{"id":4208,"date":"2021-08-31T08:13:55","date_gmt":"2021-08-31T12:13:55","guid":{"rendered":"https:\/\/extension.umaine.edu\/parenting\/?page_id=4208"},"modified":"2021-08-31T08:14:19","modified_gmt":"2021-08-31T12:14:19","slug":"testimonials-submission","status":"publish","type":"page","link":"https:\/\/extension.umaine.edu\/parenting\/maine-families-waldo\/testimonials-submission\/","title":{"rendered":"Maine Families: Waldo County Testimonials Submission Form"},"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_2' ><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/parenting\/wp-json\/wp\/v2\/pages\/4208' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_2_26\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'>Comments<\/label><div class='gfield_description' id='gfield_description_2_26'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_26' id='input_2_26' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_2_16\" 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gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.6' id='input_2_16_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_16_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_3\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_2_3_container'>\n                                <span id='input_2_3_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_3' id='input_2_3' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_2_3' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_2_3_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_3_2' id='input_2_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_2_3_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_2_20\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_20'>What was most valuable to you about the program?<\/label><div class='gfield_description' id='gfield_description_2_20'>For example: child development info, parenting tips, conversations and support, confidence-building, other...<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_2_20' class='textarea medium'  aria-describedby=\"gfield_description_2_20\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_21\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_21'>Maine Families: Waldo County helped me to...<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_2_21' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_22\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'>What I would say to other new parents to encourage them to enroll in Maine Families:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_2_22' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_25\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_25'>About Me:<\/label><div class='gfield_description' id='gfield_description_2_25'>Optional: Please, tell us a little about yourself, whatever you feel like sharing.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_2_25' class='textarea medium'  aria-describedby=\"gfield_description_2_25\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_19\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><hr>\n<h3><b>Upload Your Photo(s)<\/b><\/h3>\n<p>You may upload 1-3 photos. Photos must be your own (taken by you).<\/p>\n<p>By submitting photos you grant University of Maine Cooperative Extension permission to use your photos on a royalty-free basis for public-information purposes at their discretion.<\/p><\/li><li id=\"field_2_24\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_24'>Photo Requirements<\/label><div class='gfield_description' id='gfield_description_2_24'><i>Three (3) photos maximum. Each photo must be no larger than 1MB. File type may be JPG, PNG or GIF. If you need assistance, please contact <a href=\"mailto:extension.customercare@maine.edu\">extension.customercare@maine.edu<\/a>. <\/i><\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_24' 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class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_24' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_24 gfield_description_2_24\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_24'>Accepted file types: jpg, png, gif, Max. file size: 1 MB, Max. files: 3.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_24'><\/ul> <div id='gform_preview_2_24' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_2_23\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><hr>\n<h3><strong>University of Maine System &amp; Cooperative Extension Photo Release Agreement<\/strong><\/h3><\/li><li id=\"field_2_18\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'>Name(s) of the person(s) in the photo<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_2_18' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_2\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h4><b>TERMS OF ACCEPTANCE<\/b><\/h4>\n<p>I hereby grant and authorize the University of Maine System, acting through the University of Maine, (hereinafter UMS) its employees and agents to make use of, license or assign the use of, my image, appearance, likeness, voice and\/or photograph, and other reproductions of any of these, in still photographs, videotapes, publications, audio, sound recordings, web sites, electronic and other media and\/or motion pictures, (hereinafter all of which are included in the term \u201cMaterial\u201d) and to do so with or without mention of my name.<\/p>\n<p>I understand and agree that I am to receive no compensation of any kind, monetary or otherwise, on account of or arising from the production, publication, recording, rebroadcasting, or other use of such Material.<\/p>\n<p>UMS shall have complete ownership of the Material produced or published and shall have the exclusive right and license to make such use of that Material as it wishes, including, but not limited to the right of performance, display, reproduction and distribution in all media, and the right to create, perform, display and distribute derivative works of the Material.<\/p>\n<p>I agree to indemnify and hold UMS, the University, its employees and agents, harmless from and against any and all claims, damages, lawsuits, judgments, and expenses, including reasonable attorneys\u2019 fees, that UMS may become liable to pay or defend arising out of or caused by any matter or material furnished or spoken by me in connection with my appearance.<\/p>\n<p>I hereby release UMS, its employees and agents from all expenses, claims and liabilities incurred by me arising out of or in connection with my appearance and\/or the use of the Material, except to the extent that those expenses, claims or liabilities are the direct result of the negligent acts or omissions of UMS, the University, its employees or agents.<\/p>\n<p>This agreement shall be governed and construed according to the laws of the State of Maine.<\/p>\n<p><b>NOTE: If under 18, must be signed by parent or guardian on last checkbox below.<\/b><\/p>\n<\/li><li 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