{"id":3955,"date":"2019-08-26T10:41:24","date_gmt":"2019-08-26T14:41:24","guid":{"rendered":"https:\/\/umaine.edu\/volunteer\/?page_id=3955"},"modified":"2024-08-20T14:08:27","modified_gmt":"2024-08-20T18:08:27","slug":"parent-form-bbm","status":"publish","type":"page","link":"https:\/\/umaine.edu\/volunteer\/programs\/parent-form-bbm\/","title":{"rendered":"Parent Form Black Bear Mentors"},"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.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_29' ><div id='gf_29' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">BBM Parent Permission Form 2024-2025<\/h3>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_29'  action='\/volunteer\/wp-json\/wp\/v2\/pages\/3955#gf_29' data-formid='29' novalidate>\n        <div id='gf_progressbar_wrapper_29' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_29_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_29' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Child&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_29_1'>\n                            \n                            <span id='input_29_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_29_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_29_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_2\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_2'>Child&#039;s Preferred Name<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_29_2' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_3\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Child&#039;s Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_29_3' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_29_3_1_container'>\n                                            <input type='number' maxlength='2' name='input_3[]' id='input_29_3_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_29_3_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_29_3_2_container'>\n                                            <input type='number' maxlength='2' name='input_3[]' id='input_29_3_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_29_3_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_29_3_3_container'>\n                                            <input type='number' maxlength='4' name='input_3[]' id='input_29_3_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_29_3_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_29_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_5'>Child&#039;s Ethnicity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_29_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_10'>School<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_29_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_11'>Grade<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_29_11' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_12'>Teacher<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_29_12' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_6\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of Parent\/Guardian<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_29_6'>\n                            \n                            <span id='input_29_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_29_6_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_6_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_29_6_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_6_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_7'>Relation to Child<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_29_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you have legal custody of child?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_9'><li class='gchoice gchoice_29_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='Yes'  id='choice_29_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_9_1' id='label_29_9_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='No'  id='choice_29_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_9_2' id='label_29_9_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_15\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Home Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_29_15' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_29_15_1_container' >\n                                        <input type='text' name='input_15.1' id='input_29_15_1' value=''    aria-required='true'    \/>\n                                        <label for='input_29_15_1' id='input_29_15_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_29_15_2_container' >\n                                        <input type='text' name='input_15.2' id='input_29_15_2' value=''     aria-required='false'   \/>\n                                        <label for='input_29_15_2' id='input_29_15_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_29_15_3_container' >\n                                    <input type='text' name='input_15.3' id='input_29_15_3' value=''    aria-required='true'    \/>\n                                    <label for='input_29_15_3' id='input_29_15_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_29_15_4_container' >\n                                        <select name='input_15.4' id='input_29_15_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/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='Guam' >Guam<\/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' selected='selected'>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='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/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='U.S. Virgin Islands' >U.S. Virgin Islands<\/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_29_15_4' id='input_29_15_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_29_15_5_container' >\n                                    <input type='text' name='input_15.5' id='input_29_15_5' value=''    aria-required='true'    \/>\n                                    <label for='input_29_15_5' id='input_29_15_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_29_15_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_29_16\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address (if different than home address)<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_29_16' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_29_16_1_container' >\n                                        <input type='text' name='input_16.1' id='input_29_16_1' value=''    aria-required='false'    \/>\n                                        <label for='input_29_16_1' id='input_29_16_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_29_16_2_container' >\n                                        <input type='text' name='input_16.2' id='input_29_16_2' value=''     aria-required='false'   \/>\n                                        <label for='input_29_16_2' id='input_29_16_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_29_16_3_container' >\n                                    <input type='text' name='input_16.3' id='input_29_16_3' value=''    aria-required='false'    \/>\n                                    <label for='input_29_16_3' id='input_29_16_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_29_16_4_container' >\n                                        <select name='input_16.4' id='input_29_16_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/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='Guam' >Guam<\/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' selected='selected'>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='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/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='U.S. Virgin Islands' >U.S. Virgin Islands<\/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_29_16_4' id='input_29_16_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_29_16_5_container' >\n                                    <input type='text' name='input_16.5' id='input_29_16_5' value=''    aria-required='false'    \/>\n                                    <label for='input_29_16_5' id='input_29_16_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_16.6' id='input_29_16_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_29_13\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_13'>Parent\/ Guardian Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_13' id='input_29_13' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_29_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I would like to receive program email alerts?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_20'><li class='gchoice gchoice_29_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Yes'  id='choice_29_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_20_1' id='label_29_20_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='No'  id='choice_29_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_20_2' id='label_29_20_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_17\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_17'>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_17' id='input_29_17' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Type of phone:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_22'><li class='gchoice gchoice_29_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Home'  id='choice_29_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_22_1' id='label_29_22_1' class='gform-field-label gform-field-label--type-inline'>Home<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Mobile'  id='choice_29_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_22_2' id='label_29_22_2' class='gform-field-label gform-field-label--type-inline'>Mobile<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_57\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I would like to receive program text alerts?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_57'><li class='gchoice gchoice_29_57_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.1' type='checkbox'  value='Yes'  id='choice_29_57_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_57_1' id='label_29_57_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_57_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.2' type='checkbox'  value='No'  id='choice_29_57_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_57_2' id='label_29_57_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >What is the child&#039;s living situation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_19'><li class='gchoice gchoice_29_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='2-parent'  id='choice_29_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_19_1' id='label_29_19_1' class='gform-field-label gform-field-label--type-inline'>2-parent<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='1-parent male'  id='choice_29_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_19_2' id='label_29_19_2' class='gform-field-label gform-field-label--type-inline'>1-parent male<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='1-parent female'  id='choice_29_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_19_3' id='label_29_19_3' class='gform-field-label gform-field-label--type-inline'>1-parent female<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Other relative'  id='choice_29_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_19_4' id='label_29_19_4' class='gform-field-label gform-field-label--type-inline'>Other relative<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_19_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.5' type='checkbox'  value='Other'  id='choice_29_19_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_19_5' id='label_29_19_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please check if you or your child receives the following:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_23'><li class='gchoice gchoice_29_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='TANF'  id='choice_29_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_1' id='label_29_23_1' class='gform-field-label gform-field-label--type-inline'>TANF<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='SNAP'  id='choice_29_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_2' id='label_29_23_2' class='gform-field-label gform-field-label--type-inline'>SNAP<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Maine Care'  id='choice_29_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_3' id='label_29_23_3' class='gform-field-label gform-field-label--type-inline'>Maine Care<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='Free\/Reduced Lunch'  id='choice_29_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_4' id='label_29_23_4' class='gform-field-label gform-field-label--type-inline'>Free\/Reduced Lunch<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.5' type='checkbox'  value='Subsidized Housing'  id='choice_29_23_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_5' id='label_29_23_5' class='gform-field-label gform-field-label--type-inline'>Subsidized Housing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.6' type='checkbox'  value='Child of current\/past incarcerated parent'  id='choice_29_23_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_6' id='label_29_23_6' class='gform-field-label gform-field-label--type-inline'>Child of current\/past incarcerated parent<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.7' type='checkbox'  value='Military Parent'  id='choice_29_23_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_7' id='label_29_23_7' class='gform-field-label gform-field-label--type-inline'>Military Parent<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Has the applicant had any prior involvement with the Juvenile Justice System?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_24'><li class='gchoice gchoice_29_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Yes'  id='choice_29_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_24_1' id='label_29_24_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='No'  id='choice_29_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_24_2' id='label_29_24_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_25\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_25'>If yes to the previous question, please describe involvement<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_29_25' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_26\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_26'>Allergies<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_29_26' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_27\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_27'>Medications<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_29_27' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >Preferred Site(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_28'><li class='gchoice gchoice_29_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Old Town Elementary School'  id='choice_29_28_1'   aria-describedby=\"gfield_description_29_28\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_29_28_1' id='label_29_28_1' class='gform-field-label gform-field-label--type-inline'>Old Town Elementary School<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Leonard Middle School, Old Town'  id='choice_29_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_28_2' id='label_29_28_2' class='gform-field-label gform-field-label--type-inline'>Leonard Middle School, Old Town<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_28_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.3' type='checkbox'  value='Lewis Libby School, Milford'  id='choice_29_28_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_28_3' id='label_29_28_3' class='gform-field-label gform-field-label--type-inline'>Lewis Libby School, Milford<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_29_28'>*Child must be enrolled in the Afterschool Program \n<\/div><\/li><li id=\"field_29_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >My child may walk from the chosen site.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_29'><li class='gchoice gchoice_29_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Yes'  id='choice_29_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_29_1' id='label_29_29_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='No'  id='choice_29_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_29_2' id='label_29_29_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_30\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_30'>Please list anyone who IS allowed to pick up your child (ID will be required)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_29_30' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_32\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_32'>List anyone who IS NOT allowed to pick up your child.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_29_32' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_29_46' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_2' class='gform_page' data-js='page-field-id-46' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Mentor\/Big Preference<\/label><div class='gfield_description' id='gfield_description_29_34'>Though the Black Bear Mentor Program does not discriminate against volunteer applicants or children, parent\/guardians do have the right to express preferences about the volunteer that their child is matched with. We will make every effort to comply with these preferences, but we cannot guarantee the characteristics of the mentors. Please indicate your preferences, if any, below:<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_34'><li class='gchoice gchoice_29_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Woman'  id='choice_29_34_1'   aria-describedby=\"gfield_description_29_34\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_29_34_1' id='label_29_34_1' class='gform-field-label gform-field-label--type-inline'>Woman<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='Man'  id='choice_29_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_34_2' id='label_29_34_2' class='gform-field-label gform-field-label--type-inline'>Man<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_34_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.3' type='checkbox'  value='No Preference'  id='choice_29_34_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_34_3' id='label_29_34_3' class='gform-field-label gform-field-label--type-inline'>No Preference<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_37\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_37'>Preferred Religion<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_29_37' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_38\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_38'>Preferred Ethnicity<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_29_38' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_39\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_39'>Other Preferences<\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_29_39' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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 gfield_label_before_complex' >Please read the following carefully and click on each statement to indicate your agreement.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_29_41'>I give permission for my child, (named above), to participate in the Black Bear Mentors\/BBBSMM program one day per week.  In doing so I understand and agree to the following: \n\n<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_41'><li class='gchoice gchoice_29_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='My child (Little) will meet with a University of Maine student (mentor\/big) at least one hour per week, October through May.'  id='choice_29_41_1'   aria-describedby=\"gfield_description_29_41\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_1' id='label_29_41_1' class='gform-field-label gform-field-label--type-inline'>My child (Little) will meet with a University of Maine student (mentor\/big) at least one hour per week, October through May.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='I authorize my child\u2019s school (listed above) and any subsequent schools that she\/he attends to release grades, attendance, and social reports about my child to the Black Bear Mentor Program and Big Brothers Big Sisters of Mid-Maine Program Staff to be used for reporting purposes.'  id='choice_29_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_2' id='label_29_41_2' class='gform-field-label gform-field-label--type-inline'>I authorize my child\u2019s school (listed above) and any subsequent schools that she\/he attends to release grades, attendance, and social reports about my child to the Black Bear Mentor Program and Big Brothers Big Sisters of Mid-Maine Program Staff to be used for reporting purposes.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='All applicant information in regards to my child, including home address, will be kept strictly confidential'  id='choice_29_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_3' id='label_29_41_3' class='gform-field-label gform-field-label--type-inline'>All applicant information in regards to my child, including home address, will be kept strictly confidential<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_41_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.4' type='checkbox'  value='I authorize Black Bear Mentor Program Staff along with Big Brothers Big Sisters of Mid-Maine to have my child complete a questionnaire about school, home, and personal interests.'  id='choice_29_41_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_4' id='label_29_41_4' class='gform-field-label gform-field-label--type-inline'>I authorize Black Bear Mentor Program Staff along with Big Brothers Big Sisters of Mid-Maine to have my child complete a questionnaire about school, home, and personal interests.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_41_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.5' type='checkbox'  value='I authorize the Black Bear Mentor Program Staff along with Big Brothers Big Sisters of Mid-Maine Staff to talk with my child about personal safety.'  id='choice_29_41_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_5' id='label_29_41_5' class='gform-field-label gform-field-label--type-inline'>I authorize the Black Bear Mentor Program Staff along with Big Brothers Big Sisters of Mid-Maine Staff to talk with my child about personal safety.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_41_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.6' type='checkbox'  value='Black Bear Mentors\/BBBSMM does not guarantee my child will be matched and has discretion in creating and\/or closing a match in regards to child safety and the best interests of all parties involved.'  id='choice_29_41_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_6' id='label_29_41_6' class='gform-field-label gform-field-label--type-inline'>Black Bear Mentors\/BBBSMM does not guarantee my child will be matched and has discretion in creating and\/or closing a match in regards to child safety and the best interests of all parties involved.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_41_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.7' type='checkbox'  value='I understand that contact with my child\u2019s mentor outside of the mentoring activities is not permitted.'  id='choice_29_41_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_7' id='label_29_41_7' class='gform-field-label gform-field-label--type-inline'>I understand that contact with my child\u2019s mentor outside of the mentoring activities is not permitted.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_41_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.8' type='checkbox'  value='I authorize the Black Bear Mentor Program Staff along with Big Brothers Big Sisters of Mid-Maine to use my child\u2019s photo and first name only in any materials in print, on websites, or on social media to highlight match successes and recruit Bigs and Littles. (Please do not check this box if you do not wish to authorize)'  id='choice_29_41_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_41_8' id='label_29_41_8' class='gform-field-label gform-field-label--type-inline'>I authorize the Black Bear Mentor Program Staff along with Big Brothers Big Sisters of Mid-Maine to use my child\u2019s photo and first name only in any materials in print, on websites, or on social media to highlight match successes and recruit Bigs and Littles. (Please do not check this box if you do not wish to authorize)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_43\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >Special Event Permission<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_43'><li class='gchoice gchoice_29_43_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.1' type='checkbox'  value='I give permission for my child to be transported from their school to the University of Maine, and back for the Spring Campus Visit, which we will predict will be in April.'  id='choice_29_43_1'   aria-describedby=\"gfield_description_29_43\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_29_43_1' id='label_29_43_1' class='gform-field-label gform-field-label--type-inline'>I give permission for my child to be transported from their school to the University of Maine, and back for the Spring Campus Visit, which we will predict will be in April.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_29_43'>There are typically two events during the year that happen at the University of Maine. Your child will be picked up at their school, brought to UMaine, and then returned to the school.  We generally choose two days during the week for the visits, and we will coordinate with you what day is best for your child to attend.  (More information will be provided to you before the visits.)<\/div><\/li><li id=\"field_29_44\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Signature (please type your full name below)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_29_44'>\n                            \n                            <span id='input_29_44_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_44.3' id='input_29_44_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_44_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_44_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_44.6' id='input_29_44_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_44_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_45\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Today&#039;s Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_29_45' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_29_45_1_container'>\n                                            <input type='number' maxlength='2' name='input_45[]' id='input_29_45_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_29_45_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_29_45_2_container'>\n                                            <input type='number' maxlength='2' name='input_45[]' id='input_29_45_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_29_45_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_29_45_3_container'>\n                                            <input type='number' maxlength='4' name='input_45[]' id='input_29_45_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_29_45_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_29_48' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_29_48' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_3' class='gform_page' data-js='page-field-id-48' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_47'>Name of Parent\/Guardian<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_29_47'>Parent Referral Form<\/div><div class='ginput_container ginput_container_text'><input name='input_47' id='input_29_47' type='text' value='' class='medium'  aria-describedby=\"gfield_description_29_47\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_49\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_49'>Please list the individuals that live with the child and the relationship with the child<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_49' id='input_29_49' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_50\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_50'>Are there any activities that your child is involved in that make meeting with a mentor difficult? (Band, Football, Cheerleading, Soccer, etc)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_29_50' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_51\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_51'>Please describe your child&#039;s interests and hobbies<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_51' id='input_29_51' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_52\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_52'>Please describe your child&#039;s school performance and ability to get along with peers his\/her own age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_52' id='input_29_52' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_53\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_53'>Does your child have any behavioral, emotional, medical concerns, or special considerations?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_53' id='input_29_53' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_54\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_29_54'>Other Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_54' id='input_29_54' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_55\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >Parent\/Guardian Signature (please type your name below)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_29_55'>\n                            \n                            <span id='input_29_55_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.3' id='input_29_55_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_55_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_55_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.6' id='input_29_55_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_55_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_56\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >Today&#039;s Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_29_56' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_29_56_1_container'>\n                                            <input type='number' maxlength='2' name='input_56[]' id='input_29_56_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_29_56_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div 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