{"id":41,"date":"2022-06-14T19:37:23","date_gmt":"2022-06-14T19:37:23","guid":{"rendered":"https:\/\/connecting-mha.com\/staging\/?page_id=41"},"modified":"2022-10-31T15:44:33","modified_gmt":"2022-10-31T20:44:33","slug":"sign-up","status":"publish","type":"page","link":"https:\/\/connecting-mha.com\/staging\/sign-up\/","title":{"rendered":"Sign Up"},"content":{"rendered":"<div class=\"medium-10 columns medium-offset-1\">\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_1_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_contact-form\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\"><\/legend>\r\n\r\n<div class=\"frm_description\"><p>In addition to filling out the below form, you can also print out and turn in to the MHA leasing office or email it to info@connecting-mha.com<\/p>\n<\/div><div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"1\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_1\" id=\"frm_hide_fields_1\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"contact-form\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_1\" name=\"frm_submit_entry_1\" value=\"e5bb0edaab\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staging\/wp-json\/wp\/v2\/pages\/41\" \/><div id=\"frm_field_1_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_qh4icy\" id=\"field_qh4icy_label\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qh4icy\" name=\"item_meta[1]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_qh4icy\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_qh4icy\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_2_container\" class=\"frm_form_field form-field  frm_required_field frm_hidden_container frm_half\">\r\n    <label for=\"field_ocfup1\" id=\"field_ocfup1_label\" class=\"frm_primary_label\">Last\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ocfup1\" name=\"item_meta[2]\" value=\"\"  data-reqmsg=\"Last cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ocfup1\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_ocfup1\">Last<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n    <label for=\"field_6jbbx\" id=\"field_6jbbx_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6jbbx\" name=\"item_meta[6]\" value=\"\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_qkv46\" id=\"field_qkv46_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qkv46\" name=\"item_meta[9]\" value=\"\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_eads7\" id=\"field_eads7_label\" class=\"frm_primary_label\">Zip Code\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_eads7\" name=\"item_meta[10]\" value=\"\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"99999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_tdsdq\" id=\"field_tdsdq_label\" class=\"frm_primary_label\">Home Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_tdsdq\" name=\"item_meta[7]\" value=\"\"  data-reqmsg=\"Home Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_uzyki\" id=\"field_uzyki_label\" class=\"frm_primary_label\">Mobile Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_uzyki\" name=\"item_meta[8]\" value=\"\"  data-reqmsg=\"Mobile Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_3_container\" class=\"frm_form_field form-field  frm_top_container frm_full\">\r\n    <label for=\"field_29yf4d\" id=\"field_29yf4d_label\" class=\"frm_primary_label\">Email (if you have one)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d\" name=\"item_meta[3]\" value=\"\"  data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_ikkwz_label\" class=\"frm_primary_label\">Please Check Below\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ikkwz_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_12-0\">\t\t\t<label  for=\"field_ikkwz-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[12][]\" id=\"field_ikkwz-0\" value=\"I am interested in participating in the Connecting MHA program and understand that I will have access to free internet service for three years when it becomes available in exchange for participating in online energy education quarterly. The online education I am signing up for will be available on connecting-mha.com and may include watching a short video and\/or reading an article and filling out a survey every three months. The whole process will take between 15 and 30 minutes.\"  data-reqmsg=\"Please Check Below cannot be blank.\" data-invmsg=\"Please Check Below is invalid\"   aria-required=\"true\"  \/> I am interested in participating in the Connecting MHA program and understand that I will have access to free internet service for three years when it becomes available in exchange for participating in online energy education quarterly. The online education I am signing up for will be available on connecting-mha.com and may include watching a short video and\/or reading an article and filling out a survey every three months. The whole process will take between 15 and 30 minutes.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_18_container\">\n\t\t\t<label for=\"field_1jq22\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_1jq22\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[18]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"tPnbkn9K2+qFVXM2c4wp8CopAaMw8UR6twk7JYIdAQM=\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-secondary.php","meta":{"footnotes":""},"class_list":["post-41","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/pages\/41","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/comments?post=41"}],"version-history":[{"count":3,"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/pages\/41\/revisions"}],"predecessor-version":[{"id":255,"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/pages\/41\/revisions\/255"}],"wp:attachment":[{"href":"https:\/\/connecting-mha.com\/staging\/wp-json\/wp\/v2\/media?parent=41"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}