{"id":217,"date":"2019-10-02T20:26:38","date_gmt":"2019-10-02T20:26:38","guid":{"rendered":"http:\/\/pandawebsites.site\/?page_id=217"},"modified":"2021-02-18T19:14:46","modified_gmt":"2021-02-18T19:14:46","slug":"registration","status":"publish","type":"page","link":"https:\/\/pyramidlearningacademy.com\/index.php\/registration\/","title":{"rendered":"REGISTRATION"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"217\" class=\"elementor elementor-217\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\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-6eb9665 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6eb9665\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a8432bb\" data-id=\"a8432bb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aef8b0d elementor-widget elementor-widget-heading\" data-id=\"aef8b0d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Child Application Form<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-682762d elementor-widget elementor-widget-text-editor\" data-id=\"682762d\" 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<div class=\"elementor-text-editor elementor-clearfix\"><p>This section is to completed by the Child&#8217;s guardian or parents.\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cb027b elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"1cb027b\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Employment Application Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"217\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1cb027b\"\/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_0c88e44 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 1\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">Email<\/label><input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">Child's Full Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Enter Full Name Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_37ad5e8 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_37ad5e8\" class=\"elementor-field-label\">Nickname<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_37ad5e8]\" id=\"form-field-field_37ad5e8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nickname Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_9a981c8 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_9a981c8\" class=\"elementor-field-label\">Date Of Birth<\/label><input type=\"date\" name=\"form_fields[field_9a981c8]\" id=\"form-field-field_9a981c8\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Select Date Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_49de24e elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_49de24e\" class=\"elementor-field-label\">Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_49de24e]\" id=\"form-field-field_49de24e\" rows=\"2\" placeholder=\"Enter Street, City, State and Zip Code Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2b19b46 elementor-col-100\">\n\t\t\t\t\tParent(s)\/Guardian(s) Information\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c779c9c elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_c779c9c\" class=\"elementor-field-label\">Father's Full Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_c779c9c]\" id=\"form-field-field_c779c9c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Enter Full Name Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_5a2abb1 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_5a2abb1\" class=\"elementor-field-label\">Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_5a2abb1]\" id=\"form-field-field_5a2abb1\" rows=\"2\" placeholder=\"Enter Street, City, State and Zip Code Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7ee96fc elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_7ee96fc\" class=\"elementor-field-label\">Mother's Full Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_7ee96fc]\" id=\"form-field-field_7ee96fc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Enter Full Name Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_b9a8153 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_b9a8153\" class=\"elementor-field-label\">Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_b9a8153]\" id=\"form-field-field_b9a8153\" rows=\"2\" placeholder=\"Enter Street, City, State and Zip Code Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5a34473 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_5a34473\" class=\"elementor-field-label\">Father's Employer<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_5a34473]\" id=\"form-field-field_5a34473\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Employer Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_dd7de74 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_dd7de74\" class=\"elementor-field-label\">Employer's Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_dd7de74]\" id=\"form-field-field_dd7de74\" rows=\"2\" placeholder=\"Enter Street, City, State and Zip Code Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_ce36c22 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_ce36c22\" class=\"elementor-field-label\">Employer's Telephone<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_ce36c22]\" id=\"form-field-field_ce36c22\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telephone Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b23549f elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_b23549f\" class=\"elementor-field-label\">Mother's Employer<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_b23549f]\" id=\"form-field-field_b23549f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Employer Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_82f3d0c elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_82f3d0c\" class=\"elementor-field-label\">Employer's Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_82f3d0c]\" id=\"form-field-field_82f3d0c\" rows=\"2\" placeholder=\"Enter Street, City, State and Zip Code Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_f2a7013 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_f2a7013\" class=\"elementor-field-label\">Employer's Telephone<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_f2a7013]\" id=\"form-field-field_f2a7013\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telephone Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_1ebfbe5 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 2\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6d7d0ae elementor-col-100\">\n\t\t\t\t\tEmergency Contact Person\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_90e1b9f elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_90e1b9f\" class=\"elementor-field-label\">Alternate Contact 1<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_90e1b9f]\" id=\"form-field-field_90e1b9f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_e41dba3 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_e41dba3\" class=\"elementor-field-label\">Alternate Contact 2<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_e41dba3]\" id=\"form-field-field_e41dba3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_6ff5792 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_6ff5792\" class=\"elementor-field-label\">Alternate Contact 3<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_6ff5792]\" id=\"form-field-field_6ff5792\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_67b0b7d elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_67b0b7d\" class=\"elementor-field-label\">Instructions Regarding How Parent\/Guardian May Be Reached In An Emergency<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_67b0b7d]\" id=\"form-field-field_67b0b7d\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_e90d66d elementor-col-100\">\n\t\t\t\t\tPerson(s) To Be Contacted In An Emergency Ff Parent(s)\/Guardian(s) Cannot Be Reached:\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_01907b1 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_01907b1\" class=\"elementor-field-label\">Emergency Contact 1<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_01907b1]\" id=\"form-field-field_01907b1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full Name - Relationship To Child\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e332c01 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_e332c01\" class=\"elementor-field-label\">Emergency Contact 1-Address and Telephone<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_e332c01]\" id=\"form-field-field_e332c01\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address - Telephone\/Mobile Phone\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b4fb4ea elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_b4fb4ea\" class=\"elementor-field-label\">Emergency Contact 2<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_b4fb4ea]\" id=\"form-field-field_b4fb4ea\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full Name - Relationship To Child\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_594b4c1 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_594b4c1\" class=\"elementor-field-label\">Emergency Contact 2-Address and Telephone<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_594b4c1]\" id=\"form-field-field_594b4c1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address - Telephone\/Mobile Phone\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_eb41bd7 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_eb41bd7\" class=\"elementor-field-label\">Emergency Contact 3<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_eb41bd7]\" id=\"form-field-field_eb41bd7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full Name - Relationship To Child\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9ceb7ab elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_9ceb7ab\" class=\"elementor-field-label\">Emergency Contact 3-Address and Telephone<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_9ceb7ab]\" id=\"form-field-field_9ceb7ab\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address - Telephone\/Mobile Phone\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5045d88 elementor-col-100\">\n\t\t\t\t\tDoctor's Information\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d712767 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_d712767\" class=\"elementor-field-label\">Doctor's Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_d712767]\" id=\"form-field-field_d712767\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full Name\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_791595f elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_791595f\" class=\"elementor-field-label\">Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_791595f]\" id=\"form-field-field_791595f\" rows=\"2\" placeholder=\"Address Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_5f0f3be elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_5f0f3be\" class=\"elementor-field-label\">Telephone Number<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_5f0f3be]\" id=\"form-field-field_5f0f3be\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_faa1bb9 elementor-col-100\">\n\t\t\t\t\tEMERGENCY AUTHORIZATION:\nI give permission for the child care facility to obtain emergency medical treatment, including emergency transportation, for my child if I cannot be reached immediately. I agree to be responsible for an emergency medical expenses incurred. \n(If parent\/guardian refuses to sign, instructions must be attached stating what procedure the facility is to follow in an emergency)\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_2a15417 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_2a15417\" class=\"elementor-field-label\">Do you agree with the Emergency Authorization Agreement?<\/label><div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_2a15417-0\" name=\"form_fields[field_2a15417]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_2a15417-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Please State Below What Procedure The Facility Is To Follow In An Emergency If You Refuse To Agree.\" id=\"form-field-field_2a15417-1\" name=\"form_fields[field_2a15417]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_2a15417-1\">Please State Below What Procedure The Facility Is To Follow In An Emergency If You Refuse To Agree.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_f72f3c4 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_f72f3c4]\" id=\"form-field-field_f72f3c4\" rows=\"2\" placeholder=\"Your Answere Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_f3cfe25 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 3\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_40fed10 elementor-col-100\">\n\t\t\t\t\tChild\u2019s Pre-Admission Record (Continued)\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_eb5fafb elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_eb5fafb\" class=\"elementor-field-label\">Describe The Special Needs Or Instructions<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_eb5fafb]\" id=\"form-field-field_eb5fafb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Answer Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_942f816 elementor-col-100\">\n\t\t\t\t\tPERSON(s) THE CHILD MAY BE RELEASED TO: In agreement stating: \"I understand that the Department of Human Resources does not inspect activities away from the child care facility (home or center). The licensee of the child care facility assumes full responsibility from such activities.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8b1d3cf elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_8b1d3cf\" class=\"elementor-field-label\">Person A Full Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_8b1d3cf]\" id=\"form-field-field_8b1d3cf\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full Name Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3c9a704 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_3c9a704\" class=\"elementor-field-label\">Person A - Relationship To Child<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_3c9a704]\" id=\"form-field-field_3c9a704\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Answer Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_a5f5b33 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_a5f5b33\" class=\"elementor-field-label\">Person A -Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_a5f5b33]\" id=\"form-field-field_a5f5b33\" rows=\"2\" placeholder=\"Address Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_fcb9f22 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_fcb9f22\" class=\"elementor-field-label\">Person A -Telephone<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_fcb9f22]\" id=\"form-field-field_fcb9f22\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7c988c4 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_7c988c4\" class=\"elementor-field-label\">Person B Full Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_7c988c4]\" id=\"form-field-field_7c988c4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full Name Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_683ea3d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_683ea3d\" class=\"elementor-field-label\">Person B - Relationship To Child<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_683ea3d]\" id=\"form-field-field_683ea3d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Answer Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_aeebf97 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_aeebf97\" class=\"elementor-field-label\">Person B -Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_aeebf97]\" id=\"form-field-field_aeebf97\" rows=\"2\" placeholder=\"Address Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_9b833eb elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_9b833eb\" class=\"elementor-field-label\">Person B -Telephone<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_9b833eb]\" id=\"form-field-field_9b833eb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_809cdf0 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_809cdf0\" class=\"elementor-field-label\">Person C - Relationship To Child<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_809cdf0]\" id=\"form-field-field_809cdf0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Answer Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_841b861 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_841b861\" class=\"elementor-field-label\">Person C -Address<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_841b861]\" id=\"form-field-field_841b861\" rows=\"2\" placeholder=\"Address Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_3e59127 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_3e59127\" class=\"elementor-field-label\">Person C -Telephone<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_3e59127]\" id=\"form-field-field_3e59127\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_462b716 elementor-col-100\">\n\t\t\t\t\tCHILD PARTICIPATION AGREEMENT\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3115edf elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_3115edf\" class=\"elementor-field-label\">I give permission for my child to participate in activities away from the facility<\/label><div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_3115edf-0\" name=\"form_fields[field_3115edf]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3115edf-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_3115edf-1\" name=\"form_fields[field_3115edf]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3115edf-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_770ac60 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_770ac60\" class=\"elementor-field-label\">I give permission for my child to participate in transportation provided by the facility<\/label><div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_770ac60-0\" name=\"form_fields[field_770ac60]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_770ac60-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_770ac60-1\" name=\"form_fields[field_770ac60]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_770ac60-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_32552ce elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_32552ce\" class=\"elementor-field-label\">I give permission for my child to participate in water activities provided by the facility<\/label><div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_32552ce-0\" name=\"form_fields[field_32552ce]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_32552ce-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_32552ce-1\" name=\"form_fields[field_32552ce]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_32552ce-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_df386c3 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 4\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c1c8aa0 elementor-col-100\">\n\t\t\t\t\tChild's Personal Data\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a8745ae elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_a8745ae\" class=\"elementor-field-label\">Full Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_a8745ae]\" id=\"form-field-field_a8745ae\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_e6629db elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_e6629db\" class=\"elementor-field-label\">Date Of Enrollment<\/label><input type=\"date\" name=\"form_fields[field_e6629db]\" id=\"form-field-field_e6629db\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_105c7ba elementor-col-100\">\n\t\t\t\t\tWeekly Schedule: (Note: The weekly schedule is intended to represent a typical week and will only be used to assist with teacher scheduling. We realize that actual schedules will vary based on your needs.)\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_aac3944 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_aac3944\" class=\"elementor-field-label\">Monday<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_aac3944]\" id=\"form-field-field_aac3944\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FORMAT : Arrival Time - Departure Time\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0c3de48 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_0c3de48\" class=\"elementor-field-label\">Tuesday<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_0c3de48]\" id=\"form-field-field_0c3de48\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FORMAT : Arrival Time - Departure Time\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e5c6748 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_e5c6748\" class=\"elementor-field-label\">Wednesday<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_e5c6748]\" id=\"form-field-field_e5c6748\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FORMAT : Arrival Time - Departure Time\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_79a46f2 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_79a46f2\" class=\"elementor-field-label\">Thursday<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_79a46f2]\" id=\"form-field-field_79a46f2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FORMAT : Arrival Time - Departure Time\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f457a6d elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_f457a6d\" class=\"elementor-field-label\">Friday<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_f457a6d]\" id=\"form-field-field_f457a6d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FORMAT : Arrival Time - Departure Time\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_45d28bc elementor-col-100\">\n\t\t\t\t\tMEDICAL INFORMATION\nPlease state NONE if the question is not applicable to your child.\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_12a32da elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_12a32da\" class=\"elementor-field-label\">Child's Dentist - Full Name<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_12a32da]\" id=\"form-field-field_12a32da\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name Here\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_7e15105 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_7e15105\" class=\"elementor-field-label\">Child's Dentist - Contact Number<\/label><input size=\"1\" type=\"tel\" name=\"form_fields[field_7e15105]\" id=\"form-field-field_7e15105\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name Here\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_89f2f5c elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_89f2f5c\" class=\"elementor-field-label\">Child's Dentist - Address <\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_89f2f5c]\" id=\"form-field-field_89f2f5c\" rows=\"4\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_4bf3f17 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_4bf3f17\" class=\"elementor-field-label\">Child Insurance Coverage<\/label><div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_4bf3f17-0\" name=\"form_fields[field_4bf3f17]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_4bf3f17-0\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes (Please state the Insurance Company below)\" id=\"form-field-field_4bf3f17-1\" name=\"form_fields[field_4bf3f17]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_4bf3f17-1\">Yes (Please state the Insurance Company below)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_33f7fcd elementor-col-100\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_33f7fcd]\" id=\"form-field-field_33f7fcd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Answer Here\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_bc8b14d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_bc8b14d\" class=\"elementor-field-label\">Child's Hospital Preference<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_bc8b14d]\" id=\"form-field-field_bc8b14d\" rows=\"1\" placeholder=\"Answer Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_7150102 elementor-col-100\">\n\t\t\t\t\t<label for=\"form-field-field_7150102\" class=\"elementor-field-label\">Any allergies? *(If your child cannot be served the CACFP meal pattern, a statement from the child\u2019s health provider must be completed.) Please be as thorough as possible.<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_7150102]\" id=\"form-field-field_7150102\" rows=\"4\" placeholder=\"Answer Here\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_fda17df elementor-col-50\">\n\t\t\t\t\t<label for=\"form-field-field_fda17df\" class=\"elementor-field-label\">Any condition or fears?That may require special care, procedures, services, medication or diet.<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_fda17df]\" id=\"form-field-field_fda17df\" rows=\"4\" placeholder=\"Answer Here\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_3685e2c elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_3685e2c\" class=\"elementor-field-label\">Any disabilities? A physical, mental or developmental disability that would prevent my child from participating in the school\u2019sregular program or activities.<\/label><textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_3685e2c]\" id=\"form-field-field_3685e2c\" rows=\"1\" placeholder=\"Answer Here\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7df4e19 elementor-col-100\">\n\t\t\t\t\tPARENTS AGREEMENT\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_15b668b elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_15b668b\" class=\"elementor-field-label\">If your child has a temperature of 100 degrees or more, or any symptom of a contagious disease or infection, you must make other child care arrangements. In most cases, we ask that your child remain at home at least 24 hours after leaving the school because of an illness. Re-admittance is at the discretion of the Director. In addition, I agree to notify Pyramid Learning Academy with in 24 hours if any member of my immediate household is diagnosed with a communicable disease.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_15b668b]\" id=\"form-field-field_15b668b\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_15b668b\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_a8b14fb elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_a8b14fb\" class=\"elementor-field-label\">MEDICAL AUTHORIZATION - I agree that Pyramid Learning Academy staff may authorize the physician of their choice to provide emergency treatment in the event that neither I nor our family physician can be contacted immediately. Pyramid Learning Academy agrees to provide transportation to an appropriate medical resource in the event of an emergency and will not administer any drug or medication without specific instructions from the physician. In the event of such accident or illness, all medical expenses incurred are my responsibility. I release Pine Street Learning Academy, and all of its employees, officers, directors, servants, and agents from liability incurred as a result of any act they may perform on behalf of my child.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_a8b14fb]\" id=\"form-field-field_a8b14fb\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_a8b14fb\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_d5e5c97 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_d5e5c97\" class=\"elementor-field-label\">DELIVERY OF STUDENTS - I agree that when delivering my child to the school, I or the person I have authorized to drop off my child, will personally deliver my child to his\/her teacher or the staff person in charge. I further agree that when picking up my child, I or the person I have designated, will personally come into the school and receive my child from his\/her teacher or the staff person in charge. At no time will I leave my child at the school without first making his\/her presence known to the staff, nor will I take my child from the school without notifying my child\u2019s teacher. I further agree that I or the person I have authorized to deliver and\/or pick up my child will sign my child in\/out on a daily basis.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_d5e5c97]\" id=\"form-field-field_d5e5c97\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d5e5c97\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_4994d06 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_4994d06\" class=\"elementor-field-label\">CHANGE OF STATUS - I agree to notify Pyramid Learning Academy immediately of any changes that occur in the information provided in this enrollment application including work and home address, phone numbers, physician\u2019s name, living arrangements, health information, emergency contacts, etc.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_4994d06]\" id=\"form-field-field_4994d06\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_4994d06\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_b562d65 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_b562d65\" class=\"elementor-field-label\">ACTIVITIES OUTSIDE THE FENCED AREA OF THE FACILITY - I give my permission for my child to participate in activities planned outside the school\u2019s fenced area.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_b562d65]\" id=\"form-field-field_b562d65\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\" checked=\"checked\"> <label for=\"form-field-field_b562d65\">I Do Agree\nI Do Not Agree<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_b893d08 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_b893d08\" class=\"elementor-field-label\">CHILD ABUSE\/ NEGLECT - As a child care provider, Pyramid Learning Academy is mandated by state law to report any cases where there is reasonable cause to believe that a child has been neglected, exploited, deprived, sexually assaulted, sexually exploited, physically injured or suffered death by other than accidental means by a parent, guardian or caretaker, to the proper authorities. Pyramid Learning Academy will cooperate fully with the authorities in the investigation of all such cases. To avoid any misunderstandings, parents are encouraged to keep the school director aware of any unusual bruises, marks or injuries occurring in the home.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_b893d08]\" id=\"form-field-field_b893d08\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b893d08\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_483d908 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_483d908\" class=\"elementor-field-label\">CHILD ABUSE\/ NEGLECT - As a child care provider, Pyramid Learning Academy is mandated by state law to report any cases where there is reasonable cause to believe that a child has been neglected, exploited, deprived, sexually assaulted, sexually exploited, physically injured or suffered death by other than accidental means by a parent, guardian or caretaker, to the proper authorities. Pyramid Learning Academy will cooperate fully with the authorities in the investigation of all such cases. To avoid any misunderstandings, parents are encouraged to keep the school director aware of any unusual bruises, marks or injuries occurring in the home.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_483d908]\" id=\"form-field-field_483d908\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_483d908\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_227d23a elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_227d23a\" class=\"elementor-field-label\">CONFIDENTIALITY STATEMENT - Information pertaining to your child is considered confidential and will not be released by Pyramid Learning Academy to third parties without first obtaining your written permission. However, it may be necessary to share relevant information relating to your child\u2019s family situation, medical status and behavioral characteristics with authorized members of the state child care licensing agency or with persons authorized by the state licensing regulations or law to receive such information.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_227d23a]\" id=\"form-field-field_227d23a\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_227d23a\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_9c6e133 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_9c6e133\" class=\"elementor-field-label\">PARENTS RIGHT TO KNOW NOTICE * UNDER THE DELAWARE CODE, YOU ARE ENTITLED TO INSPECT THE ACTIVE RECORD AND COMPLAINT FILES OF ANY LICENSED CHILD CARE FACILITY. TO REVIEW A CHILD CARE FACILITY RECORD CONTACT: the administrative specialist, OFFICE OF CHILD CARE LICENSING, 3411 SILVERSIDE ROAD, CONCORD PLAZA \u01c0 HAGLEY BUILDING, WILMINGTON, DELAWARE 19810, phone (302) 892-5800. You may also view substantiated complaints and compliance review histories by visiting the Office of Child Care Licensing\u2019s child care search at http:\/\/www.apex01.kids.delaware.gov:8081\/occl\/<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_9c6e133]\" id=\"form-field-field_9c6e133\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_9c6e133\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d5c6c18 elementor-col-100\">\n\t\t\t\t\tPARENTS PERMISSION\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_66b25a5 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_66b25a5\" class=\"elementor-field-label\">SCREEN TIME PERMISSION * Children over the age of two may have an educational video, movie, or game incorporated into their curriculum. These may be viewed on a television, computer, tablet, or gaming device. These will be age-appropriate and limited to one hour per day unless a special occasion or activity occurs. Children will be closely supervised while using the internet.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_66b25a5]\" id=\"form-field-field_66b25a5\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_66b25a5\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_9721e44 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_9721e44\" class=\"elementor-field-label\">PARENT PERMISSION TO SLEEP ON A MAT * Children, between the ages of 12 and 18 months will be transitioned from sleeping in a crib to a cot, mat, or bed when they are able to walk.<\/label><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" name=\"form_fields[field_9721e44]\" id=\"form-field-field_9721e44\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_9721e44\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_83948ee elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_83948ee\" class=\"elementor-field-label\">TRANSPORTATION PERMISSION * I hereby give permission for my child to be transported by --- Please list any special needs or problems which might require special attention during transportation and directions on how to handle the special need or problem. This information will be carried with the operator of the vehicle named above.<\/label><input size=\"1\" type=\"text\" name=\"form_fields[field_83948ee]\" id=\"form-field-field_83948ee\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Answer\" required=\"required\" aria-required=\"true\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_fe92630 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 5\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_4ee8feb elementor-col-100\">\n\t\t\t\t\tProgram\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_a01db68 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_a01db68\" class=\"elementor-field-label\">Please Check One<\/label><div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"I would like to complete the ASQ-3 (which looks at overall development)\" id=\"form-field-field_a01db68-0\" name=\"form_fields[field_a01db68]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_a01db68-0\">I would like to complete the ASQ-3 (which looks at overall development)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"I would like to complete the ASQ:SE-2 (which looks more closely at social emotional development)\" id=\"form-field-field_a01db68-1\" name=\"form_fields[field_a01db68]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_a01db68-1\">I would like to complete the ASQ:SE-2 (which looks more closely at social emotional development)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"I would like to complete BOTH ASQ Questionnaires\" id=\"form-field-field_a01db68-2\" name=\"form_fields[field_a01db68]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_a01db68-2\">I would like to complete BOTH ASQ Questionnaires<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\" id=\"form-field-field_a01db68-3\" name=\"form_fields[field_a01db68]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_a01db68-3\"><\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\" id=\"form-field-field_a01db68-4\" name=\"form_fields[field_a01db68]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_a01db68-4\"><\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3ee9ef4 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_3ee9ef4\" class=\"elementor-field-label\">Please Check One<\/label><div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"I would like to complete my requested questionnaires via a hard copy that will be mailed\/given to me. The address given below is my mailing address.\" id=\"form-field-field_3ee9ef4-0\" name=\"form_fields[field_3ee9ef4]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3ee9ef4-0\">I would like to complete my requested questionnaires via a hard copy that will be mailed\/given to me. The address given below is my mailing address.<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"I would like Teacher to complete my child\u2019s questionnaires\" id=\"form-field-field_3ee9ef4-1\" name=\"form_fields[field_3ee9ef4]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3ee9ef4-1\">I would like Teacher to complete my child\u2019s questionnaires<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_104e482 elementor-col-100\">\n\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 6\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_b1eec53 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<label for=\"form-field-field_b1eec53\" class=\"elementor-field-label\">HOW DID YOU HEAR ABOUT US?<\/label><div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yellow Pages\" id=\"form-field-field_b1eec53-0\" name=\"form_fields[field_b1eec53]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b1eec53-0\">Yellow Pages<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Radio\" id=\"form-field-field_b1eec53-1\" name=\"form_fields[field_b1eec53]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b1eec53-1\">Radio<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Newspaper\" id=\"form-field-field_b1eec53-2\" name=\"form_fields[field_b1eec53]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b1eec53-2\">Newspaper<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Drive By\" id=\"form-field-field_b1eec53-3\" name=\"form_fields[field_b1eec53]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b1eec53-3\">Drive By<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Agency\" id=\"form-field-field_b1eec53-4\" name=\"form_fields[field_b1eec53]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b1eec53-4\">Agency<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Parent Referral ( Please fill out the full name below)\" id=\"form-field-field_b1eec53-5\" name=\"form_fields[field_b1eec53]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b1eec53-5\">Parent Referral ( Please fill out the full name below)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Other ( Please state below )\" id=\"form-field-field_b1eec53-6\" name=\"form_fields[field_b1eec53]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_b1eec53-6\">Other ( Please state below )<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_079b4ab elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_079b4ab]\" id=\"form-field-field_079b4ab\" rows=\"1\" placeholder=\"Your Answer Here\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-sm elementor-animation-grow\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-39e3306 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"39e3306\" 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\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5fc1660\" data-id=\"5fc1660\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Child Application Form This section is to completed by the Child&#8217;s guardian or parents.\u00a0<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/pages\/217"}],"collection":[{"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/comments?post=217"}],"version-history":[{"count":31,"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/pages\/217\/revisions"}],"predecessor-version":[{"id":633,"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/pages\/217\/revisions\/633"}],"wp:attachment":[{"href":"https:\/\/pyramidlearningacademy.com\/index.php\/wp-json\/wp\/v2\/media?parent=217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}