{"id":178,"date":"2016-06-23T02:14:03","date_gmt":"2016-06-23T02:14:03","guid":{"rendered":"https:\/\/hillabeebc.com\/?page_id=178"},"modified":"2023-04-18T19:38:27","modified_gmt":"2023-04-18T19:38:27","slug":"vbs-registration","status":"publish","type":"page","link":"https:\/\/hillabeebc.com\/index.php\/vbs-registration\/","title":{"rendered":"VBS Registration"},"content":{"rendered":"<p>Please complete a separate registration form for each child.<\/p>\n<style id=\"wpforms-css-vars-1637\">\n\t\t\t\t#wpforms-1637 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-1637\"><form id=\"wpforms-form-1637\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1637\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/178\" data-token=\"823713919fa1532c8f7437d1d69121c9\" data-token-time=\"1777469910\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1637-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_1\">Child&#039;s Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-1637-field_1-error\" required><\/div><div id=\"wpforms-1637-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_2\">Parent\/Guardian&#039;s Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-1637-field_2-error\" required><\/div><div id=\"wpforms-1637-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_3\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-1637-field_3-error\" required><\/div><div id=\"wpforms-1637-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_4\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-1637-field_4-error\" required><\/div><div id=\"wpforms-1637-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_5\">State <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_5\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-1637-field_5-error\" required><\/div><div id=\"wpforms-1637-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_6\">Zip <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_6\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-1637-field_6-error\" required><\/div><div id=\"wpforms-1637-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_7\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-1637-field_7-error\" required><\/div><div id=\"wpforms-1637-field_8-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_8\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1637-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1637-field_8-error\" required><\/div><div id=\"wpforms-1637-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_9\">Birth Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-1637-field_9-error\" required><\/div><div id=\"wpforms-1637-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_11\">Last Grade Completed in School <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1637-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-1637-field_11-error\" required><\/div><div id=\"wpforms-1637-field_12-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_12\">Medical Information<\/label><textarea id=\"wpforms-1637-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-1637-field_12-error\" aria-describedby=\"wpforms-1637-field_12-description\" ><\/textarea><div id=\"wpforms-1637-field_12-description\" class=\"wpforms-field-description\">Medical or other information we need to know (Please include any food allergies).<\/div><\/div><div id=\"wpforms-1637-field_13-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_13\">Emergency Contacts (other than the Parent\/Guardian)<\/label><textarea id=\"wpforms-1637-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-1637-field_13-error\" aria-describedby=\"wpforms-1637-field_13-description\" ><\/textarea><div id=\"wpforms-1637-field_13-description\" class=\"wpforms-field-description\">Names & Phone Numbers<\/div><\/div><div id=\"wpforms-1637-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_14\">Pick Up Info<\/label><textarea id=\"wpforms-1637-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-1637-field_14-error\" aria-describedby=\"wpforms-1637-field_14-description\" ><\/textarea><div id=\"wpforms-1637-field_14-description\" class=\"wpforms-field-description\">List who may pick up your child at the end of each VBS day.<\/div><\/div><div id=\"wpforms-1637-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1637-field_15\">Church currently attending (if any)<\/label><input type=\"text\" id=\"wpforms-1637-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-1637-field_15-error\" ><\/div><div id=\"wpforms-1637-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">May we have permission to photograph your child?<\/legend><ul id=\"wpforms-1637-field_16\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1637-field_16_1\" name=\"wpforms[fields][16][]\" value=\"Yes\" aria-errormessage=\"wpforms-1637-field_16_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1637-field_16_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1637-field_16_2\" name=\"wpforms[fields][16][]\" value=\"No\" aria-errormessage=\"wpforms-1637-field_16_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1637-field_16_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1637-field_17-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">May we have permission to use your child&#039;s photograph for the purpose of promotion?<\/legend><ul id=\"wpforms-1637-field_17\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1637-field_17_1\" name=\"wpforms[fields][17][]\" value=\"Yes\" aria-errormessage=\"wpforms-1637-field_17_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1637-field_17_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1637-field_17_2\" name=\"wpforms[fields][17][]\" value=\"No\" aria-errormessage=\"wpforms-1637-field_17_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1637-field_17_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1637\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/pages\/178\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1637\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/hillabeebc.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Please complete a separate registration form for each child.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-178","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/pages\/178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/comments?post=178"}],"version-history":[{"count":4,"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/pages\/178\/revisions"}],"predecessor-version":[{"id":1642,"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/pages\/178\/revisions\/1642"}],"wp:attachment":[{"href":"https:\/\/hillabeebc.com\/index.php\/wp-json\/wp\/v2\/media?parent=178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}