{"id":294,"date":"2025-09-15T20:39:57","date_gmt":"2025-09-16T02:39:57","guid":{"rendered":"https:\/\/theprimetimersww.org\/colorado\/?page_id=294"},"modified":"2025-09-15T20:41:04","modified_gmt":"2025-09-16T02:41:04","slug":"cpt-online-application-form","status":"publish","type":"page","link":"https:\/\/theprimetimersww.org\/colorado\/cpt-online-application-form\/","title":{"rendered":"CPT &#8211; Online Application Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"294\" class=\"elementor elementor-294\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c1c7e81 e-grid e-con-boxed e-con e-parent\" data-id=\"c1c7e81\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31a77a0 elementor-widget elementor-widget-shortcode\" data-id=\"31a77a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style id=\"wpforms-css-vars-195\">\n\t\t\t\t#wpforms-195 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-195\"><form id=\"wpforms-form-195\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"195\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/colorado\/wp-json\/wp\/v2\/pages\/294\" data-token=\"9b5651a9bd8e3b29551566f0e3c752c5\" data-token-time=\"1779471317\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-195-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Your Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-195-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-195-field_1-error\" required><label for=\"wpforms-195-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-195-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-195-field_1-last-error\" required><label for=\"wpforms-195-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-195-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_14\">Your Street Address (include apartment, suite, our unit # if applicable) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_14\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-195-field_14-error\" required><\/div>\t\t<div id=\"wpforms-195-field_3-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"3\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-195-field_3\" >agree or other<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-195-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-195-field_19-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"19\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_15\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-195-field_15-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_13\">State\/Province <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" value=\"Colorado\" aria-errormessage=\"wpforms-195-field_13-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_17\">Zip\/Postal Code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-195-field_17-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_18\">Country <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" placeholder=\"USA\" aria-errormessage=\"wpforms-195-field_18-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-195-field_10-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"10\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-195-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-195-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-195-field_2-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-195-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_9\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-195-field_9-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-195-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_6\">Your Birthday (MM\/DD\/YYYY) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-195-field_6\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][6]\" step=\"any\" aria-errormessage=\"wpforms-195-field_6-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-195-field_20-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">Add household member? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-195-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Yes\" aria-errormessage=\"wpforms-195-field_20_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_20_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_20_2\" name=\"wpforms[fields][20][]\" value=\"No\" aria-errormessage=\"wpforms-195-field_20_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_20_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-195-field_31-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"31\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Household Member&#039;s name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-195-field_31\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][31][first]\" aria-errormessage=\"wpforms-195-field_31-error\" required><label for=\"wpforms-195-field_31\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-195-field_31-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][31][last]\" aria-errormessage=\"wpforms-195-field_31-last-error\" required><label for=\"wpforms-195-field_31-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-195-field_21-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_21\">Household Member&#039;s Street Address (if different from above)<\/label><input type=\"text\" id=\"wpforms-195-field_21\" class=\"wpforms-field-large\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-195-field_21-error\" ><\/div><div id=\"wpforms-195-field_22-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"22\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_23-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_23\">City<\/label><input type=\"text\" id=\"wpforms-195-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-195-field_23-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_24-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"24\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_24\">State\/Province<\/label><input type=\"text\" id=\"wpforms-195-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" value=\"Colorado\" aria-errormessage=\"wpforms-195-field_24-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_25-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"25\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_25\">Zip\/Postal Code<\/label><input type=\"text\" id=\"wpforms-195-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-195-field_25-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-195-field_26-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_26\">Country<\/label><input type=\"text\" id=\"wpforms-195-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" placeholder=\"USA\" aria-errormessage=\"wpforms-195-field_26-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-195-field_27-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"27\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-195-field_28-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"28\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_28\">Household Member&#039;s Email<\/label><input type=\"email\" id=\"wpforms-195-field_28\" class=\"wpforms-field-large\" name=\"wpforms[fields][28]\" spellcheck=\"false\" aria-errormessage=\"wpforms-195-field_28-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-195-field_29-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_29\">Household Member&#039;s Phone<\/label><input type=\"text\" id=\"wpforms-195-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-195-field_29-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-195-field_30-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"30\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_30\">Household Member&#039;s Birthday (MM\/DD\/YYYY)<\/label><input type=\"number\" id=\"wpforms-195-field_30\" class=\"wpforms-field-small\" name=\"wpforms[fields][30]\" step=\"any\" aria-errormessage=\"wpforms-195-field_30-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-195-field_33-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"33\"><div id=\"wpforms-195-field_33\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-195-field_33-error\"><h1>Opt-In Notices<\/h1>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-195-field_32-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"32\"><fieldset><legend class=\"wpforms-field-label\">Newsletters - Select how do you wish to receive our Newsletters? Digital newsletters will include newsletters from other Prime Timer Chapters. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-195-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_32_1\" name=\"wpforms[fields][32][]\" value=\"Print\" aria-errormessage=\"wpforms-195-field_32_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_32_1\">Print<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_32_2\" name=\"wpforms[fields][32][]\" value=\"Digitial\" aria-errormessage=\"wpforms-195-field_32_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_32_2\">Digitial<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_32_4\" name=\"wpforms[fields][32][]\" value=\"No newsletter\" aria-errormessage=\"wpforms-195-field_32_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_32_4\">No newsletter<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-195-field_34-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">Do you want to be listed on our roster? Rosters are available to members ONLY. Our roster is NEVER to be given out to any other individual or organizations. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-195-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_34_1\" name=\"wpforms[fields][34][]\" value=\"Yes\" aria-errormessage=\"wpforms-195-field_34_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_34_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_34_2\" name=\"wpforms[fields][34][]\" value=\"No\" aria-errormessage=\"wpforms-195-field_34_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_34_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-195-field_35-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"35\"><fieldset><legend class=\"wpforms-field-label\">Media Release Permission. I give permission for my name(s) or photo(s) to be printed in any form (newsletter, the website, etc.). <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-195-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_35_1\" name=\"wpforms[fields][35][]\" value=\"Yes\" aria-errormessage=\"wpforms-195-field_35_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_35_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_35_2\" name=\"wpforms[fields][35][]\" value=\"No\" aria-errormessage=\"wpforms-195-field_35_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_35_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-195-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_36\">Your current or former occupation.<\/label><input type=\"text\" id=\"wpforms-195-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-195-field_36-error\" ><\/div><div id=\"wpforms-195-field_37-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">Hos did you hear about us? Select all that apply.<\/legend><ul id=\"wpforms-195-field_37\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_37_1\" name=\"wpforms[fields][37][]\" value=\"Social Networks (Facebook, Instagram, LinkedIn)\" aria-errormessage=\"wpforms-195-field_37_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_37_1\">Social Networks (Facebook, Instagram, LinkedIn)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_37_2\" name=\"wpforms[fields][37][]\" value=\"Meetup (Community Meetup website)\" aria-errormessage=\"wpforms-195-field_37_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_37_2\">Meetup (Community Meetup website)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_37_3\" name=\"wpforms[fields][37][]\" value=\"Word-of-mouth (friend, colleague, or family)\" aria-errormessage=\"wpforms-195-field_37_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_37_3\">Word-of-mouth (friend, colleague, or family)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_37_6\" name=\"wpforms[fields][37][]\" value=\"Internet Search\" aria-errormessage=\"wpforms-195-field_37_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_37_6\">Internet Search<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_37_5\" name=\"wpforms[fields][37][]\" value=\"Colorado Prime Timers Website\" aria-errormessage=\"wpforms-195-field_37_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_37_5\">Colorado Prime Timers Website<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_37_4\" name=\"wpforms[fields][37][]\" value=\"Marketing (Newsletter; flyer, gay dating app)\" aria-errormessage=\"wpforms-195-field_37_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_37_4\">Marketing (Newsletter; flyer, gay dating app)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_37_7\" name=\"wpforms[fields][37][]\" value=\"Event (Beerbust, Pride)\" aria-errormessage=\"wpforms-195-field_37_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_37_7\">Event (Beerbust, Pride)<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-195-field_38-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_38\">Other Comments - Are there any other details that you would like to tell us about yourself? Household member?<\/label><textarea id=\"wpforms-195-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-195-field_38-error\" ><\/textarea><\/div><div id=\"wpforms-195-field_39-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"39\"><div id=\"wpforms-195-field_39\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-195-field_39-error\"><h1>Legal Notices<\/h1>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-195-field_41-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"41\"><fieldset><legend class=\"wpforms-field-label\">By clicking the below box. I certify that I am at least 21 years of age. I agree to uphold and abide by the Colorado Prime Timers by-laws. I agree to absolve Colorade Prime Timers, its Board of Directors and all other members of any liability due to my participation in Colorado Prime Timers group activities. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-195-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-195-field_41_1\" name=\"wpforms[fields][41][]\" value=\"I agree\" aria-errormessage=\"wpforms-195-field_41_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-195-field_41_1\">I agree<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-195-field_44-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"44\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-195-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_42\">Your Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" aria-errormessage=\"wpforms-195-field_42-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-195-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-195-field_43\">Today&#039;s Date (MM\/DD\/YY) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-195-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" aria-errormessage=\"wpforms-195-field_43-error\" required><\/div><\/div><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-195-field_3-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-195-field_3-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-195-field_3-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"195\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/pages\/294\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-195\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/theprimetimersww.org\/colorado\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/page-full-width.php","meta":{"nf_dc_page":"","footnotes":""},"class_list":["post-294","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/pages\/294","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/comments?post=294"}],"version-history":[{"count":4,"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/pages\/294\/revisions"}],"predecessor-version":[{"id":299,"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/pages\/294\/revisions\/299"}],"wp:attachment":[{"href":"https:\/\/theprimetimersww.org\/colorado\/wp-json\/wp\/v2\/media?parent=294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}