{"id":9708,"date":"2021-07-08T08:37:15","date_gmt":"2021-07-08T11:37:15","guid":{"rendered":"https:\/\/illusionsgymnastics.com\/?page_id=9708"},"modified":"2023-03-06T11:54:37","modified_gmt":"2023-03-06T15:54:37","slug":"event-participation-consent-form-and-health-questionnaire","status":"publish","type":"page","link":"https:\/\/illusionsgymnastics.com\/?page_id=9708","title":{"rendered":"Event Participation &#8211; Consent Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f13063-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"13063\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F9708#wpcf7-f13063-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"13063\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f13063-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:13063,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;No changes to my daughter&#039;s health since my last submission.&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.5.1&quot;:true,&quot;notice_dismissed_update-cf7-6.1.3&quot;:true}}\" \/>\n<\/fieldset>\n<p>Participant\u2019s Name (required):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"participant-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"participant-name\" \/><\/span>\n<\/p>\n<p>Date of Birth (required):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dateofbirth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dateofbirth\" \/><\/span>(mm\/dd\/yyyy)\n<\/p>\n<p>Primary Phone Number (required):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"primary-phone\" \/><\/span>\n<\/p>\n<p>Email (required):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<\/p>\n<p>Event Date (required):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"event-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"event-date\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accept-waiver\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"accept-waiver\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read and agree to the terms presented in the \n<a target=\"_blank\" href=\"https:\/\/illusionsgymnastics.com\/wordpress_e\/wp-content\/uploads\/2021\/06\/NSRGA-Assumption-of-Risk-Final-V.1-September-1-2020-Illusions.pdf\" xlink=\"href\" rel=\"noopener\">NSRGA INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT<\/a><\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Parent\/Guardian's Name (required):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parent-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"parent-name\" \/><\/span>\n<\/p>\n<p> Signature (required):<br \/>\n<div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"signature\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:300px;height:120px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas data-background=\"#F8F8F8\" id=\"wpcf7_signature_signature\" class=\"signature\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_signature_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap signature\">\n\t\t\t\t<input aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"signature\" id=\"wpcf7_input_signature\"\/><input type=\"hidden\" name=\"signature-attachment\" id=\"wpcf7_input_signature_attachment\"\/><input type=\"hidden\" name=\"signature-inline\" id=\"wpcf7_input_signature_inline\"\/>\n\t\t\t<\/span>\n\t\t\t\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","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-9708","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=\/wp\/v2\/pages\/9708","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9708"}],"version-history":[{"count":2,"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=\/wp\/v2\/pages\/9708\/revisions"}],"predecessor-version":[{"id":13064,"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=\/wp\/v2\/pages\/9708\/revisions\/13064"}],"wp:attachment":[{"href":"https:\/\/illusionsgymnastics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}