document.write("<select id='alt_class_date' name='alt_class_date'><option value=''>--Select Alternate Class (Optional)--</option>");
document.write("<option>Feb 6 - 10, 2012</option>");
document.write("<option>Mar 12 - 16, 2012</option>");
document.write("<option>Apr 9 - 13, 2012</option>");
document.write("<option>May 7 - 11, 2012</option>");
document.write("<option>Jun 11 - 15, 2012</option>");
document.write("<option>Jul 16 - 20, 2012</option>");
document.write("<option>Aug 20 - 24, 2012</option>");
document.write("<option>Sep 17 - 21, 2012</option>");
document.write("<option>Oct 15 - 19, 2012</option>");
document.write("<option>Nov 12 - 16, 2012</option>");
document.write("</select>");