{"id":16,"date":"2022-11-25T22:35:09","date_gmt":"2022-11-25T22:35:09","guid":{"rendered":"https:\/\/pconcannon.us\/in2action\/?page_id=16"},"modified":"2022-11-25T22:35:16","modified_gmt":"2022-11-25T22:35:16","slug":"online-application","status":"publish","type":"page","link":"https:\/\/pconcannon.us\/in2action\/online-application\/","title":{"rendered":"Online Application"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"76a73d8969469d9f460cfd3819809955\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_onlineapplication\" data-token=\"76a73d8969469d9f460cfd3819809955\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Online Application<\/legend>\n\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"onlineapplication\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"2cca715fd3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/in2action\/wp-json\/wp\/v2\/pages\/16\" \/><div id=\"frm_field_12_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h1>in2Action Online Application<\/h1>\n<hr \/>\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first frm_fourth\">\n    <label for=\"field_yxueh\" id=\"field_yxueh_label\" class=\"frm_primary_label\">Out Date\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_yxueh\" name=\"item_meta[13]\" value=\"\"  data-reqmsg=\"Out Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_third frm_fourth vertical_radio\">\n    <div  id=\"field_ixu8_label\" class=\"frm_primary_label\">Sex Offender\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ixu8_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_14-0\">\t\t\t<label  for=\"field_ixu8-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[14][]\" id=\"field_ixu8-0\" value=\"Yes\"  data-reqmsg=\"Sex Offender cannot be blank.\" data-invmsg=\"Sex Offender is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_14-1\">\t\t\t<label  for=\"field_ixu8-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[14][]\" id=\"field_ixu8-1\" value=\"No\"  data-reqmsg=\"Sex Offender cannot be blank.\" data-invmsg=\"Sex Offender is invalid\"   \/> No<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first frm_half\">\n    <label for=\"field_r7stv\" id=\"field_r7stv_label\" class=\"frm_primary_label\">Name\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_r7stv\" name=\"item_meta[18]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm6 frm12\">\n    <label for=\"field_ynd6k\" id=\"field_ynd6k_label\" class=\"frm_primary_label\">DOC #\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_ynd6k\" name=\"item_meta[15]\" value=\"\"  data-reqmsg=\"DOC # cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_firs frm6 t frm_first\">\n    <label for=\"field_3rgb4\" id=\"field_3rgb4_label\" class=\"frm_primary_label\">Institution\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_3rgb4\" name=\"item_meta[16]\" value=\"\"  data-reqmsg=\"Institution cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\n    <label for=\"field_7ohvg\" id=\"field_7ohvg_label\" class=\"frm_primary_label\">PO\/Case Worker\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_7ohvg\" name=\"item_meta[17]\" value=\"\"  data-reqmsg=\"PO\/Case Worker cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n    <div  id=\"field_tgt4_label\" class=\"frm_primary_label\">Do you intend (and are able) to work fulltime upon release?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_tgt4_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_19-0\">\t\t\t<label  for=\"field_tgt4-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[19][]\" id=\"field_tgt4-0\" value=\"Yes\"  data-reqmsg=\"Do you intend (and are able) to work fulltime upon release? cannot be blank.\" data-invmsg=\"Do you intend (and are able) to work fulltime upon release? is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_19-1\">\t\t\t<label  for=\"field_tgt4-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[19][]\" id=\"field_tgt4-1\" value=\"No\"  data-reqmsg=\"Do you intend (and are able) to work fulltime upon release? cannot be blank.\" data-invmsg=\"Do you intend (and are able) to work fulltime upon release? is invalid\"   \/> No<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">If you are from Columbia, complete at least one item below:<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_4yq8w\" id=\"field_4yq8w_label\" class=\"frm_primary_label\">Previous Columbia Address\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_4yq8w\" name=\"item_meta[20]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_n9cfq\" id=\"field_n9cfq_label\" class=\"frm_primary_label\">Contact Person\/Phone Number\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_n9cfq\" name=\"item_meta[24]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\n    <label for=\"field_nfhxh\" id=\"field_nfhxh_label\" class=\"frm_primary_label\">Signature\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_nfhxh\" name=\"item_meta[9]\" value=\"\"  data-reqmsg=\"Signature cannot be blank.\" aria-required=\"true\" data-invmsg=\"Signature is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_nfhxh\"\/>\n    <div class=\"frm_description\" id=\"frm_desc_field_nfhxh\">By my signature,  I acknowledge that I have read, understand, and agree to the conditions outlined below.<\/div>\n    \n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_35dmv\" id=\"field_35dmv_label\" class=\"frm_primary_label\">Conditions\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <textarea name=\"item_meta[10]\" id=\"field_35dmv\" rows=\"10\"  data-frmval=\"Lorem ipsum dolor sit amet consectetur adipiscing elit, urna consequat felis vehicula class ultricies mollis dictumst, aenean non a in donec nulla. Phasellus ante pellentesque erat cum risus consequat imperdiet aliquam, integer placerat et turpis mi eros nec lobortis taciti, vehicula nisl litora tellus ligula porttitor metus.  \r\n\r\n Vivamus integer non suscipit taciti mus etiam at primis tempor sagittis sit, euismod libero facilisi aptent elementum felis blandit cursus gravida sociis erat ante, eleifend lectus nullam dapibus netus feugiat curae curabitur est ad. Massa curae fringilla porttitor quam sollicitudin iaculis aptent leo ligula euismod dictumst, orci penatibus mauris eros etiam praesent erat volutpat posuere hac. Metus fringilla nec ullamcorper odio aliquam lacinia conubia mauris tempor, etiam ultricies proin quisque lectus sociis id tristique, integer phasellus taciti pretium adipiscing tortor sagittis ligula.\r\n\r\nMollis pretium lorem primis senectus habitasse lectus scelerisque donec, ultricies tortor suspendisse adipiscing fusce morbi volutpat pellentesque, consectetur mi risus molestie curae malesuada cum. Dignissim lacus convallis massa mauris enim ad mattis magnis senectus montes, mollis taciti phasellus accumsan bibendum semper blandit suspendisse faucibus nibh est, metus lobortis morbi cras magna vivamus per risus fermentum. Dapibus imperdiet praesent magnis ridiculus congue gravida curabitur dictum sagittis, enim et magna sit inceptos sodales parturient pharetra mollis, aenean vel nostra tellus commodo pretium sapien sociosqu.\" data-reqmsg=\"Conditions cannot be blank.\" aria-required=\"true\" data-invmsg=\"Conditions is invalid\" aria-invalid=\"false\"  >Lorem ipsum dolor sit amet consectetur adipiscing elit, urna consequat felis vehicula class ultricies mollis dictumst, aenean non a in donec nulla. Phasellus ante pellentesque erat cum risus consequat imperdiet aliquam, integer placerat et turpis mi eros nec lobortis taciti, vehicula nisl litora tellus ligula porttitor metus.  \r\n\r\n Vivamus integer non suscipit taciti mus etiam at primis tempor sagittis sit, euismod libero facilisi aptent elementum felis blandit cursus gravida sociis erat ante, eleifend lectus nullam dapibus netus feugiat curae curabitur est ad. Massa curae fringilla porttitor quam sollicitudin iaculis aptent leo ligula euismod dictumst, orci penatibus mauris eros etiam praesent erat volutpat posuere hac. Metus fringilla nec ullamcorper odio aliquam lacinia conubia mauris tempor, etiam ultricies proin quisque lectus sociis id tristique, integer phasellus taciti pretium adipiscing tortor sagittis ligula.\r\n\r\nMollis pretium lorem primis senectus habitasse lectus scelerisque donec, ultricies tortor suspendisse adipiscing fusce morbi volutpat pellentesque, consectetur mi risus molestie curae malesuada cum. Dignissim lacus convallis massa mauris enim ad mattis magnis senectus montes, mollis taciti phasellus accumsan bibendum semper blandit suspendisse faucibus nibh est, metus lobortis morbi cras magna vivamus per risus fermentum. Dapibus imperdiet praesent magnis ridiculus congue gravida curabitur dictum sagittis, enim et magna sit inceptos sodales parturient pharetra mollis, aenean vel nostra tellus commodo pretium sapien sociosqu.<\/textarea>\n    \n    \n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field  frm_html_container form-field\"><\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_28_container\">\n\t\t\t<label for=\"field_3i1g6\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_3i1g6\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[28]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"ThGwP8KEJtK5xu666fYeXekeCZpGKOPtQk8v8j3f2BM=\" \/><div class=\"frm_submit\">\n\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\n\n\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"76a73d8969469d9f460cfd3819809955\" data-token=\"76a73d8969469d9f460cfd3819809955\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_onlineapplication\" data-token=\"76a73d8969469d9f460cfd3819809955\" data-token=\"76a73d8969469d9f460cfd3819809955\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Online Application<\/legend>\n\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"onlineapplication\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"2cca715fd3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/in2action\/wp-json\/wp\/v2\/pages\/16\" \/><div id=\"frm_field_12_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h1>in2Action Online Application<\/h1>\n<hr \/>\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first frm_fourth\">\n    <label for=\"field_yxueh\" id=\"field_yxueh_label\" class=\"frm_primary_label\">Out Date\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_yxueh\" name=\"item_meta[13]\" value=\"\"  data-reqmsg=\"Out Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_third frm_fourth vertical_radio\">\n    <div  id=\"field_ixu8_label\" class=\"frm_primary_label\">Sex Offender\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ixu8_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_14-0\">\t\t\t<label  for=\"field_ixu8-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[14][]\" id=\"field_ixu8-0\" value=\"Yes\"  data-reqmsg=\"Sex Offender cannot be blank.\" data-invmsg=\"Sex Offender is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_14-1\">\t\t\t<label  for=\"field_ixu8-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[14][]\" id=\"field_ixu8-1\" value=\"No\"  data-reqmsg=\"Sex Offender cannot be blank.\" data-invmsg=\"Sex Offender is invalid\"   \/> No<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first frm_half\">\n    <label for=\"field_r7stv\" id=\"field_r7stv_label\" class=\"frm_primary_label\">Name\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_r7stv\" name=\"item_meta[18]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm6 frm12\">\n    <label for=\"field_ynd6k\" id=\"field_ynd6k_label\" class=\"frm_primary_label\">DOC #\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_ynd6k\" name=\"item_meta[15]\" value=\"\"  data-reqmsg=\"DOC # cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_firs frm6 t frm_first\">\n    <label for=\"field_3rgb4\" id=\"field_3rgb4_label\" class=\"frm_primary_label\">Institution\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_3rgb4\" name=\"item_meta[16]\" value=\"\"  data-reqmsg=\"Institution cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\n    <label for=\"field_7ohvg\" id=\"field_7ohvg_label\" class=\"frm_primary_label\">PO\/Case Worker\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_7ohvg\" name=\"item_meta[17]\" value=\"\"  data-reqmsg=\"PO\/Case Worker cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n    <div  id=\"field_tgt4_label\" class=\"frm_primary_label\">Do you intend (and are able) to work fulltime upon release?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_tgt4_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_19-0\">\t\t\t<label  for=\"field_tgt4-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[19][]\" id=\"field_tgt4-0\" value=\"Yes\"  data-reqmsg=\"Do you intend (and are able) to work fulltime upon release? cannot be blank.\" data-invmsg=\"Do you intend (and are able) to work fulltime upon release? is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_19-1\">\t\t\t<label  for=\"field_tgt4-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[19][]\" id=\"field_tgt4-1\" value=\"No\"  data-reqmsg=\"Do you intend (and are able) to work fulltime upon release? cannot be blank.\" data-invmsg=\"Do you intend (and are able) to work fulltime upon release? is invalid\"   \/> No<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">If you are from Columbia, complete at least one item below:<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_4yq8w\" id=\"field_4yq8w_label\" class=\"frm_primary_label\">Previous Columbia Address\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_4yq8w\" name=\"item_meta[20]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_n9cfq\" id=\"field_n9cfq_label\" class=\"frm_primary_label\">Contact Person\/Phone Number\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_n9cfq\" name=\"item_meta[24]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\n    <label for=\"field_nfhxh\" id=\"field_nfhxh_label\" class=\"frm_primary_label\">Signature\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_nfhxh\" name=\"item_meta[9]\" value=\"\"  data-reqmsg=\"Signature cannot be blank.\" aria-required=\"true\" data-invmsg=\"Signature is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_nfhxh\"\/>\n    <div class=\"frm_description\" id=\"frm_desc_field_nfhxh\">By my signature,  I acknowledge that I have read, understand, and agree to the conditions outlined below.<\/div>\n    \n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_35dmv\" id=\"field_35dmv_label\" class=\"frm_primary_label\">Conditions\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <textarea name=\"item_meta[10]\" id=\"field_35dmv\" rows=\"10\"  data-frmval=\"Lorem ipsum dolor sit amet consectetur adipiscing elit, urna consequat felis vehicula class ultricies mollis dictumst, aenean non a in donec nulla. Phasellus ante pellentesque erat cum risus consequat imperdiet aliquam, integer placerat et turpis mi eros nec lobortis taciti, vehicula nisl litora tellus ligula porttitor metus.  \r\n\r\n Vivamus integer non suscipit taciti mus etiam at primis tempor sagittis sit, euismod libero facilisi aptent elementum felis blandit cursus gravida sociis erat ante, eleifend lectus nullam dapibus netus feugiat curae curabitur est ad. Massa curae fringilla porttitor quam sollicitudin iaculis aptent leo ligula euismod dictumst, orci penatibus mauris eros etiam praesent erat volutpat posuere hac. Metus fringilla nec ullamcorper odio aliquam lacinia conubia mauris tempor, etiam ultricies proin quisque lectus sociis id tristique, integer phasellus taciti pretium adipiscing tortor sagittis ligula.\r\n\r\nMollis pretium lorem primis senectus habitasse lectus scelerisque donec, ultricies tortor suspendisse adipiscing fusce morbi volutpat pellentesque, consectetur mi risus molestie curae malesuada cum. Dignissim lacus convallis massa mauris enim ad mattis magnis senectus montes, mollis taciti phasellus accumsan bibendum semper blandit suspendisse faucibus nibh est, metus lobortis morbi cras magna vivamus per risus fermentum. Dapibus imperdiet praesent magnis ridiculus congue gravida curabitur dictum sagittis, enim et magna sit inceptos sodales parturient pharetra mollis, aenean vel nostra tellus commodo pretium sapien sociosqu.\" data-reqmsg=\"Conditions cannot be blank.\" aria-required=\"true\" data-invmsg=\"Conditions is invalid\" aria-invalid=\"false\"  >Lorem ipsum dolor sit amet consectetur adipiscing elit, urna consequat felis vehicula class ultricies mollis dictumst, aenean non a in donec nulla. Phasellus ante pellentesque erat cum risus consequat imperdiet aliquam, integer placerat et turpis mi eros nec lobortis taciti, vehicula nisl litora tellus ligula porttitor metus.  \r\n\r\n Vivamus integer non suscipit taciti mus etiam at primis tempor sagittis sit, euismod libero facilisi aptent elementum felis blandit cursus gravida sociis erat ante, eleifend lectus nullam dapibus netus feugiat curae curabitur est ad. Massa curae fringilla porttitor quam sollicitudin iaculis aptent leo ligula euismod dictumst, orci penatibus mauris eros etiam praesent erat volutpat posuere hac. Metus fringilla nec ullamcorper odio aliquam lacinia conubia mauris tempor, etiam ultricies proin quisque lectus sociis id tristique, integer phasellus taciti pretium adipiscing tortor sagittis ligula.\r\n\r\nMollis pretium lorem primis senectus habitasse lectus scelerisque donec, ultricies tortor suspendisse adipiscing fusce morbi volutpat pellentesque, consectetur mi risus molestie curae malesuada cum. Dignissim lacus convallis massa mauris enim ad mattis magnis senectus montes, mollis taciti phasellus accumsan bibendum semper blandit suspendisse faucibus nibh est, metus lobortis morbi cras magna vivamus per risus fermentum. Dapibus imperdiet praesent magnis ridiculus congue gravida curabitur dictum sagittis, enim et magna sit inceptos sodales parturient pharetra mollis, aenean vel nostra tellus commodo pretium sapien sociosqu.<\/textarea>\n    \n    \n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field  frm_html_container form-field\"><\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_29_container\">\n\t\t\t<label for=\"field_wv7yb\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_wv7yb\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[29]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"ThGwP8KEJtK5xu666fYeXfPhCybaJdBWFy56kdTbLH4=\" \/><div class=\"frm_submit\">\n\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\n\n\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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