{"id":390,"date":"2022-11-16T14:52:59","date_gmt":"2022-11-16T19:52:59","guid":{"rendered":"http:\/\/perthcommunitychristmasdaydinner.org\/?page_id=390"},"modified":"2024-11-27T17:09:02","modified_gmt":"2024-11-27T22:09:02","slug":"390-2","status":"publish","type":"page","link":"https:\/\/perthcommunitychristmasdaydinner.org\/?page_id=390","title":{"rendered":"Ride Request"},"content":{"rendered":"\n<p><\/p>\n\n\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_riderequest\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Ride Request 2025<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"riderequest\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"8699f6254c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F390\" \/><div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_qh4icy4\" id=\"field_qh4icy4_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qh4icy4\" name=\"item_meta[29]\" value=\"\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_qh4icy4\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_qh4icy4\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_ocfup14\" id=\"field_ocfup14_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ocfup14\" name=\"item_meta[30]\" value=\"\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ocfup14\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_ocfup14\">Last<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm6 frm4 frm_first\">\r\n    <label for=\"field_qor7x2\" id=\"field_qor7x2_label\" class=\"frm_primary_label\">Apt Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qor7x2\" name=\"item_meta[31]\" value=\"\"  style=\"width:10em\" maxlength=\"10\" data-invmsg=\"Text is invalid\" class=\"auto_width\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_qor7x2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_qor7x2\">Please enter apt. number only<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm3\">\r\n    <label for=\"field_c9870\" id=\"field_c9870_label\" class=\"frm_primary_label\">House Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c9870\" name=\"item_meta[59]\" value=\"\"  maxlength=\"6\" data-reqmsg=\"House Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_c9870\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_c9870\">Please enter house number only<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_capitalize frm3\">\r\n    <label for=\"field_xm7aq2\" id=\"field_xm7aq2_label\" class=\"frm_primary_label\">Street\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xm7aq2\" name=\"item_meta[32]\" value=\"\"  placeholder=\"place\" data-reqmsg=\"Street cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_xm7aq2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_xm7aq2\"><b>We deliver to Perth addresses. Please enter street name only <b><\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm4 frm_capitalize\">\r\n    <label for=\"field_ob1gs2\" id=\"field_ob1gs2_label\" class=\"frm_primary_label\">PostCode  \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ob1gs2\" name=\"item_meta[33]\" value=\"K7H\"  maxlength=\"6\" data-frmval=\"K7H\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ob1gs2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_ob1gs2\">Please enter with no spaces<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm6 frm_first\">\r\n    <label for=\"field_29yf4d4\" id=\"field_29yf4d4_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d4\" name=\"item_meta[34]\" value=\"\"  data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm6\">\r\n    <label for=\"field_zmhcg3\" id=\"field_zmhcg3_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_zmhcg3\" name=\"item_meta[35]\" value=\"6139999999\"  data-frmval=\"6139999999\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d\\d\\d\\d\\d\\d\\d\\d$\"   aria-describedby=\"frm_desc_field_zmhcg3\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_zmhcg3\">Please enter 10 digits &#8211; no spaces<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 vertical_radio\">\r\n    <div  id=\"field_qip4y_label\" class=\"frm_primary_label\">Wheelchair Access?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_qip4y_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_71-0\">\t\t\t<label  for=\"field_qip4y-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[71]\" id=\"field_qip4y-0\" value=\"Yes\"\n\t\t   data-frmval=\"No\" data-reqmsg=\"Wheelchair Access? cannot be blank.\" data-invmsg=\"Wheelchair Access? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_71-1\">\t\t\t<label  for=\"field_qip4y-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[71]\" id=\"field_qip4y-1\" value=\"No\"\n\t\tchecked=\"checked\"   data-frmval=\"No\" data-reqmsg=\"Wheelchair Access? cannot be blank.\" data-invmsg=\"Wheelchair Access? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_qip4y\">Please tell us if you need wheelchair transport<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_top_container frm_full\">\r\n    <label for=\"field_9jv0r13\" id=\"field_9jv0r13_label\" class=\"frm_primary_label\">Please enter any special instructions to help us find you\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[37]\" id=\"field_9jv0r13\" rows=\"3\"  data-invmsg=\"Please enter any special instructions to help us find you is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_9jv0r13\"><\/textarea>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_9jv0r13\">We normally come to the front door. If you need us to use a different door or a buzzer code, please tell us. <\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_126_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_233_container\">\n\t\t\t<label for=\"field_sfq2h\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_sfq2h\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[233]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"fgGqqiMLatln1MXA\/jUr1nHzWzdr0Rz9bvo\/tgDA0e0=\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-390","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=\/wp\/v2\/pages\/390","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=390"}],"version-history":[{"count":5,"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=\/wp\/v2\/pages\/390\/revisions"}],"predecessor-version":[{"id":587,"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=\/wp\/v2\/pages\/390\/revisions\/587"}],"wp:attachment":[{"href":"https:\/\/perthcommunitychristmasdaydinner.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}