{"id":2582,"date":"2021-11-02T16:56:22","date_gmt":"2021-11-02T21:56:22","guid":{"rendered":"https:\/\/soarspecialneeds.org\/?page_id=2582"},"modified":"2021-11-03T10:28:08","modified_gmt":"2021-11-03T15:28:08","slug":"soar-christmas-blessings-family-questionnaire","status":"publish","type":"page","link":"https:\/\/soarspecialneeds.org\/soar-christmas-blessings-family-questionnaire\/","title":{"rendered":"SOAR Christmas Blessings &#8211; Family Questionnaire"},"content":{"rendered":"\n\n\t<p>Can we bless you or a family you know this Christmas? If you could take a few minutes to give us the information on what would be a blessing to you all that would be wonderful!<\/p>\n<p>Please answer the following questions for <strong>each immediate family member living in your household<\/strong> by <strong>Monday, November 15 at 1 pm<\/strong>.<\/p>\n<p>Thank you for allowing us to serve your family this Christmas season!<\/p>\n                <form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_4' id='gform_4'  action='\/?page_id=2582&#038;fl_builder#gf_4' novalidate><input id=\"input_57d0676bd1813fc0035748bcba1617d1\" type=\"hidden\" name=\"input_57d0676bd1813fc0035748bcba1617d1\" value=\"\"\/>\n                        <fieldset id=\"field_4_1\"><legend class='gfield_label gfield_label_before_complex'>Address(Required)<\/legend>    \n                                        <label for='input_4_1_1' id='input_4_1_1_label'>Street Address<\/label>\n                                        <input type='text' name='input_1.1' id='input_4_1_1' value='' tabindex='101'   aria-required='true'    \/>\n                                        <label for='input_4_1_2' id='input_4_1_2_label'>Address Line 2<\/label>\n                                        <input type='text' name='input_1.2' id='input_4_1_2' value='' tabindex='102'    aria-required='false'   \/>\n                                    <label for='input_4_1_3' id='input_4_1_3_label'>City<\/label>\n                                    <input type='text' name='input_1.3' id='input_4_1_3' value='' tabindex='103'   aria-required='true'    \/>\n                                        <label for='input_4_1_4' id='input_4_1_4_label'>State<\/label>\n                                        <select name='input_1.4' id='input_4_1_4' tabindex='104'    aria-required='true'><option value='' selected='selected'><\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District of Columbia'>District of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><option value='Armed Forces Americas'>Armed Forces Americas<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><\/select>\n                                    <label for='input_4_1_5' id='input_4_1_5_label'>ZIP Code<\/label>\n                                    <input type='text' name='input_1.5' id='input_4_1_5' value='' tabindex='106'   aria-required='true'   \/>\n                                <input type='hidden' class='gform_hidden' name='input_1.6' id='input_4_1_6' value='United States' \/>\n                <\/fieldset><label class='gfield_label' for='input_4_2'>Phone(Required)<\/label><input name='input_2' id='input_4_2' type='tel' value='' class='large' tabindex='107'  aria-required=\"true\" aria-invalid=\"false\"   \/><label class='gfield_label' for='input_4_3'>Parent(s)<\/label>\n\t<table>\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th>\n\t\t\t\t\tFirst Name\t\t\t\t<\/th>\n\t\t\t\t\t\t<th>Actions<\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td\n\t\t\t\t\tdata-bind=\"html: f3.label, attr: { 'data-value': f3.label }\"\n\t\t\t\t\tdata-heading=\"First Name\">&nbsp;<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t<ul>\n\t\t\t\t\t<li><a href=\"#\" data-bind=\"click: $parent.editEntry\">Edit<\/a><\/li>\n\t\t\t\t\t<li><a href=\"#\" data-bind=\"click: $parent.deleteEntry\">Delete<\/a><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr data-bind=\"visible: entries().length <= 0\">\n\t\t\t<td colspan=\"2\">\n\t\t\t\tThere are no Parents.\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\t<\/table>\n\t\t\t<button type=\"button\"\n\t\t        data-formid=\"4\"\n\t\t        data-nestedformid=\"5\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\ttabindex='108'>\n\t\t\t\tAdd Parent\n\t\t\t<\/button>\t\n\t\t\t\n\t\t\t\tMaximum number of parents reached.\n\t\t\t\n<input type=\"hidden\"\n                name=\"input_3\"\n                id=\"input_4_3\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><label class='gfield_label' for='input_4_4'>Child(ren)<\/label>\n\t<table>\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th>\n\t\t\t\t\tFirst Name\t\t\t\t<\/th>\n\t\t\t\t\t\t<th>Actions<\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"First Name\">&nbsp;<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t<ul>\n\t\t\t\t\t<li><a href=\"#\" data-bind=\"click: $parent.editEntry\">Edit<\/a><\/li>\n\t\t\t\t\t<li><a href=\"#\" data-bind=\"click: $parent.deleteEntry\">Delete<\/a><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr data-bind=\"visible: entries().length <= 0\">\n\t\t\t<td colspan=\"2\">\n\t\t\t\tThere are no Children.\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\t<\/table>\n\t\t\t<button type=\"button\"\n\t\t        data-formid=\"4\"\n\t\t        data-nestedformid=\"6\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\ttabindex='109'>\n\t\t\t\tAdd Child\n\t\t\t<\/button>\t\n\t\t\t\n\t\t\t\tMaximum number of children reached.\n\t\t\t\n<input type=\"hidden\"\n                name=\"input_4\"\n                id=\"input_4_4\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><label class='gfield_label' for='input_4_5'>If these items are delivered, what are the ideal delivery times?(Required)<\/label><input name='input_5' id='input_4_5' type='text' value='' class='large'   tabindex='110'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class='gfield_label' for='input_4_6'>SOAR is partnering with outside local organizations to provide our families with Christmas Blessings. Would you be comfortable with a partner organization delivering your gifts?(Required)<\/label><select name='input_6' id='input_4_6' class='large gfield_select' tabindex='111'   aria-required=\"true\" aria-invalid=\"false\"><option value='' selected='selected' class='gf_placeholder'>Select One<\/option><option value='Yes'>Yes<\/option><option value='No'>No<\/option><\/select><label class='gfield_label' for='input_4_8'>Anything else you would like us to know about your family?<\/label><textarea name='input_8' id='input_4_8' class='textarea small' tabindex='112'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea>\n         <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Submit' tabindex='113' onclick='if(window[\"gf_submitting_4\"]){return false;}  if( !jQuery(\"#gform_4\")[0].checkValidity || jQuery(\"#gform_4\")[0].checkValidity()){window[\"gf_submitting_4\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_4\"]){return false;} if( !jQuery(\"#gform_4\")[0].checkValidity || jQuery(\"#gform_4\")[0].checkValidity()){window[\"gf_submitting_4\"]=true;}  jQuery(\"#gform_4\").trigger(\"submit\",[true]); }' \/> <input type='hidden' name='gform_ajax' value='form_id=4&amp;title=&amp;description=&amp;tabindex=100' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsIjg2YWY1MWE2YzI5NDM4Zjk3ZWI0MGE3ZGExNTI2NDMxIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n                        <\/form>\n                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_4' id='gform_ajax_frame_4' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\n","protected":false},"excerpt":{"rendered":"<p>Can we bless you or a family you know this Christmas? If you could take a few minutes to give us the information on what would be a blessing to&hellip;<\/p>\n","protected":false},"author":29,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>SOAR Christmas Blessings - Family Questionnaire - SOAR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/soarspecialneeds.org\/soar-christmas-blessings-family-questionnaire\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SOAR Christmas Blessings - Family Questionnaire - SOAR\" \/>\n<meta property=\"og:description\" content=\"Can we bless you or a family you know this Christmas? 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