parameter . "
"; //require "$st_web_root" . "/includes/common/mySQL.close.inc"; $user_profile = new CClubLogin; if (isset($id) == true) { $user_profile = get_table_record($hmSQL, $st_tbClubLogin, ("id='" . $id . "'"));//get member profile by email //echo $user_profile->first_name; } if ($cc == "auth_failure") $st_status_message = "We could not verify your credit card information. Please recheck your entries and try again."; if ($REQUEST_METHOD == "POST") { $user_profile->date = $date; $user_profile->first_name = $first_name; $user_profile->last_name = $last_name; $user_profile->child1 = $child1; $user_profile->birthdate1 = $birthdate1; $user_profile->child2 = $child2; $user_profile->birthdate2 = $birthdate2; $user_profile->child3 = $child3; $user_profile->birthdate3 = $birthdate3; $user_profile->charge = $charge; $user_profile->card_type = $card_type; $user_profile->card_number = $card_number; $user_profile->card_name = $card_name; $user_profile->expiration_month = $CardExpM; $user_profile->expiration_year = $CardExpY; $user_profile->address = $address; $user_profile->city = $city; $user_profile->state = $state; $user_profile->zip = $zip; $user_profile->phone = $phone; $user_profile->email = $email; if ($first_name != "" && $last_name != "" && $address != "" && $city != "" && $state != "" && $zip != "" && $phone != "" && $email != "" && $charge != "" && $card_type != "" && $card_number != "" && $card_name != "" && $CardExpY != "" && $CardExpM != "") { //$hSQL = @get_table_record($hmSQL,$st_tbClubLogin,"email= '$email'"); // echo "
hSQL the email check handle".$hSQL."
"; //if(is_object($hSQL)) //{ $st_error = "User with this email address already exists in the database"; //}else //{ $id = insert_record ($hmSQL, $st_tbClubLogin, $user_profile, "id"); if ($id > 0) { $user_profile->id = $id; echo ""; exit; } else $st_database_error = @mysql_error(); //} }else { $st_form_error = "Items that are bold are required!"; } } // get all the states from the database2 $ar_states = get_states ($hmSQL, $st_tbStates); // echo count($ar_states); // get all the credit cards supported by the site from the database $ar_credit_cards = get_credit_cards($hmSQL, $st_tbCreditCards); if (is_array($ar_credit_cards) == false) { $st_database_error .= $ar_credit_cards . "
"; unset($ar_credit_cards) ; } // set the selected credit card to display if (is_object($credit_information) == true and $credit_information->credit_card_id > 0) { for ($in_A = 1; $in_A <= count($ar_credit_cards); $in_A++) { // set the selected credit card if ($ar_credit_cards[$in_A-1]->id == $credit_information->credit_card_id ) $ar_credit_cards[$in_A-1]->selected = true; else $ar_credit_cards[$in_A-1]->selected = false; } } else { // No credit card selected so set the selected CC to the default CC for ($in_A = 1; $in_A <= count($ar_credit_cards); $in_A++) { // set the default credit card if ($ar_credit_cards[$in_A-1]->id == $ar_store_configuration["dcreditcard"]->parameter_value) $ar_credit_cards[$in_A-1]->selected = true; } } // create the list of of acceptable credit card months $ar_months = array ( "January (01)", "February (02)", "March (03)", "April (04)", "May (05)", "June (06)", "July (07)", "August (08)", "September (09)", "October (10)", "November (11)", "December (12)"); // create the list of acceptable credit card years $ar_years = array ("2001", "2002", "2003", "2004", "2005"); $today = date( "Y-m-d", time() ); ?>
" . $st_form_error . "\n"; if ($st_error != "") echo "" . $st_error . "\n"; if ($st_database_error !="") echo "" . $st_database_error . "\n"; if ($st_status_message !="") echo "" . $st_status_message . "\n"; ?>

Club Enrollment Form
By law, a parent must enroll a family, to provide permission for children under age 12 to join the online 'clubhouse' and use the supervised club chat facility.

Parents: 3 ways to enroll
1. at most KOA Campgrounds
2. enroll online right here - fill in this form and provide a mastercard or visa
3. enroll by phone: call 1 800 PAWPAL - 1 ( 1 800 728- 7251)

Enrollment Form
Yes, I wish to enroll my family in the KOA Family FunBrain Club, and provide up to three children with access to online club facilities. I have read and understand the club rules (button below) and I agree that my children will follow these rules at all times. I understand my children's real names, addresses and personal data will never be released by the club or provided to online users.

First Name :
Last Name:
Address:
City:
State:
"; for ($in_A = 1; $in_A <= count($ar_states); $in_A++) { echo ""; } echo ""; ?>
Zip Code:
Phone:
Email:
Names
Please enter date in this format (mm/dd/yy)
Child 1:
Birthdate:
Child 2:
Birthdate:
Child 3:
Birthdate:
Once you have enrolled, you will be mailed your membership card, and your bonus book: Freefall, A Sky-diving Sea Turtle, by Lynn Hoopes.
You have two payment options:
charge == 1) echo "CHECKED";?>> Please charge my credit card $29.95 now, plus $4.95 shipping and handling, and mail my membership card and password and all products now
charge == 3) echo "CHECKED";?>> Please charge my credit card $9.95 plus $2.95 shipping and handling, each month for 3 months, and mail my membership card and bonus book now, plus 2 of the products each month for 3 months

Please charge my :

"; for ($in_A = 1; $in_A <= count($ar_credit_cards) ; $in_A++) { echo ""; } echo ?>

Card Number:

Expiration Date:

"; for ($in_A = 1; $in_A <= count($ar_months); $in_A++) { echo "\n"; } echo ""; // value='$credit_information->expiration_month' size='2' maxlength='2'> echo "

Name on Card:

By submitting this registration, you agree to accept the terms of the membership agreement and the club rules.