{"id":9540,"date":"2025-02-19T12:57:39","date_gmt":"2025-02-19T20:57:39","guid":{"rendered":"https:\/\/extension.wsu.edu\/sanjuan\/?page_id=9540"},"modified":"2025-03-18T12:23:23","modified_gmt":"2025-03-18T19:23:23","slug":"care-to-share-form","status":"publish","type":"page","link":"https:\/\/extension.wsu.edu\/sanjuan\/4h\/care-to-share-form\/","title":{"rendered":"&#8220;Care to Share&#8221; Form"},"content":{"rendered":"<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 gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_14' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">San Juan County 4-H &#8220;Care to Share&#8221; Form<\/h2>\n                            <p class='gform_description'>This form has been designed to provide valuable input to the San Juan 4-H program. Once completed, this form will be distributed to the appropriate individual or group to address the issue or concern.Please take a few moments and complete all three sections of this form and sign it. <b> Forms without all three sections completed and a signature will be disregarded. <\/b><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/sanjuan\/wp-json\/wp\/v2\/pages\/9540' data-formid='14' >\n                        <div class='gform-body gform_body'><div id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_14_1\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_14_1\"><label class='gfield_label gform-field-label' for='input_14_1' >Section #1: Describe the current situation:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_1' id='input_14_1' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_3\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_14_3\"><label class='gfield_label gform-field-label' for='input_14_3' >Section #2: Describe the problem with the current situation:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_14_3' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_4\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_14_4\"><label class='gfield_label gform-field-label' for='input_14_4' >Section #3: Give your suggestion(s) for a possible solution:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_14_4' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_14_5\"  class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_14_5\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<\/legend><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_14_5'>\n                            \n                            <span id='input_14_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_14_5_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_14_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_14_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_14_5_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_14_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_14_6\"  class=\"gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_14_6\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address<\/legend>    \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_14_6' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_14_6_1_container' >\n                                        <input type='text' name='input_6.1' id='input_14_6_1' value=''    aria-required='false'    \/>\n                                        <label for='input_14_6_1' id='input_14_6_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_14_6_2_container' >\n                                        <input type='text' name='input_6.2' id='input_14_6_2' value=''     aria-required='false'   \/>\n                                        <label for='input_14_6_2' id='input_14_6_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_14_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_14_6_3' value=''    aria-required='false'    \/>\n                                    <label for='input_14_6_3' id='input_14_6_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_14_6_4_container' >\n                                        <input type='text' name='input_6.4' id='input_14_6_4' value=''      aria-required='false'    \/>\n                                        <label for='input_14_6_4' id='input_14_6_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_14_6_5_container' >\n                                    <input type='text' name='input_6.5' id='input_14_6_5' value=''    aria-required='false'    \/>\n                                    <label for='input_14_6_5' id='input_14_6_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_6.6' id='input_14_6_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_14_7\"  class=\"gfield gfield--type-phone gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  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You understand and agree that this completed form constitutes the entire agreement between you and San Juan County 4-H. You intend to sign this agreement electronically, and your click serves as your legally binding electronic signature.<\/div><\/fieldset><div id=\"field_14_11\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_14_11\"><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_14_10\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_14_10\">Created by John DeMontmollin (2009) Revised in 2011 by Dan Teuteberg. \n<br> <i> Extension programs are available to all without discrimination. 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