<!--
formSetmain(document.SUPPORTER276591);
onunload = fileClose;

function SubmitForm276591(thisform){
	if(thisform.SubmitButton!=null) thisform.SubmitButton.disabled = true;
	if(CheckForm276591(thisform))
	{
	    thisform.submit();
	}
	else if(thisform.SubmitButton!=null) thisform.SubmitButton.disabled = false;
}
function CheckForm276591(thisform){
	focus_field = "";
	warning = "";
	warning=checkRadioCheckbox(thisform.Field2131814,"Yo (la persona que envía esta forma) estoy buscando servicios y/o información para",warning);warning=checkRadioCheckbox(thisform.Field2131816,"Soy mayor de 18 años de edad (Se pueden proveer servicios a personas menores de 18 años, pero el consentimiento de los padres es necesario)",warning);warning=checkField(thisform.first_name,"Nombre",warning);warning=checkField(thisform.last_name,"Apellido",warning);warning=checkSelect(thisform.Field2936730,"Rango de edad",warning);warning=checkRadioCheckbox(thisform.Field2284945,"Por favor señale la raza y categoría o categorías étnicas con las que usted se identifica. Selecciones todas las que apliquen",warning);warning=checkRadioCheckbox(thisform.Field4165633,"Usted tiene hijos",warning);warning=checkSelect(thisform.state,"Estado",warning);warning=checkField(thisform.zip,"Código postal",warning);warning=checkSelect(thisform.country,"País",warning);warning=checkField(thisform.email_address,"Correo Electrónico",warning);warning=checkRadioCheckbox(thisform.Field2941672,"Mi conexión con el cáncer",warning);warning=checkRadioCheckbox(thisform.Field4165634,"Tiene cobertura médica - seguro?",warning);warning=checkRadioCheckbox(thisform.Field1897525,"Me gustaría obtener ayuda para",warning);warning=checkRadioCheckbox(thisform.Field1902356,"Términos del Servicio SurvivorCare",warning);
	if(warning!=""){
		warning = "Incorpore por favor los campos siguientes para continuar:\n- "+warning+"";
		alert(warning);
		if(focus_field!="")
			focus_field.focus();
		return false;
	}
	if(thisform.email_address!=null){
		if(thisform.email_address.value!=""){
			if(validEmail(thisform.email_address.value, "Usted ha incorporado un Correo Electrónico inválido.") == false){
				thisform.email_address.focus();
				return false;
			}
		}
	}
	if(thisform.email_address_1!=null){
		if(thisform.email_address_1.value!=""){
			if(validEmail(thisform.email_address_1.value) == false){
				//alert("Incorpore por favor un Correo Electrónico válido.");
				thisform.email_address_1.focus();
				return false;
			}
		}
	}
	if(thisform.email_address_2!=null){
		if(thisform.email_address_2.value!=""){
			if(validEmail(thisform.email_address_2.value) == false){
				//alert("Incorpore por favor un Correo Electrónico válido.");
				thisform.email_address_2.focus();
				return false;
			}
		}
	}
	if ((thisform.zip != null) && (thisform.country != null)){ 
		if (checkCountryZip(thisform.zip, thisform.country, "Incorpore por favor un formato correcto código postal.") == false) {
			thisform.zip.focus();
			return false;
		}
	}
	
	
	thisform.action = "http://www.livestrongespanol.org/site/apps/ka/ct/contactadd.asp?c=mwL1KkN0LvH&b=4114565&targetURL=";
	return true;
}

//-->