{"id":8789,"date":"2021-12-10T14:35:51","date_gmt":"2021-12-10T22:35:51","guid":{"rendered":"https:\/\/extension.wsu.edu\/pierce\/?page_id=8789"},"modified":"2024-07-24T07:55:58","modified_gmt":"2024-07-24T14:55:58","slug":"register","status":"publish","type":"page","link":"https:\/\/extension.wsu.edu\/pierce\/nutrition\/efnep\/register\/","title":{"rendered":"EFNEP Class Request Form"},"content":{"rendered":"<div class=\"wsu-hero wsu-width--full wsu-pattern--wsu-light-radial-left \">\n\t\n\t<div class=\"wsu-image-frame wsu-image-frame--fill\">\n\t<img decoding=\"async\" src=\"https:\/\/wpcdn.web.wsu.edu\/extension\/uploads\/sites\/43\/2021\/12\/Seasonal-Spring.png\"\n\t\tsrcset=\"https:\/\/wpcdn.web.wsu.edu\/extension\/uploads\/sites\/43\/2021\/12\/Seasonal-Spring.png 1080w, https:\/\/wpcdn.web.wsu.edu\/extension\/uploads\/sites\/43\/2021\/12\/Seasonal-Spring.png 396w, https:\/\/wpcdn.web.wsu.edu\/extension\/uploads\/sites\/43\/2021\/12\/Seasonal-Spring.png 792w, https:\/\/wpcdn.web.wsu.edu\/extension\/uploads\/sites\/43\/2021\/12\/Seasonal-Spring.png 198w, https:\/\/wpcdn.web.wsu.edu\/extension\/uploads\/sites\/43\/2021\/12\/Seasonal-Spring.png 768w\"\n\t\tsizes=\"(max-width: 1080px) 100vw, 1080px\"\n\t\talt=\"Common seasonal Spring fruits and vegetables.\"\n\t\tstyle=\"object-position: 50% 50%\"\n\t\t\/>\n<\/div>\n\n\t<div class=\"wsu-overlay wsu-pattern-after wsu-overlay--none wsu-pattern--wsu-light-radial-left\"><\/div>\n\t<div class=\"wsu-hero__content\">\n\t\t<div class=\"wsu-hero__caption\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>\n\n\n<div class=\"breadcrumbs\" typeof=\"BreadcrumbList\" vocab=\"https:\/\/schema.org\/\">\r\n\t<!-- Breadcrumb NavXT 7.2.0 -->\n<span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to WSU Extension.\" href=\"https:\/\/extension.wsu.edu\/\" class=\"main-home\" ><span property=\"name\">WSU Extension<\/span><\/a><meta property=\"position\" content=\"1\"><\/span> &gt; <span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Pierce County.\" href=\"https:\/\/extension.wsu.edu\/pierce\" class=\"home\" ><span property=\"name\">Pierce County<\/span><\/a><meta property=\"position\" content=\"2\"><\/span> &gt; <span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to News.\" href=\"https:\/\/extension.wsu.edu\/pierce\/news\/\" class=\"post-root post post-post\" aria-current=\"page\"><span property=\"name\">News<\/span><\/a><meta property=\"position\" content=\"3\"><\/span><\/div><header class=\"wsu-article-header \">\r\n\t<h1 class=\"wsu-article-header__title\">\r\n\t\tEFNEP Class Request Form\t<\/h1>\r\n\t\t<\/header>\r\n\n\n<div class=\"program-contact \">\n\t\t\t<img\n\t\t\tsrc=\"https:\/\/extension.wsu.edu\/pierce\/wp-content\/plugins\/cahnrs-extension-plugin\/assets\/images\/food.png\"\n\t\t\theight=\"75\"\n\t\t\twidth=\"75\"\n\t\t\tclass=\"extension-program-icon\"\n\t\t\talt=\"Program Icon.\"\n\t\t>\n\t\n\t<div class=\"program-contact-info\">\n\t\t<h2>Program Contact<\/h2>\n\n\t\t\t\t\tAlysia Morgan, RDN, EFNEP Supervisor, Pierce County<br>\n\t\t\n\t\t\n\t\t\t\t\t<span class=\"wsu-screen-reader-only\">Email Address<\/span> \u2022\n\t\t\t<a href=\"mailto:alysia.morgan1@wsu.edu\">alysia.morgan1@wsu.edu<\/a>\n\t\t\t<\/div>\n<\/div>\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme' id='gform_wrapper_6' >\n                        <div class='gform_heading'>\n                            <span class='gform_description'>Are you interested in improving you and your family\u2019s health, saving money at the grocery store, keeping food safe, being active, and cooking and planning meals? Are you pregnant or have children at home? Are you part of a community agency that works with parents or caregivers that would like to host an EFNEP class series?\r\n\r\nWSU Pierce County EFNEP offers a series of 9 FREE nutrition education classes for adults. \r\n\r\nPlease complete the form below to sign up for classes and get started on your healthy journey!<\/span>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/pierce\/wp-json\/wp\/v2\/pages\/8789' >\n                        <div class='gform_body gform-body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_6_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_1\"><legend class='gfield_label 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class='gfield_label' for='input_6_4' >Confirm Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_6_3\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_3\"><label class='gfield_label' for='input_6_3' >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_3' id='input_6_3' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_13\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_13\"><label class='gfield_label' for='input_6_13' >County of Residence<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_6_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Pierce' >Pierce<\/option><option value='King' >King<\/option><\/select><\/div><\/div><fieldset id=\"field_6_6\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_6\"><legend class='gfield_label'  >Are you pregnant, have\/care for children under the age of 19, or do you work for an agency that works with parents or adults who care for children?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_6'>\n\t\t\t<div class='gchoice gchoice_6_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Yes'  id='choice_6_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_6_0' id='label_6_6_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='No'  id='choice_6_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_6_1' id='label_6_6_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_8\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_8\"><legend class='gfield_label'  >Are you between the ages of 18 and 25 and do not 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class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_6_11' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Facebook' >Facebook<\/option><option value='Instagram' >Instagram<\/option><option value='Cooperative Extension Website' >Cooperative Extension Website<\/option><option value='EFNEP Educator' >EFNEP Educator<\/option><option value='Organization' >Organization<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_6_12\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_12\"><label class='gfield_label' for='input_6_12' >Provide any additional details about what you are looking for:<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_6_12' type='text' value='' class='large'  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