{"id":42,"date":"2011-10-10T21:57:28","date_gmt":"2011-10-10T21:57:28","guid":{"rendered":"http:\/\/localhost:8888\/ugachildcare\/?page_id=42"},"modified":"2012-09-10T21:23:12","modified_gmt":"2012-09-10T21:23:12","slug":"pre-register","status":"publish","type":"page","link":"https:\/\/universitychildcarecenter.uga.edu\/?page_id=42","title":{"rendered":"Pre-Register Now"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f150-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"150\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F42#wpcf7-f150-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"150\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f150-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div id=\"contact-form\">\n\t<h1 class=\"span5 offset2\">Parent 1\n\t<\/h1>\n\t<div style=\"clear:both;\">\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Name<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mothers-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mothers-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Phone<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mothersphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mothersphone\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Email<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mothers-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"mothers-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h1 class=\"span5 offset2\">Parent 2\n\t<\/h1>\n\t<div style=\"clear:both;\">\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Name<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fathers-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fathers-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Phone<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fathersphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fathersphone\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Email<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fathers-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"fathers-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><span class=\"help-inline span5 offset2\">Single parent households need not submit information for both Parent 1 and Parent 2.<\/span>\n\t<\/p>\n\t<h1 class=\"span5 offset2\">Child's\n\t<\/h1>\n\t<div style=\"clear:both;\">\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Name<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"childs-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"childs-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Gender<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-289\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-289\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-289\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Birth Date<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"January 1, 2012\" type=\"text\" name=\"birth-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Entrance Date<\/label>\n\t<\/p>\n\t<div class=\"input\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"entrance-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"January 3, 2013\" type=\"text\" name=\"entrance-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><span class=\"span5 offset2\">&nbsp;<\/span>\n\t<\/p>\n\t<h1 class=\"span5 offset2\">Additional\n\t<\/h1>\n\t<div style=\"clear:both;\">\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Income<\/label>\n\t<\/p>\n\t<div class=\"input\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-290\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-290\" value=\"Greater than $70,000 \/ annually (combined household)\" \/><span class=\"wpcf7-list-item-label\">Greater than $70,000 \/ annually (combined household)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-290\" value=\"Less than $70,000 \/ annually (combined household)\" \/><span class=\"wpcf7-list-item-label\">Less than $70,000 \/ annually (combined household)<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><span class=\"help-inline span5 offset2\"><strong>Note:<\/strong> Used to determine if you qualify for reduced tuition<\/span>\n\t<\/p>\n\t<div style=\"clear:both;\">\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">UGA Affiliation<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-291\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-291\" value=\"I am or my spouse is a UGA faculty member, staff member, or student\" \/><span class=\"wpcf7-list-item-label\">I am or my spouse is a UGA faculty member, staff member, or student<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-291\" value=\"I am not, nor is my spouse, affiliated with UGA\" \/><span class=\"wpcf7-list-item-label\">I am not, nor is my spouse, affiliated with UGA<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><label style=\"margin-right:40px;\">Enrollment Type<\/label>\n\t<\/p>\n\t<div class=\"input clearfix\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-297\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-297\" value=\"Full Time\" \/><span class=\"wpcf7-list-item-label\">Full Time<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-297\" value=\"Monday, Wednesday, Friday (if available)\" \/><span class=\"wpcf7-list-item-label\">Monday, Wednesday, Friday (if available)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-297\" value=\"Tuesday, Thursday (if available)\" \/><span class=\"wpcf7-list-item-label\">Tuesday, Thursday (if available)<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\n<!-- commented out 8\/28\/12 \n<h1 class=\"span5 offset2\">$75 Supply Fee<\/h1>\n<div style=\"clear:both;\"><\/div>\n\n<label style=\"margin-right:40px;\">Check #<\/label> \n<div class=\"input clearfix\"><span class=\"wpcf7-form-control-wrap\" data-name=\"check-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"check-number\" \/><\/span><\/div>\n\n<span class=\"alert-message block-message warning span9 offset2\">$75 Supply Fee is Non Refundable. Make checks payable to <strong>University Childcare<\/strong> and\nmail to <strong>111 Bowstrom Rd RE: UGA Childcare, Athens, GA 30602<\/strong><\/span>\n<div style=\"clear:both;\"><\/div>\n-->\n\t<div style=\"margin-right: 40px;\">\n\t\t<p>&nbsp;\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input\">\n\t\n\t<\/div>\n\t<div style=\"clear:both; height:20px;\">\n\t<\/div>\n\t<div class=\"input clearfix\" style=\"margin-left:150px;\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn primary\" type=\"submit\" value=\"Send\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"100\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"pre-register.php","meta":{"footnotes":""},"class_list":["post-42","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/universitychildcarecenter.uga.edu\/index.php?rest_route=\/wp\/v2\/pages\/42","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/universitychildcarecenter.uga.edu\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/universitychildcarecenter.uga.edu\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/universitychildcarecenter.uga.edu\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/universitychildcarecenter.uga.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=42"}],"version-history":[{"count":0,"href":"https:\/\/universitychildcarecenter.uga.edu\/index.php?rest_route=\/wp\/v2\/pages\/42\/revisions"}],"wp:attachment":[{"href":"https:\/\/universitychildcarecenter.uga.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}