{"id":25873,"date":"2021-12-08T20:02:00","date_gmt":"2021-12-08T20:02:00","guid":{"rendered":"https:\/\/treefoundtexas.net\/?page_id=25873"},"modified":"2021-12-09T02:24:55","modified_gmt":"2021-12-09T02:24:55","slug":"t-r-e-e-foundation-student-enrollment-form","status":"publish","type":"page","link":"https:\/\/treefoundtexas.net\/?page_id=25873","title":{"rendered":"T.R.E.E. Foundation Student Enrollment Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"25873\" class=\"elementor elementor-25873\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ce0dbb9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ce0dbb9\" 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-1be05f5\" data-id=\"1be05f5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3eb5fbd elementor-widget elementor-widget-wpforms\" data-id=\"3eb5fbd\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"wpforms-container \" id=\"wpforms-25872\"><form id=\"wpforms-form-25872\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"25872\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F25873\" data-token=\"75abbec8faa40fa44c28d80460631476\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-25872-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_2\">Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-25872-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_3\">Which program you are enrolling into? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_3_1\" name=\"wpforms[fields][3][]\" value=\"After-School Program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_3_1\">After-School Program<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_3_2\" name=\"wpforms[fields][3][]\" value=\"Summer School Program \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_3_2\">Summer School Program <\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_3_5\" name=\"wpforms[fields][3][]\" value=\"Literacy Program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_3_5\">Literacy Program<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_3_4\" name=\"wpforms[fields][3][]\" value=\"Parent-Engagement Program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_3_4\">Parent-Engagement Program<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_3_6\" name=\"wpforms[fields][3][]\" value=\"S.T.E.A.M. (Science, Technology, Engineering, Art, and Math)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_3_6\">S.T.E.A.M. (Science, Technology, Engineering, Art, and Math)<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_4\">Child&#039;s 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-two-fifths\"><input type=\"text\" id=\"wpforms-25872-field_4\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][4][first]\" required><label for=\"wpforms-25872-field_4\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-25872-field_4-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][4][middle]\" ><label for=\"wpforms-25872-field_4-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-25872-field_4-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][4][last]\" required><label for=\"wpforms-25872-field_4-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-25872-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_5\">Child&#039;s Birth Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-25872-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_6\">Child&#039;s Age <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-25872-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_7\">Child&#039;s Gender <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Male\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_7_1\">Male<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_7_2\" name=\"wpforms[fields][7][]\" value=\"Female\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_7_2\">Female<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_8\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-25872-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_9\">City <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-25872-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_10\">State: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-25872-field_11-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_11\">Zip Code <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-25872-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_12\">Child&#039;s Race\/Ethnicity (Check all that apply)<\/label><ul id=\"wpforms-25872-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_12_1\" name=\"wpforms[fields][12][]\" value=\"American Indian or Alaska Native\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_12_1\">American Indian or Alaska Native<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_12_2\" name=\"wpforms[fields][12][]\" value=\"Native Hawaiian or Pacific Islander\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_12_2\">Native Hawaiian or Pacific Islander<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_12_3\" name=\"wpforms[fields][12][]\" value=\"Asian\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_12_3\">Asian<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_12_4\" name=\"wpforms[fields][12][]\" value=\"Black or African-American\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_12_4\">Black or African-American<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_12_5\" name=\"wpforms[fields][12][]\" value=\"White\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_12_5\">White<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_12_6\" name=\"wpforms[fields][12][]\" value=\"Other\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_12_6\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_14\">Is your child an English language learner? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_14_1\" name=\"wpforms[fields][14][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_14_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_14_2\" name=\"wpforms[fields][14][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_14_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_15-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_15\">Please list any language your child speaks at home. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-25872-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/textarea><\/div><div id=\"wpforms-25872-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_16\">Type of school your child attended this past school year: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_16_1\" name=\"wpforms[fields][16][]\" value=\"Public\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_16_1\">Public<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_16_2\" name=\"wpforms[fields][16][]\" value=\"Charter\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_16_2\">Charter<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_16_3\" name=\"wpforms[fields][16][]\" value=\"Private\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_16_3\">Private<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_16_5\" name=\"wpforms[fields][16][]\" value=\"Home\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_16_5\">Home<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_16_4\" name=\"wpforms[fields][16][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_16_4\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_17-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_17\">Grade child in now:<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-25872-field_18-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_18\">Does your child receive or qualify for reduced lunch price at school during the academic school year?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_18_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_18_2\" name=\"wpforms[fields][18][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_18_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_19\">Child&#039;s School: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-25872-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_20\">City: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/div><div id=\"wpforms-25872-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_21\">State:<\/label><input type=\"text\" id=\"wpforms-25872-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-25872-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_22\">Does your child have health insurance? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_22_1\" name=\"wpforms[fields][22][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_22_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_22_2\" name=\"wpforms[fields][22][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_22_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_23\">If yes, what is your child&#039;s health insurance carrier? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required><\/div><div id=\"wpforms-25872-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_24\">Has your child ever participated in Special Education or had a 504 Plan?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Yes, Special Ed\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_24_1\">Yes, Special Ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_24_2\" name=\"wpforms[fields][24][]\" value=\"Yes, 504\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_24_2\">Yes, 504<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_24_3\" name=\"wpforms[fields][24][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_24_3\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_25-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_25\">Has your child ever attended a T.R.E.E. Foundation summer program before? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_25_1\" name=\"wpforms[fields][25][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_25_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_25_2\" name=\"wpforms[fields][25][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_25_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_26\">If yes, how many years has your child participated in the T.R.E.E. Foundation summer program?<\/label><input type=\"text\" id=\"wpforms-25872-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/div><div id=\"wpforms-25872-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_28\">What are some strategies our program can use to best support your child&#039;s learning throughout the summer?  (Ex:  positive reinforcement, small groups)learning<\/label><textarea id=\"wpforms-25872-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" ><\/textarea><\/div><div id=\"wpforms-25872-field_29-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_29\">Does your child have any allergies or health conditions which we should be made aware of?  If yes, what? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-25872-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/textarea><\/div><div id=\"wpforms-25872-field_30-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_30\">Is there anything else that you would like to share about your child?<\/label><textarea id=\"wpforms-25872-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><\/textarea><\/div><div id=\"wpforms-25872-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_31\">Your child&#039;s t-shirt size? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/div><div id=\"wpforms-25872-field_32-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_32\">Name of adult completing this form: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-25872-field_32\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][32][first]\" required><label for=\"wpforms-25872-field_32\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-25872-field_32-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][32][middle]\" ><label for=\"wpforms-25872-field_32-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-25872-field_32-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][32][last]\" required><label for=\"wpforms-25872-field_32-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-25872-field_33-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_33\">Relation to the child: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_33_1\" name=\"wpforms[fields][33][]\" value=\"Parent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_33_1\">Parent<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_33_2\" name=\"wpforms[fields][33][]\" value=\"Grandparent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_33_2\">Grandparent<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_33_3\" name=\"wpforms[fields][33][]\" value=\"Other relative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_33_3\">Other relative<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_33_5\" name=\"wpforms[fields][33][]\" value=\"Guardian\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_33_5\">Guardian<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_33_4\" name=\"wpforms[fields][33][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_33_4\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_34-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_34\">Gender:<\/label><ul id=\"wpforms-25872-field_34\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_34_1\" name=\"wpforms[fields][34][]\" value=\"Male\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_34_1\">Male<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_34_2\" name=\"wpforms[fields][34][]\" value=\"Female\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_34_2\">Female<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_35-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_35\">Home Phone Number:<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" ><\/div><div id=\"wpforms-25872-field_36-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_36\">Cell Phone Number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><\/div><div id=\"wpforms-25872-field_37-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_37\">Work Phone Number:<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\" ><\/div><div id=\"wpforms-25872-field_38-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_38\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-25872-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-25872-field_39-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_39\">Alternate Email (If applicable)<\/label><input type=\"email\" id=\"wpforms-25872-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" ><\/div><div id=\"wpforms-25872-field_42-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_42\">How many people live in your household? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" required><\/div><div id=\"wpforms-25872-field_43-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_43\"># of children ages 6-18 years old: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" required><\/div><div id=\"wpforms-25872-field_44-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_44\"># of children 5 years old and under: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_44\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][44]\" required><\/div><div id=\"wpforms-25872-field_45-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_45\">Emergency Contact&#039;s 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-25872-field_45\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][45][first]\" required><label for=\"wpforms-25872-field_45\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-25872-field_45-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][45][last]\" required><label for=\"wpforms-25872-field_45-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-25872-field_46-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_46\">Is this emergency contact person authorized to pick up the child you enrolled in the program? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25872-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_46_1\" name=\"wpforms[fields][46][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_46_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-25872-field_46_2\" name=\"wpforms[fields][46][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25872-field_46_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-25872-field_47-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_47\">Emergency contact&#039;s home phone#:<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" ><\/div><div id=\"wpforms-25872-field_48-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_48\">Emergency contact&#039;s cell phone#: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-25872-field_48\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][48]\" required><\/div><div id=\"wpforms-25872-field_49-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_49\">Emergency Contact&#039;s Email: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-25872-field_49\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][49]\" required><\/div><div id=\"wpforms-25872-field_52-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_52\">List other adults, their relationship to the child and their cell phone number who are authorized to pick up the child you enrolled in the program: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-25872-field_52\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][52]\" required><\/textarea><\/div><div id=\"wpforms-25872-field_53-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_53\">In case of an emergency, I give permission for any of the adults who I listed on this form as authorized to pick up the enrolled child to be contacted and released to any of them.<\/label><input type=\"text\" id=\"wpforms-25872-field_53\" class=\"wpforms-field-medium\" name=\"wpforms[fields][53]\" ><\/div><div id=\"wpforms-25872-field_54-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_54\">Parent\/Other Adult Caregiver Signature:<\/label><input type=\"text\" id=\"wpforms-25872-field_54\" class=\"wpforms-field-medium\" name=\"wpforms[fields][54]\" ><\/div><div id=\"wpforms-25872-field_55-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_55\">Date: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_55\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][55]\" required><\/div><div id=\"wpforms-25872-field_56-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_56\">I understand that T.R.E.E. Foundation is enrolling my child in the program in partnership with community organizations to offer this summer program.  This personal information will be kept private and confidential and will only be shared to collect demographic information on children served and to report out this information in aggregate form.<\/label><input type=\"text\" id=\"wpforms-25872-field_56\" class=\"wpforms-field-medium\" name=\"wpforms[fields][56]\" ><\/div><div id=\"wpforms-25872-field_57-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_57\">Parent\/Guardian Signature:<\/label><input type=\"text\" id=\"wpforms-25872-field_57\" class=\"wpforms-field-medium\" name=\"wpforms[fields][57]\" ><\/div><div id=\"wpforms-25872-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-25872-field_58\">Date: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25872-field_58\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][58]\" required><\/div><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"25872\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-25872\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/treefoundtexas.net\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9667c9 elementor-widget elementor-widget-text-editor\" data-id=\"f9667c9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.5.0 - 12-12-2021 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h4>***Email completed and signed form to lashanda.davis@treefoundtexas.net***<\/h4>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f2648f elementor-widget elementor-widget-text-editor\" data-id=\"9f2648f\" 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<h5>The student&#8217;s latest report card must be submitted with this application.<\/h5>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>***Email completed and signed form to lashanda.davis@treefoundtexas.net*** The student&#8217;s latest report card must be submitted with this application.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-25873","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=\/wp\/v2\/pages\/25873","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25873"}],"version-history":[{"count":7,"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=\/wp\/v2\/pages\/25873\/revisions"}],"predecessor-version":[{"id":25901,"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=\/wp\/v2\/pages\/25873\/revisions\/25901"}],"wp:attachment":[{"href":"https:\/\/treefoundtexas.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}