{"id":11691,"date":"2022-01-27T16:24:13","date_gmt":"2022-01-28T00:24:13","guid":{"rendered":"https:\/\/www.lmvna.org\/?page_id=11691"},"modified":"2022-01-27T16:24:51","modified_gmt":"2022-01-28T00:24:51","slug":"registration","status":"publish","type":"page","link":"https:\/\/www.lmvna.org\/es\/grief\/registration\/","title":{"rendered":"Grief Registration Form"},"content":{"rendered":"<div     class=\"vc_row wpb_row section vc_row-fluid  grid_section\" style=' text-align:left;'><div class=\"section_inner clearfix\"><div class='section_inner_margin clearfix'><div class=\"wpb_animate_when_almost_visible wpb_slideInRight slideInRight wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_empty_space\"   style=\"height: 60px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h2 style=\"text-align: center;\">Formulario de registro de apoyo al duelo<\/h2>\n\n\t\t<\/div> \n\t<\/div> <div class=\"vc_empty_space\"   style=\"height: 5px\"><span class=\"vc_empty_space_inner\"><\/span><\/div><div class=\"separator titleborder small left\" style=\"border-color: #92c1e9;border-width:11px;width:250px;margin-top:30px;margin-bottom:30px\"><\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div     class=\"vc_row wpb_row section vc_row-fluid\" style=' text-align:left;'><div class=\"full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gf_stylespro_wrapper sp_flat_wrapper' id='gform_wrapper_28' ><form method='post' enctype='multipart\/form-data'  id='gform_28' class='gf_stylespro sp_flat' action='\/es\/wp-json\/wp\/v2\/pages\/11691' data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/11691\" ><input type=\"hidden\" autocomplete=\"off\" autocorrect=\"off\" name=\"U-r-xeCMMF-Qk-AK-JY-T\" value=\"\" \/> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform_body gform-body'><div id='gform_fields_28' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_28_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_28_1\"><legend class='gfield_label gfield_label_before_complex'  >Nombre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_28_1'>\n                            \n                            <span id='input_28_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_28_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_28_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_28_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_28_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_28_2\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_28_2\"><label class='gfield_label' for='input_28_2' >Tel\u00e9fono<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_28_2' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_28_2\"  \/><\/div><div class='gfield_description' id='gfield_description_28_2'>(###) ###-####<\/div><\/div><div id=\"field_28_3\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_28_3\"><label class='gfield_label' for='input_28_3' >Correo electr\u00f3nico<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_28_3' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_28_5\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gf_list_2col o_medium\"  data-field-class=\"gf_list_2col o_medium\" data-js-reload=\"field_28_5\"><legend class='gfield_label'  >Seleccione un grupo de apoyo para el duelo<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_5'>\n\t\t\t<div class='gchoice gchoice_28_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Adult Loss of Parent'  id='choice_28_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_0' id='label_28_5_0'>P\u00e9rdida adulta de los padres<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='General Bereavement - Tuesdays (In-Person, Ojai)'  id='choice_28_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_1' id='label_28_5_1'>General Bereavement - Tuesdays (In-Person, Ojai)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='General Bereavement - Wednesdays (In-Person, Ventura)'  id='choice_28_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_2' id='label_28_5_2'>General Bereavement - Wednesdays (In-Person, Ventura)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Good Grief Club'  id='choice_28_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_3' id='label_28_5_3'>Buen club del duelo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Survivors of Suicide Loss Grief Support'  id='choice_28_5_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_4' id='label_28_5_4'>Apoyo para el duelo por p\u00e9rdidas por suicidio<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Living Life Widowed'  id='choice_28_5_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_5' id='label_28_5_5'>Viviendo la vida viudo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Leisure Village Grief Support Group'  id='choice_28_5_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_6' id='label_28_5_6'>Leisure Village Grief Support Group<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Loss of Spouse or Partner (Tuesdays)'  id='choice_28_5_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_7' id='label_28_5_7'>Loss of Spouse or Partner (Tuesdays)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Loss of Spouse or Partner (Wednesdays)'  id='choice_28_5_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_8' id='label_28_5_8'>Loss of Spouse or Partner (Wednesdays)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_5_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Loss of Spouse or Partner (Thursdays)'  id='choice_28_5_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_5_9' id='label_28_5_9'>Loss of Spouse or Partner (Thursdays)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_28_7\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gf_list_3col gfsp_dot o_medium\"  data-field-class=\"gf_list_3col gfsp_dot o_medium\" data-js-reload=\"field_28_7\"><legend class='gfield_label gfield_label_before_complex'  >\u00bfC\u00f3mo se enter\u00f3 de nuestros grupos de duelo?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_28_7'><div class='gchoice gchoice_28_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Newspaper\/Magazine'  id='choice_28_7_1'   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name=\"trp-form-language\" value=\"es\"\/><\/form>\n                        <\/div><div class=\"vc_empty_space\"   style=\"height: 32px\"><span class=\"vc_empty_space_inner\"><\/span><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"Grief Support Registration Form Name(Required) First Last Phone(Required)(###) ###-####Email(Required) Please Select Grief Support Group(Required) Adult Loss of Parent General Bereavement - Tuesdays (In-Person, Ojai) General Bereavement - Wednesdays (In-Person, Ventura) Good Grief Club Survivors of Suicide Loss Grief Support Living Life Widowed Leisure Village Grief...","protected":false},"author":6,"featured_media":0,"parent":665,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-11691","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/pages\/11691"}],"collection":[{"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/comments?post=11691"}],"version-history":[{"count":1,"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/pages\/11691\/revisions"}],"predecessor-version":[{"id":11692,"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/pages\/11691\/revisions\/11692"}],"up":[{"embeddable":true,"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/pages\/665"}],"wp:attachment":[{"href":"https:\/\/www.lmvna.org\/es\/wp-json\/wp\/v2\/media?parent=11691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}