{"id":4334,"date":"2017-08-09T10:23:38","date_gmt":"2017-08-09T15:23:38","guid":{"rendered":"http:\/\/www.sixthavebaptist.com\/?page_id=4334"},"modified":"2023-08-28T23:46:56","modified_gmt":"2023-08-28T23:46:56","slug":"childrens-church-registration","status":"publish","type":"page","link":"https:\/\/sixthavebaptist.com\/new_staging\/childrens-church-registration\/","title":{"rendered":"Children&#8217;s Church Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4334\" class=\"elementor elementor-4334\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5b6b9141 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"5b6b9141\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-54a9d059\" data-id=\"54a9d059\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-106b2523 elementor-widget elementor-widget-text-editor\" data-id=\"106b2523\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>Please complete one form,<\/em> <strong>PER CHILD<\/strong>. Contact: <em><strong><a href=\"mailto:lwatkins@sixthavebaptist.org\">lwatkins@sixthavebaptist.org<\/a><\/strong><\/em><\/p><p><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 gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_29' ><div id='gf_29' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_29'  action='\/new_staging\/wp-json\/wp\/v2\/pages\/4334#gf_29' data-formid='29' novalidate>\n        <div id='gf_progressbar_wrapper_29' class='gf_progressbar_wrapper'>\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>\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:#ffffff; background-color:#9E2A37;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_29_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_29' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_29_1\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_1\"><label class='gfield_label gform-field-label' for='input_29_1' >Child&#039;s Full Name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_29_1' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_29_2\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_2\"><label class='gfield_label gform-field-label' for='input_29_2' >Age \/ Gender \/ Grade<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_29_2' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_29_4\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_4\"><label class='gfield_label gform-field-label' for='input_29_4' >Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_29_4' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_29_4_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_29_4_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_29_4' class='gform_hidden' value='https:\/\/sixthavebaptist.com\/new_staging\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_29_5\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_5\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_29_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_29_5_1_container' >\n                                        <input type='text' name='input_5.1' id='input_29_5_1' value=''    aria-required='false'    \/>\n                                        <label for='input_29_5_1' id='input_29_5_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_29_5_3_container' >\n                                    <input type='text' name='input_5.3' id='input_29_5_3' value=''    aria-required='false'    \/>\n                                    <label for='input_29_5_3' id='input_29_5_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_5.4' id='input_29_5_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_29_5_5_container' >\n                                    <input type='text' name='input_5.5' id='input_29_5_5' value=''    aria-required='false'    \/>\n                                    <label for='input_29_5_5' id='input_29_5_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_5.6' id='input_29_5_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_29_6\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_6\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Has your child been baptized?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_6'><li class='gchoice gchoice_29_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='Yes'  id='choice_29_6_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_6_1' id='label_29_6_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_6_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.2' type='checkbox'  value='No'  id='choice_29_6_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_6_2' id='label_29_6_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_7\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_7\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Is your child a member of Sixth Avenue Baptist Church?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_7'><li class='gchoice gchoice_29_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Yes'  id='choice_29_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_7_1' id='label_29_7_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='No'  id='choice_29_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_7_2' id='label_29_7_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_29_9' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_29\").val(\"2\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_29\").val(\"2\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_2' class='gform_page' data-js='page-field-id-9' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_29_10\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_10\"><h2 class=\"gsection_title\">Mother \/ Guardian Information<\/h2><\/li><li id=\"field_29_11\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_11\"><label class='gfield_label gform-field-label' for='input_29_11' >Name<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_29_11' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_29_12\"  class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_12\"><label class='gfield_label gform-field-label' for='input_29_12' >Best Contact Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_29_12' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_14\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_14\"><label class='gfield_label gform-field-label' for='input_29_14' >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_14' id='input_29_14' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_29_15\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_15\"><h2 class=\"gsection_title\">Father \/ Guardian Information:<\/h2><\/li><li id=\"field_29_16\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_16\"><label class='gfield_label gform-field-label' for='input_29_16' >Name<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_29_16' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_29_17\"  class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_17\"><label class='gfield_label gform-field-label' for='input_29_17' >Best Contact Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_29_17' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_19\"  class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_19\"><label class='gfield_label gform-field-label' for='input_29_19' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_29_19' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_29_20' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_29\").val(\"1\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_29\").val(\"1\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_29_20' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_29\").val(\"3\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_29\").val(\"3\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_3' class='gform_page' data-js='page-field-id-20' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_29_21\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_21\"><h2 class=\"gsection_title\">Emergency and Medical Information<\/h2><\/li><li id=\"field_29_22\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_22\"><label class='gfield_label gform-field-label' for='input_29_22' >In case of an emergency contact<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_29_22' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_29_24\"  class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_24\"><label class='gfield_label gform-field-label' for='input_29_24' >Best Contact Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_29_24' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_35\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_35\"><h2 class=\"gsection_title\">ALLERGIES \/ MEDICAL CONDITIONS<\/h2><div class='gsection_description' id='gfield_description_29_35'>Does your child have any allergies or medical condition(s) that we should be aware of?\n(Please be advised that we are not allowed to dispense medications):<\/div><\/li><li id=\"field_29_39\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_39\"><label class='gfield_label gform-field-label' for='input_29_39' >Please list any current \/ historical allergies OR medical conditions<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_39' id='input_29_39' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_29_30' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_29\").val(\"2\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_29\").val(\"2\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_29_30' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_29\").val(\"4\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_29\").val(\"4\");  jQuery(\"#gform_29\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_4' class='gform_page' data-js='page-field-id-30' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_29_46\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_46\"><h2 class=\"gsection_title\">PHOTO RELEASE AGREEMENT<\/h2><\/li><li id=\"field_29_48\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_48\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Please CHECK one statement below:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_48'><li class='gchoice gchoice_29_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='I authorize Sixth Avenue Baptist Church to use my child\u2019s photo or likeness on the church\u2019s website , printed publications and\/or video'  id='choice_29_48_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_48_1' id='label_29_48_1' class='gform-field-label gform-field-label--type-inline'>I authorize Sixth Avenue Baptist Church to use my child\u2019s photo or likeness on the church\u2019s website , printed publications and\/or video<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_48_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.2' type='checkbox'  value='I DO NOT authorize Sixth Avenue Baptist Church to use my child\u2019s photo or likeness on the church\u2019s website printed publications and\/or video.'  id='choice_29_48_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_48_2' id='label_29_48_2' class='gform-field-label gform-field-label--type-inline'>I DO NOT authorize Sixth Avenue Baptist Church to use my child\u2019s photo or likeness on the church\u2019s website printed publications and\/or video.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_47\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_47\"><h2 class=\"gsection_title\">Parents\/Guardian Signature<\/h2><div class='gsection_description' id='gfield_description_29_47'>.<\/div><\/li><li id=\"field_29_45\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_45\"><label class='gfield_label gform-field-label' for='input_29_45' >PRINTED NAME<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_29_45' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_29_34\"  class=\"gfield gfield--type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_29_34\"><label class='gfield_label gform-field-label screen-reader-text' for='input_29_34' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_29_34_Container' class='gfield_signature_container ginput_container' style='height:180px; width:650px; ' ><input type='hidden' class='gform_hidden' name='input_29_34_valid' id='input_29_34_valid' 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