{"id":3372,"date":"2022-03-08T07:49:29","date_gmt":"2022-03-08T13:49:29","guid":{"rendered":"http:\/\/firstlightaa.org\/blog\/?p=3372"},"modified":"2022-03-19T10:49:25","modified_gmt":"2022-03-19T16:49:25","slug":"health-request-form","status":"publish","type":"post","link":"https:\/\/firstlightaa.org\/blog\/health-request-form\/","title":{"rendered":"Health Request Form"},"content":{"rendered":"[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.22&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.10.5&#8243; text_font_size=&#8221;18px&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]\n<h3><strong>Only submit if you ARE requesting masks for your class.<\/strong><\/h3>\n<p>If you need your art class to help you attend by continuing to mask, please fill out this form and use the Submit button at the bottom. Thank you! (We will keep this information confidential, but cannot guarantee that children will not share, or may already have shared with friends).<\/p>\n[\/et_pb_text][et_pb_code _builder_version=&#8221;4.10.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-7121\"><form id=\"wpforms-form-7121\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7121\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/blog\/wp-json\/wp\/v2\/posts\/3372\" data-token=\"8ae7fd06afffe71e1d506de6fdfd35fa\" data-token-time=\"1776371347\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-7121-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-7121-field_0\">Contact Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7121-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-7121-field_0\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7121-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-7121-field_0-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-7121-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-7121-field_12\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7121-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7121-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-7121-field_3\">Student Name (s) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7121-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-7121-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><input type=\"text\" id=\"wpforms-7121-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-7121-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><ul id=\"wpforms-7121-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7121-field_8_1\" name=\"wpforms[fields][8][]\" value=\"We request that our art class (written below) continue masking.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7121-field_8_1\">We request that our art class (written below) continue masking.<\/label><\/li><\/ul><\/div><div id=\"wpforms-7121-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-7121-field_9\">Please include day and time of class(es)<\/label><textarea id=\"wpforms-7121-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/textarea><\/div><div id=\"wpforms-7121-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-7121-field_2\">Comment or Message (optional)<\/label><textarea id=\"wpforms-7121-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><\/div><div id=\"wpforms-7121-field_11-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-7121-field_11\">Human Test <span class=\"wpforms-required-label\">*<\/span><\/label><p id=\"wpforms-7121-field_11-question\" class=\"wpforms-captcha-question\">What is 7+8?<\/p>\n\t\t<input type=\"text\" id=\"wpforms-7121-field_11\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"qa\" data-is-wrapped-field=\"1\" data-a=\"15\" name=\"wpforms[fields][11][a]\" aria-describedby=\"wpforms-7121-field_11-question\" required>\n\t\t<input type=\"hidden\" name=\"wpforms[fields][11][q]\" value=\"1\">\n\n\t\t<\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7121\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" 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If you need your art class to help you attend by continuing to mask, please fill out this form and use the Submit button at the bottom. Thank you! (We will keep this information confidential, but cannot guarantee that children will not share, or may [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-3372","post","type-post","status-publish","format-standard","hentry","category-firstlight"],"_links":{"self":[{"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/posts\/3372","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/comments?post=3372"}],"version-history":[{"count":15,"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/posts\/3372\/revisions"}],"predecessor-version":[{"id":7147,"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/posts\/3372\/revisions\/7147"}],"wp:attachment":[{"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/media?parent=3372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/categories?post=3372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/firstlightaa.org\/blog\/wp-json\/wp\/v2\/tags?post=3372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}