{"id":279,"date":"2020-07-21T11:42:13","date_gmt":"2020-07-21T15:42:13","guid":{"rendered":"https:\/\/research.ohioguidestone.org\/study\/?page_id=279"},"modified":"2020-07-30T15:16:01","modified_gmt":"2020-07-30T19:16:01","slug":"joyful-together-interest-sign-up","status":"publish","type":"page","link":"https:\/\/research.ohioguidestone.org\/study\/joyful-together-interest-sign-up\/","title":{"rendered":"Joyful Together&reg; Interest Sign-Up"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume\" id=\"wpforms-278\"><form id=\"wpforms-form-278\" class=\"wpforms-validate wpforms-form\" data-formid=\"278\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/study\/wp-json\/wp\/v2\/pages\/279\" data-token=\"784113c38c6debbe2d985247f82142c5\" data-token-time=\"1776651988\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-278-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Electronic Agreement <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-278-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-278-field_11_1\" name=\"wpforms[fields][11][]\" value=\"By checking this box, I agree to use electronic records and electronic signatures.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-278-field_11_1\">By checking this box, I agree to use electronic records and electronic signatures.<\/label><\/li><\/ul><\/div><div id=\"wpforms-278-field_0-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Parent\/Guardian Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-278-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-278-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-278-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-278-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-278-field_3-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-278-field_3\">Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-278-field_3\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][3]\" aria-label=\"Phone Number\" required><\/div><div id=\"wpforms-278-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-278-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-278-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-278-field_4-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Mailing Address<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-278-field_4\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][4][address1]\" ><label for=\"wpforms-278-field_4\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-278-field_4-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][4][address2]\" ><label for=\"wpforms-278-field_4-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-278-field_4-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][4][city]\" ><label for=\"wpforms-278-field_4-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-278-field_4-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][4][state]\" ><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\"  selected='selected'>Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-278-field_4-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-278-field_4-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][4][postal]\" ><label for=\"wpforms-278-field_4-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-278-field_16-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"16\"><div id=\"wpforms-278-field_16\"><h2>How many children between 0 months - 10 years old live in your household?<\/h2><\/div><\/div><div id=\"wpforms-278-field_12-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-278-field_12\">How many children 0-18 months old?  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-278-field_12\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][12]\" step=\"any\" required><div class=\"wpforms-field-description\">How do I answer this if I am pregnant? Please include any children who are not born yet in your answer for \"How many children 0-18 months old?\". For example, if you have a 1 year old and are 5 months pregnant, please put 2 for your answer to this question. <\/div><\/div><div id=\"wpforms-278-field_13-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-278-field_13\">How many children 18-36 months old? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-278-field_13\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][13]\" step=\"any\" required><\/div><div id=\"wpforms-278-field_14-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-278-field_14\">How many children 3-5 years old? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-278-field_14\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][14]\" step=\"any\" required><\/div><div id=\"wpforms-278-field_15-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-278-field_15\">How many children 6-10 years old? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-278-field_15\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][15]\" step=\"any\" required><\/div><div id=\"wpforms-278-field_5-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-278-field_5\">How did you hear about Joyful Together\u00ae?<\/label><input type=\"text\" id=\"wpforms-278-field_5\" class=\"wpforms-field-large\" name=\"wpforms[fields][5]\" ><\/div><div id=\"wpforms-278-field_10-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-inline\" data-field-id=\"10\"><label class=\"wpforms-field-label\">How was this form completed? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-278-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-278-field_10_1\" name=\"wpforms[fields][10]\" value=\"In-Person\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-278-field_10_1\">In-Person<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-278-field_10_2\" name=\"wpforms[fields][10]\" value=\"By Phone\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-278-field_10_2\">By Phone<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-278-field_10_3\" name=\"wpforms[fields][10]\" value=\"Online\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-278-field_10_3\">Online<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-278-field_10_4\" name=\"wpforms[fields][10]\" value=\"Mail-In\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-278-field_10_4\">Mail-In<\/label><\/li><\/ul><\/div><div id=\"wpforms-278-field_9-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"9\"><label class=\"wpforms-field-label\">Acceptance <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-278-field_9\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-278-field_9_1\" name=\"wpforms[fields][9][]\" value=\"I understand that by checking this box and submitting this form, I am giving permission to Research Team members to call, email and\/or text me to follow up about my interest in the Joyful Together\u00ae study.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-278-field_9_1\">I understand that by checking this box and submitting this form, I am giving permission to Research Team members to call, email and\/or text me to follow up about my interest in the Joyful Together\u00ae study.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-278-field-hp\" class=\"wpforms-field-label\">Message<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-278-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"278\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages\/279\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-278\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- 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