{"id":261,"date":"2015-02-23T11:22:21","date_gmt":"2015-02-23T19:22:21","guid":{"rendered":"http:\/\/sofn6.org\/arv\/?page_id=261"},"modified":"2015-02-23T11:22:21","modified_gmt":"2015-02-23T19:22:21","slug":"staff-emergency-contacts","status":"publish","type":"page","link":"https:\/\/sofn6.org\/arv\/staff-emergency-contacts\/","title":{"rendered":"Staff Emergency Contacts"},"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 gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_18' ><div id='gf_18' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Staff Emergency Contact<\/h2>\n                            <p class='gform_description'>Sons of Norway District Six Language and Heritage Camps<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_18' id='gform_18'  action='\/arv\/wp-json\/wp\/v2\/pages\/261#gf_18' data-formid='18' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_18_1\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_1' id='input_18_1' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='04\/27\/2026' \/><\/div><\/div><fieldset id=\"field_18_2\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Applicant Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><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_18_2'>\n                            \n                            <span id='input_18_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_18_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_18_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_18_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_18_11\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half 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' for='input_18_11'>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_11' id='input_18_11' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_18_11\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_18_11'>A copy of this completed form will be sent to this email address.<\/div><\/div><div id=\"field_18_96\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_96'>Birth 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_96' id='input_18_96' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_18_96_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_18_96_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_18_96' class='gform_hidden' value='https:\/\/sofn6.org\/arv\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_18_16\" class=\"gfield gfield--type-list gfield--input-type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Emergency Contacts<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Phone<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Relationship<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_16\" aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell2 gform-grid-col' data-label='Phone'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_16\" aria-label='Phone, Row 1' data-aria-label-template='Phone, Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell3 gform-grid-col' data-label='Relationship'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_16\" aria-label='Relationship, Row 1' data-aria-label-template='Relationship, Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 5)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 5)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_16'>Please provide one or more emergency contacts. Click on the \"+\" to add additional contact rows.<\/div><\/fieldset><div id=\"field_18_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_22'>Health Insurance Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_18_22' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_93\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_93'>Insurance Co. Toll Free Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_93' id='input_18_93' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_23'>Policy Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_18_23' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_18_98\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Prescription medications<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Medication<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Amount<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Frequency<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_98_cell1 gform-grid-col' data-label='Medication'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_98\" aria-label='Medication, Row 1' data-aria-label-template='Medication, Row {0}' type='text' name='input_98[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_98_cell2 gform-grid-col' data-label='Amount'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_98\" aria-label='Amount, Row 1' data-aria-label-template='Amount, Row {0}' type='text' name='input_98[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_98_cell3 gform-grid-col' data-label='Frequency'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_98\" aria-label='Frequency, Row 1' data-aria-label-template='Frequency, Row {0}' type='text' name='input_98[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_98'>Enter \"None\" in the Medication field if you take no prescription medications.\nPlease use the \"+\" at the right side to add rows for additional medications.<\/div><\/fieldset><div id=\"field_18_89\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>List all known allergies:<\/strong><\/p><\/div><fieldset id=\"field_18_90\" class=\"gfield gfield--type-list gfield--input-type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Medication allergies<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name of Medication:<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Describe reaction and management of the reaction.<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell1 gform-grid-col' data-label='Name of Medication:'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_90\" aria-label='Name of Medication:, Row 1' data-aria-label-template='Name of Medication:, Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_90_cell2 gform-grid-col' data-label='Describe reaction and management of the reaction.'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_90\" aria-label='Describe reaction and management of the reaction., Row 1' data-aria-label-template='Describe reaction and management of the reaction., Row {0}' type='text' name='input_90[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_90'>Enter \"None\" if you have no know medical allergies or wish not respond to this question. Click on the \"+\" to add additional medications. <\/div><\/fieldset><fieldset id=\"field_18_91\" class=\"gfield gfield--type-list gfield--input-type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Food allergies<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Food name:<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Describe reaction and management of the reaction:<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell1 gform-grid-col' data-label='Food name:'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_91\" aria-label='Food name:, Row 1' data-aria-label-template='Food name:, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_91_cell2 gform-grid-col' data-label='Describe reaction and management of the reaction:'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_91\" aria-label='Describe reaction and management of the reaction:, Row 1' data-aria-label-template='Describe reaction and management of the reaction:, Row {0}' type='text' name='input_91[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_91'>Enter \"None\" if you have  no know food allergies. Click on the \"+\" to add additional foods. <\/div><\/fieldset><fieldset id=\"field_18_92\" class=\"gfield gfield--type-list gfield--input-type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Other allergies<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Type of allergy:<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Describe reaction and management of the reaction.<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell1 gform-grid-col' data-label='Type of allergy:'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_92\" aria-label='Type of allergy:, Row 1' data-aria-label-template='Type of allergy:, Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_92_cell2 gform-grid-col' data-label='Describe reaction and management of the reaction.'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_18_92\" aria-label='Describe reaction and management of the reaction., Row 1' data-aria-label-template='Describe reaction and management of the reaction., Row {0}' type='text' name='input_92[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_92'>Include insect stings, hay fever, asthma, animal dander, poison oak\/ivy etc. Enter \"None\" if you have no know allergies. Click on the \"+\" to add additional items. <\/div><\/fieldset><div id=\"field_18_95\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_95'>COVID-19 vaccination date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_95' id='input_18_95' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_18_95_date_format gfield_description_18_95\" aria-invalid=\"false\" \/>\n                            <span id='input_18_95_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_18_95' class='gform_hidden' value='https:\/\/sofn6.org\/arv\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_18_95'>List second date if two-shot series or last booster.<\/div><\/div><div id=\"field_18_88\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >I give permission to the Sons of Norway District Six Language\/Heritage Camp to seek medical evaluation and authorize emergency medical treatment if I am unable to give permission. <\/div><div id=\"field_18_19\" class=\"gfield gfield--type-signature gfield--input-type-signature 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' for='input_18_19'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_19' id='input_18_19_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_18_19_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><canvas id='input_18_19' width='600' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/sofn6.org\/arv\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_18_19_toolbar' style='margin:5px 0;position:relative;height:20px;width:600px;max-width:100%;'><img id = 'input_18_19_resetbutton' 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