{"id":303,"date":"2020-08-13T16:09:07","date_gmt":"2020-08-13T20:09:07","guid":{"rendered":"https:\/\/sap.diocesanweb.org\/church\/?page_id=303"},"modified":"2023-02-28T11:23:09","modified_gmt":"2023-02-28T16:23:09","slug":"religious-education-registration","status":"publish","type":"page","link":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/","title":{"rendered":"Religious Education Registration"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' style='display:none'><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/church\/wp-json\/wp\/v2\/pages\/303#gf_5' data-formid='5' novalidate>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'> &#8211; Family Information<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_25' style='width:25%; color:#fff; background-color:004460;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_5_106\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_106'>URL<\/label><div class='gfield_description' id='gfield_description_5_106'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_106' id='input_5_106' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_5_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Family Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_3\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_3'>Today&#039;s Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_3' id='input_5_3' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_3_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_3_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_3' class='gform_hidden' value='https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are you a parishioner?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_4'>\n\t\t\t<li class='gchoice gchoice_5_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_5_4_0'    \/>\n\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='No'  id='choice_5_4_1'    \/>\n\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Father&#039;s Information<\/h2><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_7'>\n                            \n                            <span id='input_5_7_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.3' id='input_5_7_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_7_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_7_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.6' id='input_5_7_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_7_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_105\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_105'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_105' id='input_5_105' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'>Religion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Cell Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_5_9' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_10'>Work Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_5_10' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Mother&#039;s Information<\/h2><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_12'>\n                            \n                            <span id='input_5_12_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.3' id='input_5_12_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_12_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_12_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.6' id='input_5_12_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_12_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_104\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_104'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_104' id='input_5_104' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_13'>Religion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_5_13' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_14\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_14'>Cell Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_5_14' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_15\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'>Work Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_5_15' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_16\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Family Information<\/h2><\/li><li id=\"field_5_18\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_18' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_18_1_container' >\n                                        <input type='text' name='input_18.1' id='input_5_18_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_18_1' id='input_5_18_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_18_2_container' >\n                                        <input type='text' name='input_18.2' id='input_5_18_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_18_2' id='input_5_18_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_18_3_container' >\n                                    <input type='text' name='input_18.3' id='input_5_18_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_18_3' id='input_5_18_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_18_4_container' >\n                                        <select name='input_18.4' id='input_5_18_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' selected='selected'>Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_5_18_4' id='input_5_18_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_18_5_container' >\n                                    <input type='text' name='input_18.5' id='input_5_18_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_18_5' id='input_5_18_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_18.6' id='input_5_18_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_5_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Child(ren) reside with:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_21'>\n\t\t\t<li class='gchoice gchoice_5_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='Both Parents'  id='choice_5_21_0'    \/>\n\t\t\t\t<label for='choice_5_21_0' id='label_5_21_0' class='gform-field-label gform-field-label--type-inline'>Both Parents<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='Father'  id='choice_5_21_1'    \/>\n\t\t\t\t<label for='choice_5_21_1' id='label_5_21_1' class='gform-field-label gform-field-label--type-inline'>Father<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_21_2'>\n\t\t\t\t<input name='input_21' type='radio' value='Mother'  id='choice_5_21_2'    \/>\n\t\t\t\t<label for='choice_5_21_2' id='label_5_21_2' class='gform-field-label gform-field-label--type-inline'>Mother<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_21_3'>\n\t\t\t\t<input name='input_21' type='radio' value='Step Parent'  id='choice_5_21_3'    \/>\n\t\t\t\t<label for='choice_5_21_3' id='label_5_21_3' class='gform-field-label gform-field-label--type-inline'>Step Parent<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_21_4'>\n\t\t\t\t<input name='input_21' type='radio' value='gf_other_choice'  id='choice_5_21_4'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_5_21_other' name='input_21_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_89\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >For our program to be successful, parents are needed to help. Note: By volunteering, your tuition is waived!<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_89'><li class='gchoice gchoice_5_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='No, I am not interested in volunteering.'  id='choice_5_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_89_1' id='label_5_89_1' class='gform-field-label gform-field-label--type-inline'>No, I am not interested in volunteering.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_89_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.2' type='checkbox'  value='Administrative Helper'  id='choice_5_89_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_89_2' id='label_5_89_2' class='gform-field-label gform-field-label--type-inline'>Administrative Helper<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_89_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.3' type='checkbox'  value='Classroom Catechist (teacher)'  id='choice_5_89_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_89_3' id='label_5_89_3' class='gform-field-label gform-field-label--type-inline'>Classroom Catechist (teacher)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_89_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.4' type='checkbox'  value='Substitute Catechist (teacher)'  id='choice_5_89_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_89_4' id='label_5_89_4' class='gform-field-label gform-field-label--type-inline'>Substitute Catechist (teacher)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_89_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.5' type='checkbox'  value='Classroom Aide'  id='choice_5_89_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_89_5' id='label_5_89_5' class='gform-field-label gform-field-label--type-inline'>Classroom Aide<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Tuition Table: Number of Children to Enroll<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_22'>Payment is requested at time of registration. Submit payment to: St. Anthony Religious Education or sign up for Online Giving after completing this online form.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_22'>\n\t\t\t<li class='gchoice gchoice_5_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='One Child - $75'  id='choice_5_22_0'    \/>\n\t\t\t\t<label for='choice_5_22_0' id='label_5_22_0' class='gform-field-label gform-field-label--type-inline'>One Child &#8211; $75<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='Two Children - $150'  id='choice_5_22_1'    \/>\n\t\t\t\t<label for='choice_5_22_1' id='label_5_22_1' class='gform-field-label gform-field-label--type-inline'>Two Children &#8211; $150<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_22_2'>\n\t\t\t\t<input name='input_22' type='radio' value='Three Children or more - $225'  id='choice_5_22_2'    \/>\n\t\t\t\t<label for='choice_5_22_2' id='label_5_22_2' class='gform-field-label gform-field-label--type-inline'>Three Children or more &#8211; $225<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_22_3'>\n\t\t\t\t<input name='input_22' type='radio' value='Non-Parishioner - $100 per Child'  id='choice_5_22_3'    \/>\n\t\t\t\t<label for='choice_5_22_3' id='label_5_22_3' class='gform-field-label gform-field-label--type-inline'>Non-Parishioner &#8211; $100 per Child<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Would you like to pay tuition electronically?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_25'>If you choose to, you will be shown your total at the end of this form and redirected to our electronic payment page to make your payment.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_25'>\n\t\t\t<li class='gchoice gchoice_5_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='Yes'  id='choice_5_25_0'    \/>\n\t\t\t\t<label for='choice_5_25_0' id='label_5_25_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='No'  id='choice_5_25_1'    \/>\n\t\t\t\t<label for='choice_5_25_1' id='label_5_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_26' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-26' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_5_28\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Class Day and Time<\/h2><div class='gsection_description' id='gfield_description_5_28'><strong>Sunday 10:15-11:15 am<\/strong><\/div><\/li><li id=\"field_5_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">First Child<\/h2><\/li><li id=\"field_5_33\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Child&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_33'>\n                            \n                            <span id='input_5_33_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_33.3' id='input_5_33_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_33_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_33_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_33.6' id='input_5_33_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_33_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_79\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_79'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_79' id='input_5_79' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_79_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_79_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_79' class='gform_hidden' value='https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_101\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >T-shirt size<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_101'>\n\t\t\t<li class='gchoice gchoice_5_101_0'>\n\t\t\t\t<input name='input_101' type='radio' value='Youth Small'  id='choice_5_101_0'    \/>\n\t\t\t\t<label for='choice_5_101_0' id='label_5_101_0' class='gform-field-label gform-field-label--type-inline'>Youth Small<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_101_1'>\n\t\t\t\t<input name='input_101' type='radio' value='Youth Medium'  id='choice_5_101_1'    \/>\n\t\t\t\t<label for='choice_5_101_1' id='label_5_101_1' class='gform-field-label gform-field-label--type-inline'>Youth Medium<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_101_2'>\n\t\t\t\t<input name='input_101' type='radio' value='Youth Large'  id='choice_5_101_2'    \/>\n\t\t\t\t<label for='choice_5_101_2' id='label_5_101_2' class='gform-field-label gform-field-label--type-inline'>Youth Large<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_101_3'>\n\t\t\t\t<input name='input_101' type='radio' value='Youth XL'  id='choice_5_101_3'    \/>\n\t\t\t\t<label for='choice_5_101_3' id='label_5_101_3' class='gform-field-label gform-field-label--type-inline'>Youth XL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_101_4'>\n\t\t\t\t<input name='input_101' type='radio' value='Adult Small'  id='choice_5_101_4'    \/>\n\t\t\t\t<label for='choice_5_101_4' id='label_5_101_4' class='gform-field-label gform-field-label--type-inline'>Adult Small<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_101_5'>\n\t\t\t\t<input name='input_101' type='radio' value='Adult Medium'  id='choice_5_101_5'    \/>\n\t\t\t\t<label for='choice_5_101_5' id='label_5_101_5' class='gform-field-label gform-field-label--type-inline'>Adult Medium<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_101_6'>\n\t\t\t\t<input name='input_101' type='radio' value='Adult Large'  id='choice_5_101_6'    \/>\n\t\t\t\t<label for='choice_5_101_6' id='label_5_101_6' class='gform-field-label gform-field-label--type-inline'>Adult Large<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_101_7'>\n\t\t\t\t<input name='input_101' type='radio' value='Adult XL'  id='choice_5_101_7'    \/>\n\t\t\t\t<label for='choice_5_101_7' id='label_5_101_7' class='gform-field-label gform-field-label--type-inline'>Adult XL<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_35'>Name of School<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_5_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_82\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_82'>Grade Entering<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_82' id='input_5_82' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'><\/option><option value='Kindergarten' >Kindergarten<\/option><option value='First Grade' >First Grade<\/option><option value='Second Grade' >Second Grade<\/option><option value='Third Grade' >Third Grade<\/option><option value='Fourth Grade' >Fourth Grade<\/option><option value='Fifth Grade' >Fifth Grade<\/option><option value='Sixth Grade' >Sixth Grade<\/option><option value='Seventh Grade' >Seventh Grade<\/option><option value='Eighth Grade' >Eighth Grade<\/option><\/select><\/div><\/li><li id=\"field_5_36\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sacraments Received<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_36'><li class='gchoice gchoice_5_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='Baptism'  id='choice_5_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_36_1' id='label_5_36_1' class='gform-field-label gform-field-label--type-inline'>Baptism<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_36_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.2' type='checkbox'  value='Reconciliation'  id='choice_5_36_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_36_2' id='label_5_36_2' class='gform-field-label gform-field-label--type-inline'>Reconciliation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_36_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.3' type='checkbox'  value='Eucharist'  id='choice_5_36_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_36_3' id='label_5_36_3' class='gform-field-label gform-field-label--type-inline'>Eucharist<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_36_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.4' type='checkbox'  value='Confirmation'  id='choice_5_36_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_36_4' id='label_5_36_4' class='gform-field-label gform-field-label--type-inline'>Confirmation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Second Child<\/h2><\/li><li id=\"field_5_71\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Child&#039;s Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_71'>\n                            \n                            <span id='input_5_71_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_71.3' id='input_5_71_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_71_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_71_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_71.6' id='input_5_71_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_71_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_80\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_80'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_80' id='input_5_80' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_80_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_80_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_80' class='gform_hidden' value='https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_102\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >T-shirt size<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_102'>\n\t\t\t<li class='gchoice gchoice_5_102_0'>\n\t\t\t\t<input name='input_102' type='radio' value='Youth Small'  id='choice_5_102_0'    \/>\n\t\t\t\t<label for='choice_5_102_0' id='label_5_102_0' class='gform-field-label gform-field-label--type-inline'>Youth Small<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_102_1'>\n\t\t\t\t<input name='input_102' type='radio' value='Youth Medium'  id='choice_5_102_1'    \/>\n\t\t\t\t<label for='choice_5_102_1' id='label_5_102_1' class='gform-field-label gform-field-label--type-inline'>Youth Medium<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_102_2'>\n\t\t\t\t<input name='input_102' type='radio' value='Youth Large'  id='choice_5_102_2'    \/>\n\t\t\t\t<label for='choice_5_102_2' id='label_5_102_2' class='gform-field-label gform-field-label--type-inline'>Youth Large<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_102_3'>\n\t\t\t\t<input name='input_102' type='radio' value='Youth XL'  id='choice_5_102_3'    \/>\n\t\t\t\t<label for='choice_5_102_3' id='label_5_102_3' class='gform-field-label gform-field-label--type-inline'>Youth XL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_102_4'>\n\t\t\t\t<input name='input_102' type='radio' value='Adult Small'  id='choice_5_102_4'    \/>\n\t\t\t\t<label for='choice_5_102_4' id='label_5_102_4' class='gform-field-label gform-field-label--type-inline'>Adult Small<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_102_5'>\n\t\t\t\t<input name='input_102' type='radio' value='Adult Medium'  id='choice_5_102_5'    \/>\n\t\t\t\t<label for='choice_5_102_5' id='label_5_102_5' class='gform-field-label gform-field-label--type-inline'>Adult Medium<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_102_6'>\n\t\t\t\t<input name='input_102' type='radio' value='Adult Large'  id='choice_5_102_6'    \/>\n\t\t\t\t<label for='choice_5_102_6' id='label_5_102_6' class='gform-field-label gform-field-label--type-inline'>Adult Large<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_102_7'>\n\t\t\t\t<input name='input_102' type='radio' value='Adult XL'  id='choice_5_102_7'    \/>\n\t\t\t\t<label for='choice_5_102_7' id='label_5_102_7' class='gform-field-label gform-field-label--type-inline'>Adult XL<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_72\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_72'>Name of School<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_5_72' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_83\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_83'>Grade Entering<\/label><div class='ginput_container ginput_container_select'><select name='input_83' id='input_5_83' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Kindergarten' >Kindergarten<\/option><option value='First Grade' >First Grade<\/option><option value='Second Grade' >Second Grade<\/option><option value='Third Grade' >Third Grade<\/option><option value='Fourth Grade' >Fourth Grade<\/option><option value='Fifth Grade' >Fifth Grade<\/option><option value='Sixth Grade' >Sixth Grade<\/option><option value='Seventh Grade' >Seventh Grade<\/option><option value='Eighth Grade' >Eighth Grade<\/option><\/select><\/div><\/li><li id=\"field_5_74\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sacrament&#039;s Received<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_74'><li class='gchoice gchoice_5_74_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.1' type='checkbox'  value='Baptism'  id='choice_5_74_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_74_1' id='label_5_74_1' class='gform-field-label gform-field-label--type-inline'>Baptism<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_74_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.2' type='checkbox'  value='Reconciliation'  id='choice_5_74_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_74_2' id='label_5_74_2' class='gform-field-label gform-field-label--type-inline'>Reconciliation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_74_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.3' type='checkbox'  value='Eucharist'  id='choice_5_74_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_74_3' id='label_5_74_3' class='gform-field-label gform-field-label--type-inline'>Eucharist<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_74_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.4' type='checkbox'  value='Confirmation'  id='choice_5_74_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_74_4' id='label_5_74_4' class='gform-field-label gform-field-label--type-inline'>Confirmation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_38\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Third Child<\/h2><\/li><li id=\"field_5_75\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Child&#039;s Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_75'>\n                            \n                            <span id='input_5_75_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_75.3' id='input_5_75_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_75_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_75_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_75.6' id='input_5_75_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_75_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_81\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_81'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_81' id='input_5_81' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_81_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_81_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_81' class='gform_hidden' value='https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_103\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >T-shirt size<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_103'>\n\t\t\t<li class='gchoice gchoice_5_103_0'>\n\t\t\t\t<input name='input_103' type='radio' value='Youth Small'  id='choice_5_103_0'    \/>\n\t\t\t\t<label for='choice_5_103_0' id='label_5_103_0' class='gform-field-label gform-field-label--type-inline'>Youth Small<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_103_1'>\n\t\t\t\t<input name='input_103' type='radio' value='Youth Medium'  id='choice_5_103_1'    \/>\n\t\t\t\t<label for='choice_5_103_1' id='label_5_103_1' class='gform-field-label gform-field-label--type-inline'>Youth Medium<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_103_2'>\n\t\t\t\t<input name='input_103' type='radio' value='Youth Large'  id='choice_5_103_2'    \/>\n\t\t\t\t<label for='choice_5_103_2' id='label_5_103_2' class='gform-field-label gform-field-label--type-inline'>Youth Large<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_103_3'>\n\t\t\t\t<input name='input_103' type='radio' value='Youth XL'  id='choice_5_103_3'    \/>\n\t\t\t\t<label for='choice_5_103_3' id='label_5_103_3' class='gform-field-label gform-field-label--type-inline'>Youth XL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_103_4'>\n\t\t\t\t<input name='input_103' type='radio' value='Adult Small'  id='choice_5_103_4'    \/>\n\t\t\t\t<label for='choice_5_103_4' id='label_5_103_4' class='gform-field-label gform-field-label--type-inline'>Adult Small<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_103_5'>\n\t\t\t\t<input name='input_103' type='radio' value='Adult Medium'  id='choice_5_103_5'    \/>\n\t\t\t\t<label for='choice_5_103_5' id='label_5_103_5' class='gform-field-label gform-field-label--type-inline'>Adult Medium<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_103_6'>\n\t\t\t\t<input name='input_103' type='radio' value='Adult Large'  id='choice_5_103_6'    \/>\n\t\t\t\t<label for='choice_5_103_6' id='label_5_103_6' class='gform-field-label gform-field-label--type-inline'>Adult Large<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_103_7'>\n\t\t\t\t<input name='input_103' type='radio' value='Adult XL'  id='choice_5_103_7'    \/>\n\t\t\t\t<label for='choice_5_103_7' id='label_5_103_7' class='gform-field-label gform-field-label--type-inline'>Adult XL<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_76\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_76'>Name of School<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_5_76' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_84\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_84'>Grade Entering<\/label><div class='ginput_container ginput_container_select'><select name='input_84' id='input_5_84' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Kindergarten' >Kindergarten<\/option><option value='First Grade' >First Grade<\/option><option value='Second Grade' >Second Grade<\/option><option value='Third Grade' >Third Grade<\/option><option value='Fourth Grade' >Fourth Grade<\/option><option value='Fifth Grade' >Fifth Grade<\/option><option value='Sixth Grade' >Sixth Grade<\/option><option value='Seventh Grade' >Seventh Grade<\/option><option value='Eighth Grade' >Eighth Grade<\/option><\/select><\/div><\/li><li id=\"field_5_78\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sacrament&#039;s Received<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_78'><li class='gchoice gchoice_5_78_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.1' type='checkbox'  value='Baptism'  id='choice_5_78_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_1' id='label_5_78_1' class='gform-field-label gform-field-label--type-inline'>Baptism<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_78_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.2' type='checkbox'  value='Reconciliation'  id='choice_5_78_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_2' id='label_5_78_2' class='gform-field-label gform-field-label--type-inline'>Reconciliation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_78_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.3' type='checkbox'  value='Eucharist'  id='choice_5_78_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_3' id='label_5_78_3' class='gform-field-label gform-field-label--type-inline'>Eucharist<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_78_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.4' type='checkbox'  value='Confirmation'  id='choice_5_78_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_4' id='label_5_78_4' class='gform-field-label gform-field-label--type-inline'>Confirmation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_40' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_40' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-40' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_5_41\" class=\"gfield gfield--type-signature gfield--input-type-signature field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_41'>Please Sign &amp; Date<\/label><div class='gfield_description' id='gfield_description_5_41'>To Whom it May Concern: As a parent\/guardian, I do hereby authorize first aid\/medical treatment of my child in the event of an emergency which may endanger his\/her life, cause disfigurement, physical impairment, or undue discomfort if delayed. It is understood that efforts will be made to reach me as soon as reasonably possible.*\n<\/div><input type='hidden' value='' name='input_41' id='input_5_41_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_5_41_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_5_41' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_5_41_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_5_41_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_5_41_data' name='input_5_41_data' value=''><\/div><\/li><li id=\"field_5_42\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_42'>\n                            \n                            <span id='input_5_42_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_42.3' id='input_5_42_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_42_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_42_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_42.6' id='input_5_42_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_42_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_43\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_43'>Today&#039;s Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_43' id='input_5_43' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_43_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_43_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_43' class='gform_hidden' value='https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I certify that I am the<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_45'>\n\t\t\t<li class='gchoice gchoice_5_45_0'>\n\t\t\t\t<input name='input_45' type='radio' value='Custodial Parent'  id='choice_5_45_0'    \/>\n\t\t\t\t<label for='choice_5_45_0' id='label_5_45_0' class='gform-field-label gform-field-label--type-inline'>Custodial Parent<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_45_1'>\n\t\t\t\t<input name='input_45' type='radio' value='Legal Guardian'  id='choice_5_45_1'    \/>\n\t\t\t\t<label for='choice_5_45_1' id='label_5_45_1' class='gform-field-label gform-field-label--type-inline'>Legal Guardian<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_45'>This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence. *<\/div><\/li><li id=\"field_5_97\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Who can we contact in the case of an emergency?<\/h2><div class='gsection_description' id='gfield_description_5_97'>We highly recommend listing a contact that is not the child&#8217;s parent(s).  We will always attempt to contact the parent(s) before the emergency contact.<\/div><\/li><li id=\"field_5_98\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Emergency Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_98'>\n                            \n                            <span id='input_5_98_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.3' id='input_5_98_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_98_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_98_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.6' id='input_5_98_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_98_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_99\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_99'>Relationship to Student<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_99' id='input_5_99' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Guardian' >Guardian<\/option><option value='Sibling' >Sibling<\/option><option value='Grandparent' >Grandparent<\/option><option value='Aunt \/ Uncle' >Aunt \/ Uncle<\/option><option value='Family Friend' >Family Friend<\/option><\/select><\/div><\/li><li id=\"field_5_100\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_100'>Emergency Contact Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_100' id='input_5_100' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Family Medical Information<\/h2><\/li><li id=\"field_5_53\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Family Physician Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_53'>\n                            \n                            <span id='input_5_53_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_53.3' id='input_5_53_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_53_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_53_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_53.6' id='input_5_53_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_53_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_57\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_57'>Physician Phone<\/label><div class='gfield_description' id='gfield_description_5_57'>(please include extension, if any)<\/div><div class='ginput_container ginput_container_text'><input name='input_57' id='input_5_57' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_57\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_55\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Physician Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_55' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_55_1_container' >\n                                        <input type='text' name='input_55.1' id='input_5_55_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_55_1' id='input_5_55_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_55_2_container' >\n                                        <input type='text' name='input_55.2' id='input_5_55_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_55_2' id='input_5_55_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_55_3_container' >\n                                    <input type='text' name='input_55.3' id='input_5_55_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_55_3' id='input_5_55_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_55_4_container' >\n                                        <select name='input_55.4' id='input_5_55_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_5_55_4' id='input_5_55_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_55_5_container' >\n                                    <input type='text' name='input_55.5' id='input_5_55_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_55_5' id='input_5_55_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_55.6' id='input_5_55_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_5_56\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_56'>List allergies, medications, contracts or other pertinent comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_56' id='input_5_56' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Health Insurance Data<\/h2><\/li><li id=\"field_5_59\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_59'>Insurance Company<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_5_59' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_60\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_60'>Policy<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_5_60' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_61\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_61'>Group<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_5_61' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_62\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_62'>Contract<\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_5_62' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_63' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_63' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-63' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_5_92\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Media Relations\/Promotions Release Form<\/h2><\/li><li id=\"field_5_66\" class=\"gfield gfield--type-signature gfield--input-type-signature field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_66'>IF THE PERSON BEING USED IN THE MATERIAL IS UNDER 18 YEARS OF AGE, A PARENT OR LEGAL GUARDIAN MUST SIGN THIS FORM.<\/label><div class='gfield_description' id='gfield_description_5_66'>On behalf of myself (if 18 or older) or on behalf of the minor child for whom I have the authority to act (in either case, the \u201cDepicted Person\u201d), I give permission to the Diocese of Grand Rapids (\u201cDiocese\u201d) and all persons, parishes, schools, and other entities operating under their canonical or civil authority (whether or not separately incorporated), in collaboration with them, or on their behalf (collectively, \u201cReleased Persons\u201d) to record the Depicted Person\u2019s participation in activities sponsored by one or more of the Released Persons (\u201cEvents\u201d), as well as their appearance, image, likeness and voice in any medium (collectively, their \u201cLikeness\u201d), and to use, without prior notice, the Depicted Person\u2019s Likeness, as well as the Depicted Person\u2019s name, city and state, and school, and to use statements made by or attributed to the Depicted Person about a Released Person or Events, without compensation, for web, social media, publicity or similar content promoting or otherwise publicizing the Diocese or other Released Persons and their efforts, activities, community, and events (collectively, the \u201cAuthorized Uses\u201d). I waive any right to inspect or approve such Authorized Uses, including any related or derivative content that may be created in connection therewith. I hereby release and hold harmless all Released Persons for, from and against any and all claims for damages that the Depicted Person may have (including, but not limited to, claims for compensation, royalties, invasion of privacy, misappropriation, or defamation) arising out of or related to the Authorized Uses. I agree that my signature below releases any and all claims against the Diocese and all other Released Persons related to or arising out of the Authorized Uses.<\/div><input type='hidden' value='' name='input_66' id='input_5_66_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_5_66_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_5_66' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_5_66_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_5_66_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_5_66_data' name='input_5_66_data' value=''><\/div><\/li><li id=\"field_5_67\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_67'>\n                            \n                            <span id='input_5_67_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_67.3' id='input_5_67_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_67_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_67_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_67.6' id='input_5_67_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_67_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_68\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_68'>Today&#039;s Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_68' id='input_5_68' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_68_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_68_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_68' class='gform_hidden' value='https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_88\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_88'>CAPTCHA<\/label><div id='input_5_88' class='ginput_container ginput_recaptcha' data-sitekey='6Ld7h70ZAAAAAHh2F0HHzNC5k2tpsjR8IpOnCGu6'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='hyo9mut2x6Xiv464x\/tKJHeCzu2iw\/W0VxdITR8MfWmR7h+yDNJ7vZ24ddlpjcCxNAgD6CnhH7fccoRUqsAfedQ2sfGqAbfyDuhhmLY4+q\/BXmo=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJ7XCI4OS4xXCI6XCI1ZmQ0NDVmOGZiOWZiMmFjNmU3ZmEwOWU4MzVjZjQ3MlwiLFwiODkuMlwiOlwiNDJmMzI5MjEwY2Q4OThhYzY4NDU1MWUyZmY1MWMyZGNcIixcIjg5LjNcIjpcIjUwZDgxYmZhNDJkNGVkNmIwYjNmZWQ2NjQ2MDk5Y2YzXCIsXCI4OS40XCI6XCJjMmExNGFiMmFhNDQ1MjdjYTE1ZWUxMTJlYWI2NzFjYVwiLFwiODkuNVwiOlwiYzExYzY0ZmJjZThhYjFiZmRhZDNiZjExYzRjZDgwZjBcIixcIjEwMVwiOltcIjI2MmMzMjc0OTEyZGQyMmE3YWNkNjBjY2NhNTk3N2ZlXCIsXCI2YThjOTIxMmQ4MGJkZjE0MjJlZGUyODEyMmVkMTUzNlwiLFwiYmFjZGY0MjZhM2FlMGUxMjk1MTcyYTY5ZmJlNDA1NjlcIixcImJlNzEzYTgyZDc3YjgwZjg0YmI5Njg2NzU3MGFjNmQxXCIsXCI1OTc3Y2NhNGI1YmE2YmI5ZGQ2ZmM5MjYxMzYxN2E2OVwiLFwiOWNjNDAwOTgxM2FlZTE5MWI5OTI5NTg3ODcyNTNjM2ZcIixcIjEyZjkyYmFjODlmNTFkNjJhNDUwODA1NTBlMTgwM2M4XCIsXCIyYmNlNWE3NDJkZWQ1MDczN2JjYzdjM2UxZjYzMzkzNFwiXSxcIjEwMlwiOltcIjI2MmMzMjc0OTEyZGQyMmE3YWNkNjBjY2NhNTk3N2ZlXCIsXCI2YThjOTIxMmQ4MGJkZjE0MjJlZGUyODEyMmVkMTUzNlwiLFwiYmFjZGY0MjZhM2FlMGUxMjk1MTcyYTY5ZmJlNDA1NjlcIixcImJlNzEzYTgyZDc3YjgwZjg0YmI5Njg2NzU3MGFjNmQxXCIsXCI1OTc3Y2NhNGI1YmE2YmI5ZGQ2ZmM5MjYxMzYxN2E2OVwiLFwiOWNjNDAwOTgxM2FlZTE5MWI5OTI5NTg3ODcyNTNjM2ZcIixcIjEyZjkyYmFjODlmNTFkNjJhNDUwODA1NTBlMTgwM2M4XCIsXCIyYmNlNWE3NDJkZWQ1MDczN2JjYzdjM2UxZjYzMzkzNFwiXSxcIjEwM1wiOltcIjI2MmMzMjc0OTEyZGQyMmE3YWNkNjBjY2NhNTk3N2ZlXCIsXCI2YThjOTIxMmQ4MGJkZjE0MjJlZGUyODEyMmVkMTUzNlwiLFwiYmFjZGY0MjZhM2FlMGUxMjk1MTcyYTY5ZmJlNDA1NjlcIixcImJlNzEzYTgyZDc3YjgwZjg0YmI5Njg2NzU3MGFjNmQxXCIsXCI1OTc3Y2NhNGI1YmE2YmI5ZGQ2ZmM5MjYxMzYxN2E2OVwiLFwiOWNjNDAwOTgxM2FlZTE5MWI5OTI5NTg3ODcyNTNjM2ZcIixcIjEyZjkyYmFjODlmNTFkNjJhNDUwODA1NTBlMTgwM2M4XCIsXCIyYmNlNWE3NDJkZWQ1MDczN2JjYzdjM2UxZjYzMzkzNFwiXSxcIjk5XCI6W1wiMDEwNmMxMDdlMjI1ZGFkYzk5OTkxMzUwYjk0MzRlNzBcIixcIjAwMjNlMTdlMGVmOTQxNjVmNTUzYmZlNzRkNTlhNDIzXCIsXCIzZjE3OTVlMzNjMmZjYmFkMjc3NmU0OGVkYTk4YWQwMVwiLFwiYzU1NDVmOTRiM2IxM2NmNWI1NWZjYjI4ZGNmYzg0ZTBcIixcImFiNDE0Yjg3MTQ2ZmFmMTkwMWU5NDg1MzE4NTE2YTIyXCJdfSIsIjBlMDY2ZWU4MWM3Njc1ZGU2ZmQzYWM0YWU1Y2IyZmE0Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_5').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_5').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_5').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_5').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_5').val();gformInitSpinner( 5, 'https:\/\/saparish.com\/church\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [5, current_page]);window['gf_submitting_5'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_5').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_5').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [5]);window['gf_submitting_5'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_5').text());}else{jQuery('#gform_5').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"5\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_5\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_5\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_5\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 5, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":304,"parent":273,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"episode_type":"","audio_file":"","podmotor_file_id":"","podmotor_episode_id":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","filesize_raw":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","footnotes":""},"class_list":["post-303","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Religious Education Registration - St. Anthony of Padua Catholic Church<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Religious Education Registration - St. Anthony of Padua Catholic Church\" \/>\n<meta property=\"og:url\" content=\"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/\" \/>\n<meta property=\"og:site_name\" content=\"St. Anthony of Padua Catholic Church\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-28T16:23:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/saparish.com\/church\/wp-content\/uploads\/sites\/2\/2020\/08\/art-lasovsky-8XddFc6NkBY-unsplash.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2048\" \/>\n\t<meta property=\"og:image:height\" content=\"1536\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/\",\"url\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/\",\"name\":\"Religious Education Registration - St. Anthony of Padua Catholic Church\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/saparish.com\\\/church\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2020\\\/08\\\/art-lasovsky-8XddFc6NkBY-unsplash.jpg\",\"datePublished\":\"2020-08-13T20:09:07+00:00\",\"dateModified\":\"2023-02-28T16:23:09+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/#primaryimage\",\"url\":\"https:\\\/\\\/saparish.com\\\/church\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2020\\\/08\\\/art-lasovsky-8XddFc6NkBY-unsplash.jpg\",\"contentUrl\":\"https:\\\/\\\/saparish.com\\\/church\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2020\\\/08\\\/art-lasovsky-8XddFc6NkBY-unsplash.jpg\",\"width\":2048,\"height\":1536},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/religious-education-registration\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/saparish.com\\\/church\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Faith Formation\",\"item\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Faith Formation for Children\",\"item\":\"https:\\\/\\\/saparish.com\\\/church\\\/faith-formation\\\/faith-formation-for-children\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Religious Education Registration\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/#website\",\"url\":\"https:\\\/\\\/saparish.com\\\/church\\\/\",\"name\":\"St. Anthony of Padua Catholic Church\",\"description\":\"Grand Rapids, MI\",\"publisher\":{\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/saparish.com\\\/church\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/#organization\",\"name\":\"St. Anthony of Padua Catholic Church\",\"url\":\"https:\\\/\\\/saparish.com\\\/church\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/saparish.com\\\/church\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2022\\\/03\\\/b1879c959403aae54d48634d6241495b-1.jpe\",\"contentUrl\":\"https:\\\/\\\/saparish.com\\\/church\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2022\\\/03\\\/b1879c959403aae54d48634d6241495b-1.jpe\",\"width\":788,\"height\":298,\"caption\":\"St. Anthony of Padua Catholic Church\"},\"image\":{\"@id\":\"https:\\\/\\\/saparish.com\\\/church\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCJw1bLb5svj70907LkVBMJA\\\/featured\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Religious Education Registration - St. Anthony of Padua Catholic Church","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/","og_locale":"en_US","og_type":"article","og_title":"Religious Education Registration - St. Anthony of Padua Catholic Church","og_url":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/","og_site_name":"St. Anthony of Padua Catholic Church","article_modified_time":"2023-02-28T16:23:09+00:00","og_image":[{"width":2048,"height":1536,"url":"https:\/\/saparish.com\/church\/wp-content\/uploads\/sites\/2\/2020\/08\/art-lasovsky-8XddFc6NkBY-unsplash.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/","url":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/","name":"Religious Education Registration - St. Anthony of Padua Catholic Church","isPartOf":{"@id":"https:\/\/saparish.com\/church\/#website"},"primaryImageOfPage":{"@id":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/#primaryimage"},"image":{"@id":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/#primaryimage"},"thumbnailUrl":"https:\/\/saparish.com\/church\/wp-content\/uploads\/sites\/2\/2020\/08\/art-lasovsky-8XddFc6NkBY-unsplash.jpg","datePublished":"2020-08-13T20:09:07+00:00","dateModified":"2023-02-28T16:23:09+00:00","breadcrumb":{"@id":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/#primaryimage","url":"https:\/\/saparish.com\/church\/wp-content\/uploads\/sites\/2\/2020\/08\/art-lasovsky-8XddFc6NkBY-unsplash.jpg","contentUrl":"https:\/\/saparish.com\/church\/wp-content\/uploads\/sites\/2\/2020\/08\/art-lasovsky-8XddFc6NkBY-unsplash.jpg","width":2048,"height":1536},{"@type":"BreadcrumbList","@id":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/religious-education-registration\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/saparish.com\/church\/"},{"@type":"ListItem","position":2,"name":"Faith Formation","item":"https:\/\/saparish.com\/church\/faith-formation\/"},{"@type":"ListItem","position":3,"name":"Faith Formation for Children","item":"https:\/\/saparish.com\/church\/faith-formation\/faith-formation-for-children\/"},{"@type":"ListItem","position":4,"name":"Religious Education Registration"}]},{"@type":"WebSite","@id":"https:\/\/saparish.com\/church\/#website","url":"https:\/\/saparish.com\/church\/","name":"St. Anthony of Padua Catholic Church","description":"Grand Rapids, MI","publisher":{"@id":"https:\/\/saparish.com\/church\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/saparish.com\/church\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/saparish.com\/church\/#organization","name":"St. Anthony of Padua Catholic Church","url":"https:\/\/saparish.com\/church\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/saparish.com\/church\/#\/schema\/logo\/image\/","url":"https:\/\/saparish.com\/church\/wp-content\/uploads\/sites\/2\/2022\/03\/b1879c959403aae54d48634d6241495b-1.jpe","contentUrl":"https:\/\/saparish.com\/church\/wp-content\/uploads\/sites\/2\/2022\/03\/b1879c959403aae54d48634d6241495b-1.jpe","width":788,"height":298,"caption":"St. Anthony of Padua Catholic Church"},"image":{"@id":"https:\/\/saparish.com\/church\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.youtube.com\/channel\/UCJw1bLb5svj70907LkVBMJA\/featured"]}]}},"publishpress_future_action":{"enabled":false,"date":"2026-04-28 06:32:28","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/pages\/303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/comments?post=303"}],"version-history":[{"count":2,"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/pages\/303\/revisions"}],"predecessor-version":[{"id":3860,"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/pages\/303\/revisions\/3860"}],"up":[{"embeddable":true,"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/pages\/273"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/media\/304"}],"wp:attachment":[{"href":"https:\/\/saparish.com\/church\/wp-json\/wp\/v2\/media?parent=303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}