var captchaWidgetmpFrm97ff992475ed42109b2ec66b46296937; var mpCurrentScriptmpFrm97ff992475ed42109b2ec66b46296937Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm97ff992475ed42109b2ec66b46296937"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm97ff992475ed42109b2ec66b46296937Find(); } })(); function mpFormmpFrm97ff992475ed42109b2ec66b46296937Find() { if(!mpCurrentScriptmpFrm97ff992475ed42109b2ec66b46296937Container) return; if (mpCurrentScriptmpFrm97ff992475ed42109b2ec66b46296937Container && mpCurrentScriptmpFrm97ff992475ed42109b2ec66b46296937Container.nodeName && mpCurrentScriptmpFrm97ff992475ed42109b2ec66b46296937Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm97ff992475ed42109b2ec66b46296937" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm97ff992475ed42109b2ec66b46296937Container.children).forEach(c => { if (c.id === "mpFrm97ff992475ed42109b2ec66b46296937") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript00c9dd14943b4fe9aa60806e8ec32d76Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm97ff992475ed42109b2ec66b46296937"; } } } } function mpForm00c9dd14943b4fe9aa60806e8ec32d76Check() { let checkBoxes = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").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 mpForm00c9dd14943b4fe9aa60806e8ec32d76Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").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-00c9dd14943b4fe9aa60806e8ec32d76')), 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: getTrackingId00c9dd14943b4fe9aa60806e8ec32d76() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").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-00c9dd14943b4fe9aa60806e8ec32d76").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm00c9dd14943b4fe9aa60806e8ec32d76Check(); 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-00c9dd14943b4fe9aa60806e8ec32d76').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-00c9dd14943b4fe9aa60806e8ec32d76").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-00c9dd14943b4fe9aa60806e8ec32d76').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm97ff992475ed42109b2ec66b46296937); } else { mpForm00c9dd14943b4fe9aa60806e8ec32d76Check(); 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 mpmRecaptchaLoaded00c9dd14943b4fe9aa60806e8ec32d76() { captchaWidgetmpFrm97ff992475ed42109b2ec66b46296937 = grecaptcha.render('mpmRecaptchampFrm97ff992475ed42109b2ec66b46296937', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId00c9dd14943b4fe9aa60806e8ec32d76() { 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 mpmFormInit00c9dd14943b4fe9aa60806e8ec32d76 () { 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 finishedLoading00c9dd14943b4fe9aa60806e8ec32d76() { window.mpFormLoading = false; let container = document.getElementById('mpFrm97ff992475ed42109b2ec66b46296937'); if (!container) { mpFormmpFrm97ff992475ed42109b2ec66b46296937Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm97ff992475ed42109b2ec66b46296937'); return setTimeout(finishedLoading00c9dd14943b4fe9aa60806e8ec32d76, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").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-00c9dd14943b4fe9aa60806e8ec32d76").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-00c9dd14943b4fe9aa60806e8ec32d76").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-00c9dd14943b4fe9aa60806e8ec32d76").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=mpmRecaptchaLoaded00c9dd14943b4fe9aa60806e8ec32d76&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup00c9dd14943b4fe9aa60806e8ec32d76() { let popups = document.getElementById("mpform-00c9dd14943b4fe9aa60806e8ec32d76").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput00c9dd14943b4fe9aa60806e8ec32d76() { 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 () { finishedLoading00c9dd14943b4fe9aa60806e8ec32d76(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading00c9dd14943b4fe9aa60806e8ec32d76(); } } 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); mploadTelInput00c9dd14943b4fe9aa60806e8ec32d76(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit00c9dd14943b4fe9aa60806e8ec32d76(); } else { function waitForOtherFormsmpFrm97ff992475ed42109b2ec66b46296937() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit00c9dd14943b4fe9aa60806e8ec32d76(); } else { setTimeout(waitForOtherFormsmpFrm97ff992475ed42109b2ec66b46296937,300); } } waitForOtherFormsmpFrm97ff992475ed42109b2ec66b46296937(); }