{"id":41,"date":"2021-01-23T23:26:17","date_gmt":"2021-01-23T23:26:17","guid":{"rendered":"http:\/\/kingspointedaycare.com\/?page_id=41"},"modified":"2021-04-04T07:30:08","modified_gmt":"2021-04-04T07:30:08","slug":"forms","status":"publish","type":"page","link":"http:\/\/kingspointedaycare.com\/index.php\/forms\/","title":{"rendered":"Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-105\"><form id=\"wpforms-form-105\" class=\"wpforms-validate wpforms-form\" data-formid=\"105\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/41\" data-token=\"aed1cc197aa2816276bcf239290aa596\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Registration Form<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-105-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_3\">Name of Child <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-105-field_3\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-105-field_3-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-105-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_5\">Child&#039;s Birthday (D\/M\/Y)<\/label><input type=\"text\" id=\"wpforms-105-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" ><\/div><div id=\"wpforms-105-field_16-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_16\">Gender<\/label><select id=\"wpforms-105-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\"><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><\/div><div id=\"wpforms-105-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_6\">Alberta Health Card #<\/label><input type=\"text\" id=\"wpforms-105-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-105-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_7\">Starting Date  (D\/M\/Y)<\/label><input type=\"text\" id=\"wpforms-105-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-105-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_8\">Child&#039;s Address<\/label><input type=\"text\" id=\"wpforms-105-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-105-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_9\">Required Hrs of Service   (from..to...)<\/label><input type=\"text\" id=\"wpforms-105-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-105-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_11\">Parent\/Guardian Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" required><label for=\"wpforms-105-field_11\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" required><label for=\"wpforms-105-field_11-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-105-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_18\">Relationship to Child <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/div><div id=\"wpforms-105-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_13\">Home Address with Postal Code <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-105-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_14\">Phone Number<\/label><input type=\"text\" id=\"wpforms-105-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-105-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_15\">Employers Name and Address<\/label><input type=\"text\" id=\"wpforms-105-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" ><\/div><div id=\"wpforms-105-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_19\">Work Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-105-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_20\">Cell Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/div><div id=\"wpforms-105-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_21\">Email Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><\/div><div id=\"wpforms-105-field_22-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_22\">Parent\/Guardian Name (copy) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_22\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][22][first]\" required><label for=\"wpforms-105-field_22\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_22-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][22][last]\" required><label for=\"wpforms-105-field_22-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-105-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_23\">Relationship to Child  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required><\/div><div id=\"wpforms-105-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_24\">Home Address with Postal Code  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required><\/div><div id=\"wpforms-105-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_25\">Phone Number <\/label><input type=\"text\" id=\"wpforms-105-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-105-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_27\">Employers Name and Address <\/label><input type=\"text\" id=\"wpforms-105-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" ><\/div><div id=\"wpforms-105-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_28\">Work Phone  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required><\/div><div id=\"wpforms-105-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_29\">Cell Phone  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/div><div id=\"wpforms-105-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_30\">Email Address  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-105-field_32-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_32\">Emergency Contact (Persons Daycare Staff can release child to) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_32\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][32][first]\" required><label for=\"wpforms-105-field_32\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_32-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][32][last]\" required><label for=\"wpforms-105-field_32-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-105-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_33\">Relationship to Child   <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" required><\/div><div id=\"wpforms-105-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_34\">Home Address with Postal Code  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div><div id=\"wpforms-105-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_35\">Phone Number  <\/label><input type=\"text\" id=\"wpforms-105-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" ><\/div><div id=\"wpforms-105-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_36\">Work Phone   <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><\/div><div id=\"wpforms-105-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_37\">Cell Phone  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-105-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_38\">Email Address  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-105-field_39-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_39\">Emergency Contact (Persons Daycare Staff can release child to)  <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_39\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][39][first]\" required><label for=\"wpforms-105-field_39\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-105-field_39-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][39][last]\" required><label for=\"wpforms-105-field_39-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-105-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_40\">Relationship to Child   <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_40\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][40]\" required><\/div><div id=\"wpforms-105-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_41\">Home Address with Postal Code  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_41\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][41]\" required><\/div><div id=\"wpforms-105-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_42\">Phone Number  <\/label><input type=\"text\" id=\"wpforms-105-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\" ><\/div><div id=\"wpforms-105-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_43\">Work Phone   <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" required><\/div><div id=\"wpforms-105-field_44-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_44\">Cell Phone   <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_44\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][44]\" required><\/div><div id=\"wpforms-105-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-105-field_45\">Email Address  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-105-field_45\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][45]\" required><\/div><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"105\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-105\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-full-width.php","meta":[],"_links":{"self":[{"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/pages\/41"}],"collection":[{"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/comments?post=41"}],"version-history":[{"count":4,"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/pages\/41\/revisions"}],"predecessor-version":[{"id":109,"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/pages\/41\/revisions\/109"}],"wp:attachment":[{"href":"http:\/\/kingspointedaycare.com\/index.php\/wp-json\/wp\/v2\/media?parent=41"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}