{"id":12029,"date":"2019-07-23T21:26:05","date_gmt":"2019-07-23T21:26:05","guid":{"rendered":"https:\/\/www.ucvbheadstart.org\/?page_id=12029"},"modified":"2019-07-23T21:26:05","modified_gmt":"2019-07-23T21:26:05","slug":"enrollment-form","status":"publish","type":"page","link":"https:\/\/www.ucvbheadstart.org\/?page_id=12029","title":{"rendered":"Enrollment Form"},"content":{"rendered":"<body><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-12028\"><form id=\"wpforms-form-12028\" class=\"wpforms-validate wpforms-form\" data-formid=\"12028\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F12029\" data-token=\"8966e24fa4ada91ed17c15eed05631b5\" data-token-time=\"1778689970\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-12028-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">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-12028-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-12028-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-12028-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-12028-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-12028-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-12028-field_4\">Child&#039;s Name and Date of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-12028-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" required><div class=\"wpforms-field-description\">Enter the name of children to attend and their date of birth.<\/div><\/div><div id=\"wpforms-12028-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-12028-field_7\">Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-12028-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-12028-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-12028-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-12028-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-12028-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-12028-field_5\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-12028-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><div class=\"wpforms-field-description\">Home Address<\/div><\/div><div id=\"wpforms-12028-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-12028-field_6\">City, State, Zip <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-12028-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-12028-field-hp\" class=\"wpforms-field-label\">Name<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-12028-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"12028\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=\/wp\/v2\/pages\/12029\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-12028\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<\/body>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-12029","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=\/wp\/v2\/pages\/12029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12029"}],"version-history":[{"count":1,"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=\/wp\/v2\/pages\/12029\/revisions"}],"predecessor-version":[{"id":12030,"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=\/wp\/v2\/pages\/12029\/revisions\/12030"}],"wp:attachment":[{"href":"https:\/\/www.ucvbheadstart.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}