var captchaWidgetmpFrmfc0183dd32f247a880da104fa9f81e0c; var mpCurrentScriptmpFrmfc0183dd32f247a880da104fa9f81e0cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfc0183dd32f247a880da104fa9f81e0c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmfc0183dd32f247a880da104fa9f81e0cFind(); } else if(document.currentScript && document.currentScript.parentNode && document.currentScript.parentNode.nodeName && document.currentScript.parentNode.nodeName.toLowerCase() === "head") { document.addEventListener("DOMContentLoaded", (event) => { var bodyHolder = document.getElementsByTagName("body"); if (bodyHolder && bodyHolder[0]) { bodyHolder[0].appendChild(containerDiv); } }) } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); mpFormmpFrmfc0183dd32f247a880da104fa9f81e0cFind(); } })(); function mpFormmpFrmfc0183dd32f247a880da104fa9f81e0cFind() { if(!mpCurrentScriptmpFrmfc0183dd32f247a880da104fa9f81e0cContainer) return; if (mpCurrentScriptmpFrmfc0183dd32f247a880da104fa9f81e0cContainer && mpCurrentScriptmpFrmfc0183dd32f247a880da104fa9f81e0cContainer.nodeName && mpCurrentScriptmpFrmfc0183dd32f247a880da104fa9f81e0cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfc0183dd32f247a880da104fa9f81e0c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfc0183dd32f247a880da104fa9f81e0cContainer.children).forEach(c => { if (c.id === "mpFrmfc0183dd32f247a880da104fa9f81e0c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9e09f2b50861454a912601548282f600Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfc0183dd32f247a880da104fa9f81e0c"; } } } } function mpForm9e09f2b50861454a912601548282f600Check() { let checkBoxes = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; var attr = checkBox.getAttribute('data-prevval'); if (typeof attr !== typeof undefined && attr !== false) { checkBox.value = checkBox.getAttribute("data-prevval"); checkBox.removeAttribute("data-prevval"); checkBox.removeAttribute("checked"); } } } } function mpForm9e09f2b50861454a912601548282f600Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; if( checkBox.checked == true ) { if(checkBox.getAttribute('data-prevval')) { checkBox.value = checkBox.getAttribute('data-prevval'); } else { checkBox.value = 1; } } else { checkBox.setAttribute('data-prevval',checkBox.value); checkBox.value = 0; } } } let form_data = Array.from( new FormData(document.getElementById('mpform-9e09f2b50861454a912601548282f600')), function(e) { return { name: e[0], value: e[1] } } ) try { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; let found = form_data.find(f=>f.name == checkBox.name) if(!found) { form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"}) } } } catch(err){} try { form_data.push({ name: "mpTrkH", value: document.location.host }) form_data.push({ name: "mpTrkO", value: document.location.origin }) form_data.push({ name: "mpTrkP", value: document.location.pathname }) form_data.push({ name: "mpTrkQ", value: document.location.search }) form_data.push({ name: "mpTrkUUID", value: getTrackingId9e09f2b50861454a912601548282f600() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInput = telInputs[i]; var iti = window.intlTelInputGlobals.getInstance(telInput); telInput.classList.remove("mpm-field-error"); if(iti.isValidNumber() == false && telInput.value && telInput.value.length) { telInput.classList.add("mpm-field-error"); failed = "Please enter a valid telephone number"; } else { let found = form_data.find(f=> f.name == telInput.name); if (found) { found.value = iti.getNumber(); // intenationally formatted version of the number } } } } if(failed != "") { mpMsg.innerHTML = failed; msgHlder.style.display = "block"; return; } let button = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelector('button'); if(button) { button.disabled = true; button.opacity = "0.5"; } mpMsg.innerHTML = 'Sending your details...'; var xhr = new XMLHttpRequest(); xhr.open("POST", "https://api.transpond.io/form?am=40129&fid=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm9e09f2b50861454a912601548282f600Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); if (!response || (!response.download && !response.downloads)) { try { document.getElementById('mpform-9e09f2b50861454a912601548282f600').reset(); } catch(e) {} } if(response) { if (response.redirect) { window.location.href = response.redirect; } else if (response.message) { if (response.download) window.open(response.download, '_blank'); if (response.downloads && response.downloads.length) { const parent = button.parentElement; response.downloads.forEach(link => { const hiddenButton = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'block'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-9e09f2b50861454a912601548282f600').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfc0183dd32f247a880da104fa9f81e0c); } else { mpForm9e09f2b50861454a912601548282f600Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; var error = "Error submitting form"; if (xhr.responseText) { const errorJson = JSON.parse(xhr.responseText); if(errorJson.error && typeof errorJson.error === 'string') { error = errorJson.error; } } mpMsg.innerHTML = error; grecaptcha.reset(); } }; let urlEncodedDataPairs = []; form_data.forEach((m, i) => { let name = m.name; if (name === 'capsule_note') { name += '_' + i; } urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value)); }); const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+'); xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded'); xhr.send(urlEncodedData); return; } function mpmRecaptchaLoaded9e09f2b50861454a912601548282f600() { captchaWidgetmpFrmfc0183dd32f247a880da104fa9f81e0c = grecaptcha.render('mpmRecaptchampFrmfc0183dd32f247a880da104fa9f81e0c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9e09f2b50861454a912601548282f600() { try { let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || ''; if(!uuid) { let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1); if (found) uuid = found.split('=')[1]; } return uuid; } catch(e) { } }; function mpmFormInit9e09f2b50861454a912601548282f600 () { var subscriberData = undefined; var form = '
First Name
Last Name
Email
Job Title
Company Name
Type of Provider
Number of Learners
If you don\'t want Cognassist to let you know when we publish new events and neuro-inclusion content, check this box
'; let failedCount = 0 function finishedLoading9e09f2b50861454a912601548282f600() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfc0183dd32f247a880da104fa9f81e0c'); if (!container) { mpFormmpFrmfc0183dd32f247a880da104fa9f81e0cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfc0183dd32f247a880da104fa9f81e0c'); return setTimeout(finishedLoading9e09f2b50861454a912601548282f600, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInp = telInputs[i]; telInp.style.width = "100%"; telInp.style.paddingLeft = "50px"; window.intlTelInput(telInp, { initialCountry: "us", utilsScript: "https://cdn1.ourmailsender.com/scripts/telinput/utils.js" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelectorAll('input[name*="customField-"]') if(customFields) { for(var i = 0; i < customFields.length; i++) { let customField = customFields[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue } } } let customFieldsTextArea = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelectorAll('textarea[name*="customField-"]') if(customFieldsTextArea) { for(var i = 0; i < customFieldsTextArea.length; i++) { let customField = customFieldsTextArea[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue; } } } let emailAddressFields = document.getElementById("mpform-9e09f2b50861454a912601548282f600").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } var mpmRecaptchaScript = document.createElement("SCRIPT"); mpmRecaptchaScript.src = 'https://www.google.com/recaptcha/api.js?onload=mpmRecaptchaLoaded9e09f2b50861454a912601548282f600&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9e09f2b50861454a912601548282f600() { let popups = document.getElementById("mpform-9e09f2b50861454a912601548282f600").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9e09f2b50861454a912601548282f600() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading9e09f2b50861454a912601548282f600(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9e09f2b50861454a912601548282f600(); } } var link = document.createElement("link"); link.href = "https://api.transpond.io/public/css/form.css"; link.type = "text/css"; link.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(link); var mTelI = document.createElement("link"); mTelI.href = "https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInput9e09f2b50861454a912601548282f600(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9e09f2b50861454a912601548282f600(); } else { function waitForOtherFormsmpFrmfc0183dd32f247a880da104fa9f81e0c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9e09f2b50861454a912601548282f600(); } else { setTimeout(waitForOtherFormsmpFrmfc0183dd32f247a880da104fa9f81e0c,300); } } waitForOtherFormsmpFrmfc0183dd32f247a880da104fa9f81e0c(); }