var captchaWidgetmpFrmf79e182b82124feaae0082e80e8eb2b1; var mpCurrentScriptmpFrmf79e182b82124feaae0082e80e8eb2b1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf79e182b82124feaae0082e80e8eb2b1"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); if (window.self !== window.top) { if (document.currentScript?.parentNode?.nodeName?.toLowerCase() === 'head') { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener('DOMContentLoaded', () => { document.body.appendChild(containerDiv); }); } } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); } mpFormmpFrmf79e182b82124feaae0082e80e8eb2b1Find(); } 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); mpFormmpFrmf79e182b82124feaae0082e80e8eb2b1Find(); } })(); function mpFormmpFrmf79e182b82124feaae0082e80e8eb2b1Find() { if(!mpCurrentScriptmpFrmf79e182b82124feaae0082e80e8eb2b1Container) return; if (mpCurrentScriptmpFrmf79e182b82124feaae0082e80e8eb2b1Container && mpCurrentScriptmpFrmf79e182b82124feaae0082e80e8eb2b1Container.nodeName && mpCurrentScriptmpFrmf79e182b82124feaae0082e80e8eb2b1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf79e182b82124feaae0082e80e8eb2b1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf79e182b82124feaae0082e80e8eb2b1Container.children).forEach(c => { if (c.id === "mpFrmf79e182b82124feaae0082e80e8eb2b1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrmf79e182b82124feaae0082e80e8eb2b1Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf79e182b82124feaae0082e80e8eb2b1"; } } } } function mpForm0c4ce56a85f24fab84f2b7a362aa2bf7Check() { let checkBoxes = document.getElementById("mpform-0c4ce56a85f24fab84f2b7a362aa2bf7").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 mpForm0c4ce56a85f24fab84f2b7a362aa2bf7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0c4ce56a85f24fab84f2b7a362aa2bf7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0c4ce56a85f24fab84f2b7a362aa2bf7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0c4ce56a85f24fab84f2b7a362aa2bf7").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-0c4ce56a85f24fab84f2b7a362aa2bf7')), 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: getTrackingId0c4ce56a85f24fab84f2b7a362aa2bf7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0c4ce56a85f24fab84f2b7a362aa2bf7").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-0c4ce56a85f24fab84f2b7a362aa2bf7").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm0c4ce56a85f24fab84f2b7a362aa2bf7Check(); 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-0c4ce56a85f24fab84f2b7a362aa2bf7').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-0c4ce56a85f24fab84f2b7a362aa2bf7").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } if(response.hideForm){ let mpMsgParent = msgHlder.parentElement; if(mpMsgParent && msgHlder){ mpMsg.innerHTML = response.message; mpMsgParent.innerHTML = msgHlder.innerHTML; } } else { mpMsg.innerHTML = response.message; } } else if (response.replace) { document.getElementById('mpform-0c4ce56a85f24fab84f2b7a362aa2bf7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf79e182b82124feaae0082e80e8eb2b1); } else { mpForm0c4ce56a85f24fab84f2b7a362aa2bf7Check(); 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 mpmRecaptchaLoaded0c4ce56a85f24fab84f2b7a362aa2bf7() { captchaWidgetmpFrmf79e182b82124feaae0082e80e8eb2b1 = grecaptcha.render('mpmRecaptchampFrmf79e182b82124feaae0082e80e8eb2b1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0c4ce56a85f24fab84f2b7a362aa2bf7() { 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 mpmFormInit0c4ce56a85f24fab84f2b7a362aa2bf7 () { 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
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