{"id":10429,"date":"2020-09-05T12:59:18","date_gmt":"2020-09-05T16:59:18","guid":{"rendered":"http:\/\/www.bruu.org\/?page_id=10429"},"modified":"2021-08-28T12:28:02","modified_gmt":"2021-08-28T16:28:02","slug":"religious-education-children-registration-form","status":"publish","type":"page","link":"https:\/\/bruu.org\/test20221220\/religious-education-children-registration-form\/","title":{"rendered":"RE Registration Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f10426-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/test20221220\/wp-json\/wp\/v2\/pages\/10429#wpcf7-f10426-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"10426\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f10426-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div style=\"display:none;\">\n<!-- These hidden fields are used in the email messages -->\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"owner-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"dre@bruu.org\" type=\"email\" name=\"owner-email\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"owner-title\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"Religious Education Director, BRUU\" type=\"text\" name=\"owner-title\" \/><\/span><br \/>\n[your-subject \"BRUU Religious Education\"]\n\t<\/p>\n<\/div>\n<p>&nbsp\n<\/p>\n<legend>FAMILY REGISTRATION 2021-2022\n<\/legend>\n<fieldset>\n\t<legend>Parent\/Guardian 1\n\t<\/legend>\n\t<p><label><span class=\"cls-field-label\">Parent\/Guardian Name*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"parent-name\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Parent\/Guardian Name\" value=\"\" type=\"text\" name=\"parent-name\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Address*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult1-address\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Address\" value=\"\" type=\"text\" name=\"adult1-address\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Preferred Phone*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult1-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Home phone\" value=\"\" type=\"tel\" name=\"adult1-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Alternate Phone<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult1-alt-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Alternate Phone\" value=\"\" type=\"tel\" name=\"adult1-alt-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Email*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult1-email\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"adult1-email\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><span>Preferred Communication Method: <span class=\"wpcf7-form-control-wrap\" data-name=\"adult1-commethod-radio-186\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"communication-method\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"adult1-commethod-radio-186\" value=\"email\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">email<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"adult1-commethod-radio-186\" value=\"text\" \/><span class=\"wpcf7-list-item-label\">text<\/span><\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>This is the Child(ren)'s Primary Address:<span class=\"wpcf7-form-control-wrap\" data-name=\"adult1-primary-address-radio-452\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"children-primary-address\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"adult1-primary-address-radio-452\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"adult1-primary-address-radio-452\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend>Parent\/Guardian 2\n\t<\/legend>\n\t<p><label><span class=\"cls-field-label\">Parent\/Guardian Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"parent-name2\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Parent\/Guardian Name\" value=\"\" type=\"text\" name=\"parent-name2\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Address<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult2-address\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Address\" value=\"\" type=\"text\" name=\"adult2-address\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Preferred Phone<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult2-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Home phone\" value=\"\" type=\"tel\" name=\"adult2-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Alternate Phone<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult2-alt-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Alternate Phone\" value=\"\" type=\"tel\" name=\"adult2-alt-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Email<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult2-email\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"adult2-email\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><span>Preferred Communication Method: <span class=\"wpcf7-form-control-wrap\" data-name=\"adult2-commethod-radio-187\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adult2-communication-method\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"adult2-commethod-radio-187\" value=\"email\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">email<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"adult2-commethod-radio-187\" value=\"text\" \/><span class=\"wpcf7-list-item-label\">text<\/span><\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>This is the Child(ren)'s Primary Address:<span class=\"wpcf7-form-control-wrap\" data-name=\"adult2-primary-address-radio-453\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adult2-children-primary-address\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"adult2-primary-address-radio-453\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"adult2-primary-address-radio-453\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend>Parent\/Guardian 3\n\t<\/legend>\n\t<p><label><span class=\"cls-field-label\">Parent\/Guardian Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"parent-name3\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Parent\/Guardian Name\" value=\"\" type=\"text\" name=\"parent-name3\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Address<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult3-address\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Address\" value=\"\" type=\"text\" name=\"adult3-address\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Preferred Phone<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult3-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Home phone\" value=\"\" type=\"tel\" name=\"adult3-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Alternate Phone<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult3-alt-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Alternate Phone\" value=\"\" type=\"tel\" name=\"adult3-alt-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Email<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult3-email\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"adult3-email\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><span>Preferred Communication Method: <span class=\"wpcf7-form-control-wrap\" data-name=\"adult3-commethod-radio-188\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adult3-communication-method\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"adult3-commethod-radio-188\" value=\"email\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">email<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"adult3-commethod-radio-188\" value=\"text\" \/><span class=\"wpcf7-list-item-label\">text<\/span><\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>This is the Child(ren)'s Primary Address:<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-454\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adult3-primary-address\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-454\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-454\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend>Parent\/Guardian 4\n\t<\/legend>\n\t<p><label><span class=\"cls-field-label\">Parent\/Guardian Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"parent-name4\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Parent\/Guardian Name\" value=\"\" type=\"text\" name=\"parent-name4\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Address<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult4-address\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Address\" value=\"\" type=\"text\" name=\"adult4-address\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Preferred Phone<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult4-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Home phone\" value=\"\" type=\"tel\" name=\"adult4-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Alternate Phone<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult4-alt-phone\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Alternate Phone\" value=\"\" type=\"tel\" name=\"adult4-alt-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Email<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"adult4-email\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"adult4-email\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><span>Preferred Communication Method: <span class=\"wpcf7-form-control-wrap\" data-name=\"adult4-commethod-radio-189\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adult3-communication-method\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"adult4-commethod-radio-189\" value=\"email\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">email<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"adult4-commethod-radio-189\" value=\"text\" \/><span class=\"wpcf7-list-item-label\">text<\/span><\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>This is the Child(ren)'s Primary Address:<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-455\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adult4-primary-address\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-455\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-455\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend><br \/>\nList Persons NOT permitted to pick up:\n\t<\/legend>\n\t<p>A copy of the Court Order is required to be on file with DRE to enforce.\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Name1<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"nopickup-name1\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"No Pickup Name1\" value=\"\" type=\"text\" name=\"nopickup-name1\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Relation1<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"nopickup-relation1\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"relation1\" value=\"\" type=\"text\" name=\"nopickup-relation1\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Name2<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"nopickup-name2\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"No Pickup Name2\" value=\"\" type=\"text\" name=\"nopickup-name2\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Relation2<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"nopickup-relation2\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"relation2\" value=\"\" type=\"text\" name=\"nopickup-relation2\" \/><\/span> <\/label>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend>Child #1\n\t<\/legend>\n\t<p><label><span class=\"cls-field-label\">First Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"firstname1\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"first name\" value=\"\" type=\"text\" name=\"firstname1\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Last Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"lastname1\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"last name\" value=\"\" type=\"text\" name=\"lastname1\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Preferred Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"preferredname1\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"preferred name\" value=\"\" type=\"text\" name=\"preferredname1\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Birthdate<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"birthdate1\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birthdate1\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Grade as of Sept 2021<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"grade1\"><input size=\"10\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"grade1\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Special Needs: Health\/Diet <\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"diet-textarea-897\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"child1-diet\" aria-invalid=\"false\" name=\"diet-textarea-897\"><\/textarea><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Anything we need to know?<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"other-textarea-894\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"child1-concerns\" aria-invalid=\"false\" name=\"other-textarea-894\"><\/textarea><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Schedule a private appointment with the DRE to discuss?<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"appt-checkbox-798\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"child1-appt\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"appt-checkbox-798[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span><\/label>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend>Child #2\n\t<\/legend>\n\t<p><label><span class=\"cls-field-label\">First Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"firstname2\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"first name\" value=\"\" type=\"text\" name=\"firstname2\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Last Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"lastname2\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"last name\" value=\"\" type=\"text\" name=\"lastname2\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Preferred Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"preferredname2\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"preferred name\" value=\"\" type=\"text\" name=\"preferredname2\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Birthdate<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"birthdate2\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birthdate2\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Grade as of Sept 2021<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"grade2\"><input size=\"10\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"grade2\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Special Needs: Health\/Diet <\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"diet-textarea-898\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"child2-diet\" aria-invalid=\"false\" name=\"diet-textarea-898\"><\/textarea><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Anything we need to know?<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"other-textarea-895\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"child2-concerns\" aria-invalid=\"false\" name=\"other-textarea-895\"><\/textarea><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Schedule a private appointment with the DRE to discuss?<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"appt-checkbox-799\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"child2-appt\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"appt-checkbox-799[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span><\/label>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend>Child #3\n\t<\/legend>\n\t<p><label><span class=\"cls-field-label\">First Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"firstname3\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"first name\" value=\"\" type=\"text\" name=\"firstname3\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Last Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"lastname3\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"last name\" value=\"\" type=\"text\" name=\"lastname3\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Preferred Name<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"preferredname3\"><input size=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"preferred name\" value=\"\" type=\"text\" name=\"preferredname3\" \/><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Birthdate<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"birthdate3\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birthdate3\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Grade as of Sept 2021<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"grade3\"><input size=\"10\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"grade3\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Special Needs: Health\/Diet <\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"diet-textarea-899\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"child3-diet\" aria-invalid=\"false\" name=\"diet-textarea-899\"><\/textarea><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Anything we need to know?<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"other-textarea-896\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"child3-concerns\" aria-invalid=\"false\" name=\"other-textarea-896\"><\/textarea><\/span><\/label>\n\t<\/p>\n\t<p><label><span class=\"cls-field-label\">Schedule a private appointment with the DRE to discuss?<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"appt-checkbox-800\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"child3-appt\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"appt-checkbox-800[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span><\/label>\n\t<\/p>\n<\/fieldset>\n<p>May we have permission to use photographs\/videos of your child(ren) for the purpose of public relations and general publicity for BRUU? Children will NOT be identified by name. <span class=\"wpcf7-form-control-wrap\" data-name=\"radio-749\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"photos-allowed\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-749\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-749\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p>By submitting this form, I understand that there are risks associated by voluntary participation. I agree to hold harmless Bull Run Unitarian Universalists, its staff, volunteers, and representatives from outcomes that may result by participation.\n<\/p>\n<p>If medical attention is needed during participation, I consent to BRUU\u2019s representatives to provide care and make decisions in my absence. I agree to be financially responsible for any costs related to that treatment.\n<\/p>\n<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p><a href=\"https:\/\/bruu.org\/test20221220\/wp-content\/uploads\/2017\/11\/REK-12.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-5683 size-full\" src=\"https:\/\/bruu.org\/test20221220\/wp-content\/uploads\/2017\/11\/REK-12.jpg\" alt=\"\" width=\"276\" height=\"182\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\">\n<p>[your-subject &#8220;BRUU Religious Education&#8221;]\n\t<\/p>\n<p>&#038;nbsp\n<\/p>\n<p>FAMILY REGISTRATION 2021-2022<\/p>\n<p>\tParent\/Guardian 1<\/p>\n<p>Parent\/Guardian Name*\n\t<\/p>\n<p>Address*\n\t<\/p>\n<p>Preferred Phone*\n\t<\/p>\n<p>Alternate Phone\n\t<\/p>\n<p>Email*\n\t<\/p>\n<p>Preferred Communication Method: emailtext\n\t<\/p>\n<p>This is the Child(ren)&#8217;s Primary Address:YesNo\n\t<\/p>\n<p>\tParent\/Guardian 2<\/p>\n<p>Parent\/Guardian Name\n\t<\/p>\n<p>Address\n\t<\/p>\n<p>Preferred Phone\n\t<\/p>\n<p>Alternate Phone  <a href=\"https:\/\/bruu.org\/test20221220\/religious-education-children-registration-form\/\"><strong>&#8230; read more<\/strong>.<\/a><\/p>\n","protected":false},"author":24,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.1 - 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