{"id":429,"date":"2025-09-23T01:38:16","date_gmt":"2025-09-23T01:38:16","guid":{"rendered":"https:\/\/childrenrising.org\/main\/?page_id=429"},"modified":"2025-09-23T02:15:40","modified_gmt":"2025-09-23T02:15:40","slug":"program-application","status":"publish","type":"page","link":"https:\/\/childrenrising.org\/main\/program-application\/","title":{"rendered":"Program Application"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull has-background-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-eb95d17d wp-block-group-is-layout-constrained\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--60);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--60);padding-left:var(--wp--preset--spacing--30)\">\n<div class=\"wp-block-group alignwide is-vertical is-layout-flex wp-container-core-group-is-layout-fa9245c9 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-large-font-size\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-secondary-color\">Join Our Co-Parenting Community<\/mark><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:16px\">Please fill out the form bellow. For other questions or general inquiries use our contact page. <\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-e61753bd wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-container-core-column-is-layout-ff1e87f5 wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-tertiary-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-866bf9a5 wp-block-group-is-layout-constrained\" style=\"border-radius:4px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h4 class=\"wp-block-heading has-medium-font-size\">Form is currently in development mode.<\/h4>\n\n\n<style id=\"wpforms-css-vars-426-block-4852e42c-dd3b-4d81-9976-ecc0c688d768\">\n\t\t\t\t#wpforms-426.wpforms-block-4852e42c-dd3b-4d81-9976-ecc0c688d768 {\n\t\t\t\t--wpforms-label-color: #ECB92E;\n--wpforms-field-background-color: #EAECEF;\n--wpforms-field-text-color: rgba( 0, 0, 0, 0 );\n--wpforms-field-menu-color: rgba( 0, 0, 0, 0 );\n--wpforms-button-background-color: #ECB92E;\n--wpforms-button-text-color: #1E2329;\n--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\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-4852e42c-dd3b-4d81-9976-ecc0c688d768 wpforms-render-modern\" id=\"wpforms-426\"><form id=\"wpforms-form-426\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"426\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/main\/wp-json\/wp\/v2\/pages\/429\" data-token=\"84a81d01733c1999d7bc51e8a9fdc5f5\" data-token-time=\"1781321380\"><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-426-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">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-426-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-426-field_1-error\" required><label for=\"wpforms-426-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-426-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-426-field_1-last-error\" required><label for=\"wpforms-426-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-426-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_3\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-426-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" aria-errormessage=\"wpforms-426-field_3-error\" required><\/div><div id=\"wpforms-426-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_4\">Phone #<\/label><input type=\"text\" id=\"wpforms-426-field_4\" class=\"wpforms-field-small\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-426-field_4-error\" ><\/div><div id=\"wpforms-426-field_15-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_15\">Mailing address<\/label><textarea id=\"wpforms-426-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-426-field_15-error\" ><\/textarea><\/div><div id=\"wpforms-426-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Preferred Language <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-426-field_8\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-426-field_8_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"English\" aria-errormessage=\"wpforms-426-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_8_1\">English<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-426-field_8_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Spanish\" aria-errormessage=\"wpforms-426-field_8_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_8_2\">Spanish<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-426-field_8_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Other\" aria-errormessage=\"wpforms-426-field_8_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_8_3\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-426-field_10-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Are you currently a single mother? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-426-field_10\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-426-field_10_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"1\" aria-errormessage=\"wpforms-426-field_10_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_10_1\">Yes<\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-426-field_10_2\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"2\" aria-errormessage=\"wpforms-426-field_10_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_10_2\">No<\/label><\/li><li class=\"choice-3\"><input type=\"checkbox\" id=\"wpforms-426-field_10_3\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"3\" aria-errormessage=\"wpforms-426-field_10_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_10_3\">It&#8217;s complicated \u2013 happy to share more<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-426-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-426-field_2\" >short you? months)<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-426-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-426-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_14\">What is the age of your baby? (0\u201312 months) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-426-field_14\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-426-field_14-error\" required><\/div><div id=\"wpforms-426-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_16\">Do you currently live alone, with family, or with others? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-426-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-426-field_16-error\" required><\/div><div id=\"wpforms-426-field_17-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Have you ever shared a living space with others (roommates, family, friends)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-426-field_17\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-426-field_17_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][17][]\" value=\"1\" aria-errormessage=\"wpforms-426-field_17_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_17_1\">Yes<\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-426-field_17_2\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][17][]\" value=\"2\" aria-errormessage=\"wpforms-426-field_17_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_17_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-426-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_18\">What excites you most about this co-parenting community?<\/label><input type=\"text\" id=\"wpforms-426-field_18\" class=\"wpforms-field-large\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-426-field_18-error\" ><\/div><div id=\"wpforms-426-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_19\">What are 1\u20132 things you&#039;re hoping to gain or learn by joining this program?<\/label><input type=\"text\" id=\"wpforms-426-field_19\" class=\"wpforms-field-large\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-426-field_19-error\" ><\/div><div id=\"wpforms-426-field_20-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">Are you open to living in a shared home with other moms and babies? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-426-field_20\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-426-field_20_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][20][]\" value=\"1\" aria-errormessage=\"wpforms-426-field_20_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_20_1\">Yes, absolutely<\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-426-field_20_2\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][20][]\" value=\"2\" aria-errormessage=\"wpforms-426-field_20_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_20_2\">I&#8217;m curious but need to learn more<\/label><\/li><li class=\"choice-3\"><input type=\"checkbox\" id=\"wpforms-426-field_20_3\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][20][]\" value=\"3\" aria-errormessage=\"wpforms-426-field_20_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_20_3\">I&#8217;m unsure<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-426-field_21-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Are you available to attend a short info session (30 mins via Zoom)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-426-field_21\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-426-field_21_1\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][21][]\" value=\"1\" aria-errormessage=\"wpforms-426-field_21_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_21_1\">Yes<\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-426-field_21_2\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][21][]\" value=\"2\" aria-errormessage=\"wpforms-426-field_21_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_21_2\">No<\/label><\/li><li class=\"choice-3\"><input type=\"checkbox\" id=\"wpforms-426-field_21_3\" class=\"wpforms-payment-price\" data-amount=\"0.00\" data-rule-check-limit=\"true\" name=\"wpforms[fields][21][]\" value=\"3\" aria-errormessage=\"wpforms-426-field_21_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-426-field_21_3\">Maybe \u2013 depends on the time<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-426-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-426-field_22\">Anything else you\u2019d like us to know about you?<\/label><input type=\"text\" id=\"wpforms-426-field_22\" class=\"wpforms-field-large\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-426-field_22-error\" ><\/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-426-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-426-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-426-field_2-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=\"426\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/pages\/429\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-426\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/childrenrising.org\/main\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Join Our Co-Parenting Community Please fill out the form bellow. For other questions or general inquiries use our contact page. Form is currently in development mode.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-with-title","meta":{"give_campaign_id":0,"pagelayer_contact_templates":[],"_pagelayer_content":"","_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"footnotes":""},"class_list":["post-429","page","type-page","status-publish","hentry"],"aioseo_notices":[],"campaignId":"","_links":{"self":[{"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/pages\/429","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/comments?post=429"}],"version-history":[{"count":7,"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/pages\/429\/revisions"}],"predecessor-version":[{"id":448,"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/pages\/429\/revisions\/448"}],"wp:attachment":[{"href":"https:\/\/childrenrising.org\/main\/wp-json\/wp\/v2\/media?parent=429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}