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document.write("    <p>Fett markierte Felder sind Pflichtfelder</p>\n");
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document.write("    <h1 style=\"font-size:10px\">Sollten Sie innerhalb von 3 Tagen keine Buchungsbestätigung oder eine Kursabsage erhalten, bitten wir Sie, sich telefonisch mit uns in Verbindung zu setzen.</h1>");
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document.write("    <div class=\"columRight\"><select name=\"form_input_2\"><option selected>D1.04, Montag 16:20 Uhr, 15.04.24-01.07.24, 10 Termine</option></select></div>");
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document.write("    <h1 style=\"font-size:11px\">kein Kurs: 20.05.24</h1>");
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document.write("    <h1 style=\"font-size:11px\">Preis: 315,00 Euro; Hinweis für FamilienApp-Inhaber: Für Therapiegruppen wird kein Rabatt gewährt.</h1>");
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document.write("      <input style=\"\" name=\"form_input_7\" value=\"\"type = \"text\" />");
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document.write("    <div class=\"columLeft\"><span>Geburtsdatum (TT.MM.JJJJ):</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\" style=\"width:200px\">");
document.write("      <input style=\"\" name=\"form_input_8\" value=\"\"type = \"text\" />");
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document.write("    <div class=\"columLeft\">");
document.write("    </div>");
document.write("    <div class=\"columRight extraLeftMargin\">");
document.write("    <h2>Hinweise zum/r Kursteilnehmer/in (z.B. Einschränkungen, Beeinträchtigungen, Besonderheiten usw.)</h2>");
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document.write("    <div class=\"columLeft\"><span>bitte hier eingeben:</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
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document.write("       <textarea style=\"height:83px;\" name=\"form_input_10\" ></textarea>");
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document.write("    <div class=\"columLeft\">");
document.write("    </div>");
document.write("    <div class=\"columRight extraLeftMargin\">");
document.write("    <h2>Angaben zum/r Erziehungsberechtigten</h2>");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
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document.write("  <div id=\"tpl_select\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Anrede:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\"><select name=\"form_input_12\"><option selected>Bitte w&auml;hlen...</option><option>Frau</option><option>Herr</option></select></div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Name:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input style=\"\" name=\"form_input_13\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Vorname:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input style=\"\" name=\"form_input_14\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_street\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Strasse / Nr:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input   type = \"text\" class=\"col80\" name=\"form_input_15\" value=\"\" /> <input type = \"text\" class=\"col20\" name=\"form_input_15\" value=\"\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_city\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Plz / Ort:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input   type = \"text\" class=\"col30\" name=\"form_input_16\" value=\"\" /> <input type = \"text\" class=\"col70\" name=\"form_input_16\" value=\"\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Telefon:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input style=\"\" name=\"form_input_17\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_email\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Email:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input maxlength=\"40\" style=\"\" name=\"form_input_18\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Buchungscode:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\" style=\"width:100px\">");
document.write("      <input maxlength=\"6\" style=\"\" name=\"form_input_19\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_h2\" class=\"formElement\">");
document.write("    <div class=\"columLeft\">");
document.write("    </div>");
document.write("    <div class=\"columRight extraLeftMargin\">");
document.write("    <h2>Kostenträger: Anschrift, Ansprechpartner, Aktenzeichen, Übernahmezeitraum</h2>");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_textarea\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Kostenübernahme (sofern beantragt):</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("       <textarea style=\"height:128px;\" name=\"form_input_21\" ></textarea>");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_h1\" class=\"formElement\">");
document.write("    <div class=\"normMargin\">");
document.write("    <h1 style=\"font-size:10px\">Bitte beachten Sie, dass unsererseits keine direkte Abrechnung mit dem Kostenträger erfolgt. Der Kurspreis ist zunächst vom Teilnehmer in voller Höhe zu zahlen. Anschließend hat der Teilnehmer die Rechnung beim Kostenträger einzureichen. Die Höhe der Erstattung richtet sich nach der zwischen dem Teilnehmer und dem Kostenträger getroffenen Vereinbarung. Die o.g. Angaben werden nur für den Fall erhoben, dass vom Kostenträger eine Bescheinigung oder ein Kurzgutachten (kostenpflichtig!) angefordert wird.</h1>");
document.write("    </div>");
document.write("  </div>");
document.write("  <div id=\"tpl_checkbox\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>bitte anklicken:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\"><div class=\"checkboxOption\" style=\"clear:left;width:100%\"><input type =\"checkbox\" value=\"Ich akzeptiere die Gesch&auml;ftsbedingungen der heilp&auml;d. Praxis &amp; Schwimmschule Horn\" name=\"form_input_23[]\" /> <span>Ich akzeptiere die Gesch&auml;ftsbedingungen der heilp&auml;d. Praxis &amp; Schwimmschule Horn</span></div></div><div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_checkbox\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>bitte anklicken:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\"><div class=\"checkboxOption\" style=\"clear:left;width:100%\"><input type =\"checkbox\" value=\"Diese Buchung kann ich innerhalb von 14 Tagen ab Buchungstag schriftlich oder per E-Mail widerrufen\" name=\"form_input_24[]\" /> <span>Diese Buchung kann ich innerhalb von 14 Tagen ab Buchungstag schriftlich oder per E-Mail widerrufen</span></div></div><div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_submit\" class=\"formElement\" alt=\"xxxx\" title=\"xxxx\">");
document.write("   <div class=\"columLeft\">");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input type =\"button\" value=\"verbindlich anmelden\" onclick=\"startCheck()\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  ");
document.write("</form></div>");

function aCheck() {if (!document.getElementById('fg_link') || document.getElementById('fg_link').rel=='nofollow' || document.getElementById('fg_link').href!='http://www.cmsfrog.de/' || document.getElementById('fg_link').innerHTML.indexOf('CMS Frog')==-1) document.getElementById('fg_xform').style.display='none';} window.setTimeout('aCheck()',100); var hasFlash = false;
try {
  var fo = new ActiveXObject('ShockwaveFlash.ShockwaveFlash');
  if(fo) hasFlash = true;
}catch(e){
  if(navigator.mimeTypes ["application/x-shockwave-flash"] != undefined) hasFlash = true;
}

function getSWF(strName) {

        if (window.document[strName] != null)
            if (window.document[strName].length == null)
                return window.document[strName];
            else
                return window.document[strName][1];
        else
            if (document[strName].length == null)
                return document[strName];
            else
                return document[strName][1];

 }

function AC_AddExtension(src, ext)
{
  if (src.indexOf('?') != -1)
    return src.replace(/\?/, ext+'?'); 
  else
    return src + ext;
}

function AC_Generateobj(objAttrs, params, embedAttrs, returnStr) 
{ 
  var str = '<object ';
  for (var i in objAttrs)
    if (i != "name")
      str += i + '="' + objAttrs[i] + '" ';
  str += '>';
  for (var i in params)
    if (i != "id")
      str += '<param name="' + i + '" value="' + params[i] + '"  /> ';
  str += '<embed ';
  for (var i in embedAttrs)
    if (i != "id")
      str += i + '="' + embedAttrs[i] + '" ';
  str += ' ></embed></object>';

  if (returnStr == null)
    document.write(str); else
      return str;
}

function AC_FL_RunContent(){
  var ret = 
    AC_GetArgs
    (  arguments, ".swf", "movie", "clsid:d27cdb6e-ae6d-11cf-96b8-444553540000"
     , "application/x-shockwave-flash"
    );
  AC_Generateobj(ret.objAttrs, ret.params, ret.embedAttrs);
}

function AC_FL_ReturnContent(){
  var ret = 
    AC_GetArgs
    (  arguments, ".swf", "movie", "clsid:d27cdb6e-ae6d-11cf-96b8-444553540000"
     , "application/x-shockwave-flash"
    );
  return AC_Generateobj(ret.objAttrs, ret.params, ret.embedAttrs, 1);
}


function AC_SW_RunContent(){
  var ret = 
    AC_GetArgs
    (  arguments, ".dcr", "src", "clsid:166B1BCA-3F9C-11CF-8075-444553540000"
     , null
    );
  AC_Generateobj(ret.objAttrs, ret.params, ret.embedAttrs);
}

function AC_GetArgs(args, ext, srcParamName, classid, mimeType){
  var ret = new Object();
  ret.embedAttrs = new Object();
  ret.params = new Object();
  ret.objAttrs = new Object();
  for (var i=0; i < args.length; i=i+2){
    var currArg = args[i].toLowerCase();    

    switch (currArg){  
      case "classid":
        break;
      case "pluginspage":
        ret.embedAttrs[args[i]] = args[i+1];
        break;
      case "src":
      case "movie":  
        args[i+1] = AC_AddExtension(args[i+1], ext);
        ret.embedAttrs["src"] = args[i+1];
        ret.params[srcParamName] = args[i+1];
        break;
      case "onafterupdate":
      case "onbeforeupdate":
      case "onblur":
      case "oncellchange":
      case "onclick":
      case "ondblClick":
      case "ondrag":
      case "ondragend":
      case "ondragenter":
      case "ondragleave":
      case "ondragover":
      case "ondrop":
      case "onfinish":
      case "onfocus":
      case "onhelp":
      case "onmousedown":
      case "onmouseup":
      case "onmouseover":
      case "onmousemove":
      case "onmouseout":
      case "onkeypress":
      case "onkeydown":
      case "onkeyup":
      case "onload":
      case "onlosecapture":
      case "onpropertychange":
      case "onreadystatechange":
      case "onrowsdelete":
      case "onrowenter":
      case "onrowexit":
      case "onrowsinserted":
      case "onstart":
      case "onscroll":
      case "onbeforeeditfocus":
      case "onactivate":
      case "onbeforedeactivate":
      case "ondeactivate":
      case "type":
      case "codebase":
        ret.objAttrs[args[i]] = args[i+1];
        break;
      case "width":
      case "height":
      case "align":
      case "vspace": 
      case "hspace":
      case "class":
      case "title":
      case "accesskey":
      case "name":
      case "id":
      case "tabindex":
        ret.embedAttrs[args[i]] = ret.objAttrs[args[i]] = args[i+1];
        break;
      default:
        ret.embedAttrs[args[i]] = ret.params[args[i]] = args[i+1];
    }
  }
  ret.objAttrs["classid"] = classid;
  if (mimeType) ret.embedAttrs["type"] = mimeType;
  return ret;
}

function submit_func(){
  // do nothing
}
var captcha_code=false;

function mergeMultiFields() {
  var fields = document.getElementsByTagName("input");
  var mergedValues = new Array();
  for (var i=0;i<fields.length;i++) {
    if (fields[i].type == 'radio' || fields[i].name.indexOf('[]')!=-1) continue;
    for (j=0;j<fields.length;j++)
      if (fields[j].name == fields[i].name && fields[j] != fields[i])
        mergedValues[fields[j].name] = fields[j].value + " " + fields[i].value;
  }
  for (var i=0;i<fields.length;i++) {
  if (fields[i].type != "button")
    if (mergedValues[fields[i].name])
      fields[i].value = mergedValues[fields[i].name];
  }
}

function startCheck() {
 formCheck();
}

function hidden_valid_call(v) {
  captcha_code = v;
  formCheck();
}

function setPlichtfeldClass(label_span){
  if (label_span == null) return;
  if (label_span.tagName == 'SPAN')  
    label_span.className += ' fill_required';  

  if (label_span.parentNode.parentNode.getElementsByTagName('input').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('input').length;i++) label_span.parentNode.parentNode.getElementsByTagName('input')[i].className += ' input_required';
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('textarea').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('textarea').length;i++) label_span.parentNode.parentNode.getElementsByTagName('textarea')[i].className += ' input_required';
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('select').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('select').length;i++) label_span.parentNode.parentNode.getElementsByTagName('select')[i].className += ' input_required';
  }
}

function removePlichtfeldClass(label_span){
  if (label_span == null) return;
  if (label_span.tagName == 'SPAN')  
    label_span.className = label_span.className.replace(/fill_required/g,'');  
  if (label_span.parentNode.parentNode.getElementsByTagName('input').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('input').length;i++) 
      label_span.parentNode.parentNode.getElementsByTagName('input')[i].className = label_span.parentNode.parentNode.getElementsByTagName('input')[i].className.replace(/input_required/g,'');
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('textarea').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('textarea').length;i++) 
      label_span.parentNode.parentNode.getElementsByTagName('textarea')[i].className = label_span.parentNode.parentNode.getElementsByTagName('textarea')[i].className.replace(/input_required/g,'');
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('select').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('select').length;i++) 
      label_span.parentNode.parentNode.getElementsByTagName('select')[i].className = label_span.parentNode.parentNode.getElementsByTagName('select')[i].className.replace(/input_required/g,'');
  }
}

function nextDiv(elm) {
  var n = elm;
  while (n.nextSibling && n.nextSibling.tagName != "DIV") {
    n = n.nextSibling;
  }
  if (n.tagName != "DIV") return elm; else return n;
}

function compare_captcha() {
  if (!document.getElementById('kk_key')) { captcha_code = 1; return; }
  var k = document.getElementById('kk_key').value;
  if (k!=0)
    var v = document.getElementById('hidden_captcha_' + k).value; else
      var v = document.getElementById('hidden_captcha').value;
  var entry = document.getElementById('capture').value;
  
  var e = '';
  for (var i=0;i<v.length;i++) {
  var c = (v.charCodeAt(i)-k%256);
  e += String.fromCharCode(c&&Math.sqrt(Math.pow(Math.E)));
  }
  //alert(v + " : " + e + " : " + k + " : " + entry);
  if (v.toLowerCase() == entry.toLowerCase()) captcha_code = 1; else captcha_code = false;
}

function formCheck() {
  var pflichtfelder = new Array();
  sendok=true;
  
    var sendok=true;
    var missing_input=false;
    var missing_input_msg = '';
    
    var pflichtfeld_spans = document.getElementById('fg_xform').getElementsByTagName('span');
  
    for (var i = 0; i<pflichtfeld_spans.length;i++) {
      if (pflichtfeld_spans[i].className.indexOf('pflichtfeld')==-1) continue;
      if (pflichtfeld_spans[i].style.display != "block" && pflichtfeld_spans[i].style.display != "inline") continue;
      var p = pflichtfeld_spans[i].parentNode.parentNode;
      var inputs = p.getElementsByTagName("input");
      for (j = 0; j<inputs.length; j++) {
      pflichtfelder[pflichtfelder.length]=inputs[j];
      }
      var inputs = p.getElementsByTagName("textarea");
      for (j = 0; j<inputs.length; j++) {
      pflichtfelder[pflichtfelder.length]=inputs[j];
      }
      var inputs = p.getElementsByTagName("select");
      for (j = 0; j<inputs.length; j++) {
      pflichtfelder[pflichtfelder.length]=inputs[j];
      }
    }
    

    for (var i=0;i<pflichtfelder.length;i++) {
      var bf = pflichtfelder[i];
      if (bf.parentNode)
        var label=bf.parentNode.parentNode.getElementsByTagName("div")[0].getElementsByTagName('span')[0]; else label = null;
      if ((bf.type == 'radio' || bf.type == 'checkbox'))
        var label=bf.parentNode.parentNode.parentNode.getElementsByTagName("div")[0].getElementsByTagName('span')[0];
      removePlichtfeldClass(label)
      var pflichtfeld = bf;
      switch(pflichtfeld.tagName.toLowerCase()){
        case 'input':
          if ((pflichtfeld.type == 'radio' || pflichtfeld.type == 'checkbox')) {
            
            var arr = eval('document.forms["fg_xform_form"].elements');
             
            var ch = false;
            for (var j=0;j<arr.length;j++) {
              if (arr[j].name == pflichtfeld.name) {
                if (arr[j].checked) ch = true;
              }
            }
            if (!ch) {
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            
            setPlichtfeldClass(label);
            }
          } else
          if(pflichtfeld.value==''){
            if (pflichtfeld.type == 'radio' || pflichtfeld.type == 'checkbox') continue;
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            
            setPlichtfeldClass(label)
          }
        break;
        case 'textarea':
          if(pflichtfeld.value==''){
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            setPlichtfeldClass(label)
          }
        break;
        case 'select':
          if(pflichtfeld.options.selectedIndex==0){
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            setPlichtfeldClass(label)
          }
        break;
      }
    }
    var wrong_capture_msg='';
    compare_captcha();
    if(document.getElementById('capture'))
    if(captcha_code != 1){
      sendok=false;
      wrong_capture_msg="\n\nCaptcha Text wurde nicht richtig eingetragen\n\n";
    }else
      wrong_capture_msg='';
    if(sendok==false){
      var btnClose=document.getElementById('btnClose');
      
      btnClose.onclick = hideMsg;
      
      if (wrong_capture_msg!='')
        alert(wrong_capture_msg);
      
      
    }else{
      mergeMultiFields();
      
      document.getElementById('fg_xform_form').submit();
      
    }
    
  }
  
function getScrollXY() {
    var scrOfX = 0, scrOfY = 0;
    if( typeof( window.pageYOffset ) == 'number' ) {
      //Netscape compliant
      scrOfY = window.pageYOffset;
      scrOfX = window.pageXOffset;
    } else if( document.body && ( document.body.scrollLeft || document.body.scrollTop ) ) {
      //DOM compliant
      scrOfY = document.body.scrollTop;
      scrOfX = document.body.scrollLeft;
    } else if( document.documentElement && ( document.documentElement.scrollLeft || document.documentElement.scrollTop ) ) {
      //IE6 standards compliant mode
      scrOfY = document.documentElement.scrollTop;
      scrOfX = document.documentElement.scrollLeft;
    }
    return [ scrOfX, scrOfY ];
  }


  
  
  
  function hideMsg(){
    document.getElementById('required_msg_layer').style.left = '-9999px';
    document.getElementById('required_msg_layer').style.top = '-9999px';
  }  
    
  var missing_input_msg=false;
  var wrong_captcha_msg=false;

  function cDebug(obj){
    if(typeof console !='undefined')
      console.log(obj)
  }