_4' onkeyup='gformShowPasswordStrength("input_4_4");' onchange='gformShowPasswordStrength("input_4_4");' value='' aria-required="true" aria-invalid="false" /> <button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword("input_4_4");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'></span></button> </span> <label for='input_4_4' class='gform-field-label gform-field-label--type-sub '>Enter Password</label> </span> <span id='input_4_4_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'> <span class='password_input_container'> <input type='password' name='input_4_2' id='input_4_4_2' onkeyup='gformShowPasswordStrength("input_4_4");' onchange='gformShowPasswordStrength("input_4_4");' value='' aria-required="true" aria-invalid="false" /> <button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword("input_4_4_2");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'></span></button> </span> <label for='input_4_4_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password</label> </span> <div class='gf_clear gf_clear_complex'></div> </div><div id='input_4_4_strength_indicator' class='gfield_password_strength' > Strength indicator </div> <input type='hidden' class='gform_hidden' id='input_4_4_strength' name='input_4_strength' /></fieldset><fieldset id="field_4_9" class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_9" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email Consent</legend><div class='ginput_container ginput_container_consent'><input name='input_9.1' id='input_4_9_1' type='checkbox' value='1' aria-invalid="false" /> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label" for='input_4_9_1' >I would like to receive updates and communications from NORD</label><input type='hidden' name='input_9.2' value='I would like to receive updates and communications from NORD' class='gform_hidden' /><input type='hidden' name='input_9.3' value='2' class='gform_hidden' /></div></fieldset><fieldset id="field_4_8" class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_4_8" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_container ginput_container_consent'><input name='input_8.1' id='input_4_8_1' type='checkbox' value='1' aria-required="true" aria-invalid="false" /> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label" for='input_4_8_1' >I agree to the <a href="https://learn.rarediseases.org/privacy-policy/" target="_blank">privacy policy.</a></label><input type='hidden' name='input_8.2' value='I agree to the <a href="https://learn.rarediseases.org/privacy-policy/" target="_blank">privacy policy.</a>' class='gform_hidden' /><input type='hidden' 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