function doOptin (data) {

    if( typeof data.countries === 'undefined' ){
        data.countries = {};
    }

    if (typeof window.jsVars != "undefined") {
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agree to the GDPR Terms & Conditions","terms_text":"I confirm that I am at least 16 years of age or older<br \/>\n<br \/>\nI have read and accept any EULA, Terms and Conditions, Acceptable Use Policy, and\/or Data Processing Addendum which has been provided to me in connection with the software, products and\/or services. <br \/>\n<br \/>\nI have been fully informed and consent to the collection and use of my personal data for any purpose in connection with the software, products and\/or services. <br \/>\n<br \/>\nI understand that certain data, including personal data, must be collected or processed in order for you to provide any products or services I have requested or contracted for.  I understand that in some cases it may be required to use cookies or similar tracking to provide those products or services.. <br \/>\n<br \/>\nI understand that I have the right to request access annually to any personal data you have obtained or collected regarding me. You have agreed to provide me with a record of my personal data in a readable format. <br \/>\n<br \/>\nI also understand that I can revoke my consent and that I have the right to be forgotten. If I revoke my consent you will stop collecting or processing my personal data. I understand that if I revoke my consent, you may be unable to provide contracted products or services to me, and I can not hold you responsible for that. <br \/>\n<br \/>\nLikewise, if I properly request to be forgotten, you will delete the data you have for me, or make it inaccessible. I also understand that if there is a dispute regarding my personal data, I can contact someone who is responsible for handling data-related concerns. If we are unable to resolve any issue, you will provide an independent service to arbitrate a resolution. If I have any questions regarding my rights or privacy, I can contact the email address provided.","terms_required":false,"terms_display":true,"terms_checked":false,"communications_display":true,"communications_checked":false,"communications_label":"I would like to receive future communications","communications_required":false}});
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}; doOptin({"html":"","captcha":false,"optin":{"optin_id":55,"member_id":"179289","optin_title":"Self-Care Summit 2022 Reg","optin_list":"[\"83\"]","optin_settings":"{\"form_type\":\"form-type_a\",\"template_number\":\"0\",\"field_classes\":\"\",\"template_html\":\"\\n<div class=\\\"kartra_optin_container\\\">\\n\\n<div class=\\\"kartra_optin_tpl_0 js_optin_view_holder kartra_optin_icon kartra_optin_force_breaking_point_large\\\" data-breakpoints=\\\"[320, 410, 540, 720]\\\" data-column=\\\"1\\\">\\n<div class=\\\"kartra_optin_wrapper\\\" style=\\\"border: 1px solid #eee;\\\">\\n<div class=\\\"kartra_optin_r\\\">\\n<div class=\\\"kartra_optin_c12 overlay_builder for_optin_bg\\\" data-contenttype=\\\"bg\\\">\\n<div class=\\\"kartra_optin_bgimage\\\">\\n<div class=\\\"kartra_optin_bgcolor\\\" style=\\\"background-color: rgba(255,255,255,1);\\\">\\n<\\\/div>\\n<\\\/div>\\n<div class=\\\"kartra_optin_content_wrapper\\\">\\n<div class=\\\"kartra_optin_content_wrapper_inner\\\">\\n<div id=\\\"kartra_optin_form_fields_container\\\" data-contenttype=\\\"elements\\\">{fields}<\\\/div>\\n\\n\\n    \\n\\n    \\n\\n    \\n\\n    <div class=\\\"js_gdpr_wrapper clearfix kartra_optin_gdpr_wrapper\\\" style=\\\"display: none;\\\">\\n    <div class=\\\"gdpr_communications js_gdpr_communications kartra_optin_cg kartra_optin_gdpr_terms\\\">\\n        <div class=\\\"kartra-optin-checkbox\\\">\\n            <label class=\\\"kartra_optin_field-label kartra-optin-checkbox\\\">\\n                <input name=\\\"gdpr_communications\\\" type=\\\"checkbox\\\" class=\\\"js_gdpr_communications_check\\\" value=\\\"1\\\">\\n                \\n                <small><\\\/small>\\n                \\n                \\n                <span class=\\\"js_gdpr_label_communications\\\">I would like to receive future communications<\\\/span>\\n            <\\\/label>\\n        <\\\/div>\\n    <\\\/div>\\n    <div class=\\\"gdpr_terms js_gdpr_terms kartra_optin_cg kartra_optin_gdpr_terms\\\">\\n        <div class=\\\"kartra-optin-checkbox\\\">\\n            <label class=\\\"kartra_optin_field-label kartra-optin-checkbox\\\">\\n                <input name=\\\"gdpr_terms\\\" type=\\\"checkbox\\\" class=\\\"js_gdpr_terms_check\\\" value=\\\"1\\\">\\n                \\n                <small><\\\/small>\\n                \\n                \\n                <span class=\\\"js_gdpr_label_terms\\\">I agree to the GDPR Terms &amp; Conditions<\\\/span><button type=\\\"button\\\" class=\\\"kartra_gdpr_popover_button js_gdpr_button_popover_trigger\\\">\\n                    <i class=\\\"js_kartra_popover_trigger js_kartra_popover_gdpr_trigger kartraico-info_letter\\\"><\\\/i>\\n                <\\\/button>\\n            <\\\/label>\\n        <\\\/div>\\n        <div class=\\\"js_kartra_gdpr_popover js_kartra_popover kartra_optin_gdpr_terms_offer\\\" style=\\\"display: none;\\\">\\n            <div class=\\\"kartra_optin_popover\\\">\\n                <div class=\\\"kartra_optin_popover-content kartra_optin_popover-content-npadding\\\">\\n                    <span class=\\\"js_gdpr_terms_text\\\">I confirm that I am at least 16 years of age or older<br>\\n<br>\\nI have read and accept any EULA, Terms and Conditions, Acceptable Use Policy, and\\\/or Data Processing Addendum which has been provided to me in connection with the software, products and\\\/or services. <br>\\n<br>\\nI have been fully informed and consent to the collection and use of my personal data for any purpose in connection with the software, products and\\\/or services. <br>\\n<br>\\nI understand that certain data, including personal data, must be collected or processed in order for you to provide any products or services I have requested or contracted for.  I understand that in some cases it may be required to use cookies or similar tracking to provide those products or services.. <br>\\n<br>\\nI understand that I have the right to request access annually to any personal data you have obtained or collected regarding me. You have agreed to provide me with a record of my personal data in a readable format. <br>\\n<br>\\nI also understand that I can revoke my consent and that I have the right to be forgotten. If I revoke my consent you will stop collecting or processing my personal data. I understand that if I revoke my consent, you may be unable to provide contracted products or services to me, and I can not hold you responsible for that. <br>\\n<br>\\nLikewise, if I properly request to be forgotten, you will delete the data you have for me, or make it inaccessible. I also understand that if there is a dispute regarding my personal data, I can contact someone who is responsible for handling data-related concerns. If we are unable to resolve any issue, you will provide an independent service to arbitrate a resolution. If I have any questions regarding my rights or privacy, I can contact the email address provided.<\\\/span>\\n                <\\\/div>\\n                <button type=\\\"button\\\" class=\\\"js_gdpr_popover_close kartra_optin_popover-close js_utility_popover_close\\\"><i class=\\\"kartraico-clear\\\"><\\\/i><\\\/button>\\n            <\\\/div>\\n        <\\\/div>\\n    <\\\/div>                              \\n<\\\/div>\\n<button class=\\\"kartra_optin_submit_btn kartra_optin_btn_block\\\" data-contenttype=\\\"submit_button\\\"><span class=\\\"kartra_optin_submit_btn_text\\\" id=\\\"kartra_optin_submit_button_text\\\">Register Now for Free!<\\\/span><\\\/button>\\n\\n<\\\/div>\\n<\\\/div>\\n<\\\/div>\\n<\\\/div>\\n<div class=\\\"kartra_optin_footer-poweredby\\\">\\n<p>Powered by <strong>KARTRA<\\\/strong><\\\/p>\\n<\\\/div>\\n<\\\/div>\\n<\\\/div>\\n\\n<\\\/div>\\n\",\"modal_layout\":\"default\",\"submit_button_text\":\"Register Now for Free!\",\"icons_form\":\"yes\",\"headlines_label_color\":\"\",\"field_label_color\":\"\",\"btn_design\":\"own\",\"own_button_text\":\"Register!\",\"modal_button_size\":\"kartra_medium\",\"own_button_bg\":\"rgba(151, 206, 104, 1)\",\"own_button_tc\":\"rgba(255, 255, 255, 1)\",\"ca_url_button_text\":\"https:\\\/\\\/d2uolguxr56s4e.cloudfront.net\\\/img\\\/front\\\/form\\\/sample_button.png\",\"ca_image_button_width\":\"\",\"ca_image_button_height\":\"\",\"form_bg_color\":\"ffffff\",\"background_image_url\":\"\",\"form_title_text\":\"\",\"title_text_color\":\"\",\"form_label_text\":\"\",\"submit-button-text\":\"\",\"submit_bg_color\":\"\",\"submit_text_color\":\"\",\"tnc_text_input\":\"I agree with the Terms and Conditions.\",\"tnc_protocol\":\"http:\\\/\\\/\",\"tnc_url_input\":\"\",\"tnc_text_color\":\"\",\"pp_text_input\":\"We respect your privacy. Your data will not be shared or sold.\",\"pp_text_color\":\"\",\"pp_enable\":\"\",\"label_text_color\":\"\",\"tnc_enable\":\"\",\"form_layout\":\"default\",\"optin_confirm_type\":\"single\",\"optin_type\":\"undefined\",\"confirm_type\":\"\",\"confirmation_page_origin\":\"dg\",\"own_confirmation_page_proto\":\"http:\\\/\\\/\",\"own_confirmation_page_url\":\"\",\"optin_thankyou_proto\":\"http:\\\/\\\/\",\"optin_thankyou_url\":\"\",\"welcome_message\":\"send_email\",\"form_dimension_type\":\"responsive\",\"cta_text_bold\":\"\",\"cta_font_weight\":\"normal\",\"cta_font_style\":\"normal\",\"form_elements_border_type\":\"box\",\"submit_text_bold\":\"\",\"optin_thankyou_page_destination\":\"2\",\"optin_thankyou_website_page\":\"5\",\"optin_thankyou_page\":\"686\",\"captcha_enable\":\"\",\"captcha_text_input\":\"Retype the code...\"}","optin_confirm":"NO","optin_thankyou":"","optin_type":"","optin_html":"","optin_complete":"1","optin_step_reached":"{\"step_reached\":[\"4\"],\"postponed_sections\":[]}","global_id":"YEl6vn2BVTCp","automations_settings":"{\"tags\":[\"498\"],\"sequences\":[],\"lists\":[\"83\"]}","optin_category":"0","small_preview":"","large_preview":"","ultra_high_optin_ratio_alert":"0","optin_hidden":"0","deleted_at":null,"optin_id_encoded":"YEl6vn2BVTCp","gdpr_checkboxes":"<div class=\"js_gdpr_wrapper clearfix kartra_optin_gdpr_wrppr\" style=\"display: none;\">\n    <div class=\"gdpr_communications js_gdpr_communications kartra_optin_cg kartra_optin_gdpr_terms\">\n        <div class=\"kartra-optin-checkbox\">\n            <label class=\"kartra_optin_field-label kartra-optin-checkbox\">\n                <input name=\"gdpr_communications\" type=\"checkbox\" class=\"js_gdpr_communications_check\"  value=\"1\">\n                \n                <small><\/small>\n                \n                \n                <span class=\"js_gdpr_label_communications\">I would like to receive future communications<\/span>\n            <\/label>\n        <\/div>\n    <\/div>\n    <div class=\"gdpr_terms js_gdpr_terms kartra_optin_cg kartra_optin_gdpr_terms\">\n        <div class=\"kartra-optin-checkbox\">\n            <label class=\"kartra_optin_field-label kartra-optin-checkbox\">\n                <input name=\"gdpr_terms\" type=\"checkbox\" class=\"js_gdpr_terms_check\" value=\"1\">\n                \n                <small><\/small>\n                \n                \n                <span class=\"js_gdpr_label_terms\">I agree to the GDPR Terms &amp; Conditions<\/span><!--\n                --><button type=\"button\" class=\"kartra_gdpr_popover_button js_gdpr_button_popover_trigger js_theme_border\">\n                    <i class=\"kartraico-info_letter js_kartra_popover_trigger js_kartra_popover_gdpr_trigger\" data-popover=\"js_kartra_gdpr_popover\" ><\/i>\n                <\/button>\n            <\/label>\n        <\/div>\n        <div class=\"js_kartra_gdpr_popover js_kartra_popover kartra_optin_gdpr_terms_offer\" style=\"display: none;\">\n            <div class=\"kartra_optin_popover\">\n                <div class=\"kartra_optin_popover-content kartra_optin_popover-content-npadding\">\n                    <span class=\"js_gdpr_terms_text\">I confirm that I am at least 16 years of age or older<br \/>\n<br \/>\nI have read and accept any EULA, Terms and Conditions, Acceptable Use Policy, and\/or Data Processing Addendum which has been provided to me in connection with the software, products and\/or services. <br \/>\n<br \/>\nI have been fully informed and consent to the collection and use of my personal data for any purpose in connection with the software, products and\/or services. <br \/>\n<br \/>\nI understand that certain data, including personal data, must be collected or processed in order for you to provide any products or services I have requested or contracted for.  I understand that in some cases it may be required to use cookies or similar tracking to provide those products or services.. <br \/>\n<br \/>\nI understand that I have the right to request access annually to any personal data you have obtained or collected regarding me. You have agreed to provide me with a record of my personal data in a readable format. <br \/>\n<br \/>\nI also understand that I can revoke my consent and that I have the right to be forgotten. If I revoke my consent you will stop collecting or processing my personal data. I understand that if I revoke my consent, you may be unable to provide contracted products or services to me, and I can not hold you responsible for that. <br \/>\n<br \/>\nLikewise, if I properly request to be forgotten, you will delete the data you have for me, or make it inaccessible. I also understand that if there is a dispute regarding my personal data, I can contact someone who is responsible for handling data-related concerns. If we are unable to resolve any issue, you will provide an independent service to arbitrate a resolution. If I have any questions regarding my rights or privacy, I can contact the email address provided.<\/span>\n                <\/div>\n                <button type=\"button\" class=\"js_gdpr_popover_close kartra_optin_popover-close js_utility_popover_close\">\n                    <i class=\"kartraico-clear\"><\/i>\n                <\/button>\n            <\/div>\n        <\/div>\n    <\/div>                              \n<\/div>"},"fields":[{"field_data":"{\"type\":\"text\",\"main_type\":\"first_name\",\"label\":\"First name\",\"placeholder\":\"First name...\",\"icon\":\"kartraico-person\",\"required\":true,\"value\":\"\",\"field_id\":\"1\",\"default_country_code\":\"\"}","field_id":"1","field_type":"2","label":"First name","field_order":"1","required":true,"type":"text","placeholder":"First name...","value":"","field_name":null,"main_type":"first_name","icon":"kartraico-person","default_country_code":""},{"field_data":"{\"type\":\"text\",\"main_type\":\"email\",\"label\":\"Email\",\"placeholder\":\"Email address...\",\"icon\":\"kartraico-email\",\"required\":true,\"value\":\"\",\"field_id\":\"5\",\"default_country_code\":\"\"}","field_id":"5","field_type":"2","label":"Email","field_order":"2","required":true,"type":"text","placeholder":"Email address...","value":"","field_name":null,"main_type":"email","icon":"kartraico-email","default_country_code":""}],"domain":"https:\/\/app.kartra.com\/","translations":{"lang_optin_country_code":"Country code\u2026"}})