{"id":261,"date":"2015-09-21T11:21:09","date_gmt":"2015-09-21T15:21:09","guid":{"rendered":"https:\/\/med.virginia.eduvcdpe\/?page_id=261"},"modified":"2023-02-27T16:06:29","modified_gmt":"2023-02-27T21:06:29","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/med.virginia.edu\/vcdpe\/patient-centered-programs\/diabetes-tele-education-programs\/diabetes-classes-live-via-zoom\/registration-form\/","title":{"rendered":"Registration Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Diabetes Patient Tele-Education Program Registration<\/h3>\n                            <p class='gform_description'>This registration form is to be filled out and submitted by the home participant or the program facilitator of each participating site. \r\n\r\nPlease fill out the following to participate in our program:<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/vcdpe\/wp-json\/wp\/v2\/pages\/261' data-formid='3' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LebeGYrAAAAAP5BASaCDpdLeg5wBa6YY3ZS7nZh' data-tabindex='0'><input id=\"input_63df5d1a8538265bf77429563bee652e\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_63df5d1a8538265bf77429563bee652e\" value=\"\"\/><\/div>\n      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gform-field-label' for='input_3_21'>Name of home participant OR name of participating site (please include Name\/Position of Program Facilitator):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_3_21' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_2\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_2'>Address of Site<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_2'>Hospital, health department, community health center, etc.  Those participating from home may provide their home address.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_2' id='input_3_2' class='textarea medium'  aria-describedby=\"gfield_description_3_2\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_23\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_23'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_3_23' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_22\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_3_22_container'>\n                                <span id='input_3_22_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_22' id='input_3_22' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3_22' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_3_22_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_22_2' id='input_3_22_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3_22_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_3_11' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Choose Your Programs for March 2023<\/label><div class='gfield_description' id='gfield_description_3_17'>Please select the tele-education program(s) you or your site would like to participate in for March 2023. All classes are from 1:00 \u2013 2:30 pm. Press and hold the COMMAND\/ALT key and click on the class to make multiple selections.<\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_17[]' id='input_3_17' class='medium gfield_select'   aria-invalid=\"false\"  aria-describedby=\"gfield_description_3_17\"><option value='March 8th \u2013 &quot;The Basics of Diabetes&quot;' >March 8th \u2013 &quot;The Basics of Diabetes&quot;<\/option><option value='March 15th \u2013 &quot;Nutrition Basics&quot;' >March 15th \u2013 &quot;Nutrition Basics&quot;<\/option><option value='March 22nd \u2013 &quot;Diabetes Self-Management Skills&quot;' >March 22nd \u2013 &quot;Diabetes Self-Management Skills&quot;<\/option><option value='March 29th \u2013 &quot;Healthy Eating Lifestyle Changes&quot;' >March 29th \u2013 &quot;Healthy Eating Lifestyle Changes&quot;<\/option><\/select><\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'>Choose Your Programs for June 2023<\/label><div class='gfield_description' id='gfield_description_3_19'>Please select the tele-education program(s) you or your site would like to participate in for June 2023. All classes are from 12:00 - 1:30 pm. Press and hold the COMMAND\/ALT key and click on the class to make multiple selections.<\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_19[]' id='input_3_19' class='medium gfield_select'   aria-invalid=\"false\"  aria-describedby=\"gfield_description_3_19\"><option value='June 1st \u2013 &quot;The Basics of Diabetes&quot;' >June 1st \u2013 &quot;The Basics of Diabetes&quot;<\/option><option value='June 8th \u2013 &quot;Nutrition Basics&quot;' >June 8th \u2013 &quot;Nutrition Basics&quot;<\/option><option value='June 15th \u2013 &quot;Diabetes Self-Management Skills&quot;' >June 15th \u2013 &quot;Diabetes Self-Management Skills&quot;<\/option><option value='June 22nd \u2013 &quot;Healthy Eating Lifestyle Changes&quot;' >June 22nd \u2013 &quot;Healthy Eating Lifestyle Changes&quot;<\/option><\/select><\/div><\/li><li id=\"field_3_24\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_24'>Choose Your Programs for October 2023<\/label><div class='gfield_description' id='gfield_description_3_24'>Please select the tele-education program(s) you or your site would like to participate in for October 2023. All classes are from 1:00 - 2:30 pm. Press and hold the COMMAND\/ALT key and click on the class to make multiple selections.<\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_24[]' id='input_3_24' class='medium gfield_select'   aria-invalid=\"false\"  aria-describedby=\"gfield_description_3_24\"><option value='October 3rd \u2013 &quot;The Basics of Diabetes&quot;' >October 3rd \u2013 &quot;The Basics of Diabetes&quot;<\/option><option value='October 10th \u2013 &quot;Nutrition Basics&quot;' >October 10th \u2013 &quot;Nutrition Basics&quot;<\/option><option value='October 17th \u2013 &quot;Diabetes Self-Management Skills&quot;' >October 17th \u2013 &quot;Diabetes Self-Management Skills&quot;<\/option><option value='October 24th \u2013 &quot;Healthy Eating Lifestyle Changes&quot;' >October 24th \u2013 &quot;Healthy Eating Lifestyle Changes&quot;<\/option><\/select><\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Confirmation of Registration<\/h2><div class='gsection_description' id='gfield_description_3_14'>After submitting the form, you will receive a registration confirmation. 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