{"id":9528,"date":"2023-09-27T16:35:35","date_gmt":"2023-09-27T20:35:35","guid":{"rendered":"https:\/\/extension.umaine.edu\/waldo\/?page_id=9528"},"modified":"2025-01-22T15:34:27","modified_gmt":"2025-01-22T20:34:27","slug":"community-science-explorers-registration","status":"publish","type":"page","link":"https:\/\/extension.umaine.edu\/waldo\/4h\/community-science-explorers\/community-science-explorers-registration\/","title":{"rendered":"Community Science Explorers Registration"},"content":{"rendered":"<p dir=\"ltr\"><strong>Location: <\/strong>Belfast Free Library (<span class=\"LrzXr\">106 High St, Belfast, ME 04915)<\/span><br \/>\n<strong>Time:<\/strong> 3:30pm to 5:00pm<\/p>\n<p dir=\"ltr\">Registration must be completed for each program session. Registration for each session will opened following the completion of the previous month&#8217;s program.<\/p>\n<p dir=\"ltr\">Snacks will be provided for participants. Please list any dietary restrictions in the registration form below.<\/p>\n<p dir=\"ltr\">For more information or a reasonable accommodation, please contact Karen Giles at The Waldo County Cooperative Extension office at 207.342.5971 or <a href=\"mailto:karen.giles@maine.edu\">karen.giles@maine.edu<\/a>.<\/p>\n<p dir=\"ltr\"><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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in 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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_29' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Community Science Explorers Registration<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_29'  action='\/waldo\/wp-json\/wp\/v2\/pages\/9528' data-formid='29' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_29' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_33\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_33'>Phone<\/label><div class='ginput_container'><input name='input_33' id='input_29_33' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_29_33'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_29_11\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_29_11'>\n                            \n                            <span id='input_29_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.3' id='input_29_11_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_11_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.6' id='input_29_11_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_11_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_3'>Age:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_29_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_4'>Phone Number:<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_29_4' type='text' value='' class='medium'  aria-describedby=\"gfield_description_29_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_29_4'>Please enter the cell phone number on which you would like to receive text reminders for the program.<\/div><\/li><li id=\"field_29_14\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below 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_29_14_container'>\n                                <span id='input_29_14_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_14' id='input_29_14' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_29_14' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_29_14_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_14_2' id='input_29_14_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_29_14_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_29_8\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_29_8' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_29_8_1_container' >\n                                        <input type='text' name='input_8.1' id='input_29_8_1' value=''    aria-required='true'    \/>\n                                        <label for='input_29_8_1' id='input_29_8_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_29_8_2_container' >\n                                        <input type='text' name='input_8.2' id='input_29_8_2' value=''     aria-required='false'   \/>\n                                        <label for='input_29_8_2' id='input_29_8_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_29_8_3_container' >\n                                    <input type='text' name='input_8.3' id='input_29_8_3' value=''    aria-required='true'    \/>\n                                    <label for='input_29_8_3' id='input_29_8_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_29_8_4_container' >\n                                        <input type='text' name='input_8.4' id='input_29_8_4' value=''      aria-required='true'    \/>\n                                        <label for='input_29_8_4' id='input_29_8_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_29_8_5_container' >\n                                    <input type='text' name='input_8.5' id='input_29_8_5' value=''    aria-required='true'    \/>\n                                    <label for='input_29_8_5' id='input_29_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_29_8_6_container' >\n                                        <select name='input_8.6' id='input_29_8_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_29_8_6' id='input_29_8_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_29_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are you currently enrolled in Maine 4-H?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_7'><li class='gchoice gchoice_29_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Yes'  id='choice_29_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_7_1' id='label_29_7_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='No'  id='choice_29_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_7_2' id='label_29_7_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Which Community Science Explorers session are you signing up for?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_13'><li class='gchoice gchoice_29_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Explore Local Maine Birds (May 22, 2025)'  id='choice_29_13_1'   aria-describedby=\"gfield_description_29_13\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_29_13_1' id='label_29_13_1' class='gform-field-label gform-field-label--type-inline'>Explore Local Maine Birds (May 22, 2025)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_13_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.2' type='checkbox'  value='The registration is not open for the session I would like to attend. Please notify me via email when registration for future Community Science Explorers sessions opens.'  id='choice_29_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_13_2' id='label_29_13_2' class='gform-field-label gform-field-label--type-inline'>The registration is not open for the session I would like to attend. Please notify me via email when registration for future Community Science Explorers sessions opens.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_29_13'>Please note, registration for next month's session will open following the completion of the previous program.<\/div><\/li><li id=\"field_29_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_32'>Dietary Restrictions<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_29_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_16\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Emergency Contact Information<\/h2><\/li><li id=\"field_29_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_17'>Emergency Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_29_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_19\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_19'>Emergency Contact 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_19' id='input_29_19' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Demographic Information (Optional)<\/h2><\/li><li id=\"field_29_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Gender Identity<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_23'><li class='gchoice gchoice_29_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Male'  id='choice_29_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_1' id='label_29_23_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Female'  id='choice_29_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_2' id='label_29_23_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Gender not listed'  id='choice_29_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_3' id='label_29_23_3' class='gform-field-label gform-field-label--type-inline'>Gender not listed<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='Prefer not to state'  id='choice_29_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_23_4' id='label_29_23_4' class='gform-field-label gform-field-label--type-inline'>Prefer not to state<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Ethnicity<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_29_22'>\n\t\t\t<li class='gchoice gchoice_29_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='Hispanic or Latino'  id='choice_29_22_0'    \/>\n\t\t\t\t<label for='choice_29_22_0' id='label_29_22_0' class='gform-field-label gform-field-label--type-inline'>Hispanic or Latino<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='Not Hispanic or Latino'  id='choice_29_22_1'    \/>\n\t\t\t\t<label for='choice_29_22_1' id='label_29_22_1' class='gform-field-label gform-field-label--type-inline'>Not Hispanic or Latino<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_22_2'>\n\t\t\t\t<input name='input_22' type='radio' value='Prefer not to State'  id='choice_29_22_2'    \/>\n\t\t\t\t<label for='choice_29_22_2' id='label_29_22_2' class='gform-field-label gform-field-label--type-inline'>Prefer not to State<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Race<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_29_21'>\n\t\t\t<li class='gchoice gchoice_29_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='White'  id='choice_29_21_0'    \/>\n\t\t\t\t<label for='choice_29_21_0' id='label_29_21_0' class='gform-field-label gform-field-label--type-inline'>White<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='Black or African American'  id='choice_29_21_1'    \/>\n\t\t\t\t<label for='choice_29_21_1' id='label_29_21_1' class='gform-field-label gform-field-label--type-inline'>Black or African American<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_21_2'>\n\t\t\t\t<input name='input_21' type='radio' value='American Indian or Alaskan Native'  id='choice_29_21_2'    \/>\n\t\t\t\t<label for='choice_29_21_2' id='label_29_21_2' class='gform-field-label gform-field-label--type-inline'>American Indian or Alaskan Native<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_21_3'>\n\t\t\t\t<input name='input_21' type='radio' value='Native Hawaiian or Other Pacific Islander'  id='choice_29_21_3'    \/>\n\t\t\t\t<label for='choice_29_21_3' id='label_29_21_3' class='gform-field-label gform-field-label--type-inline'>Native Hawaiian or Other Pacific Islander<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_21_4'>\n\t\t\t\t<input name='input_21' type='radio' value='Asian'  id='choice_29_21_4'    \/>\n\t\t\t\t<label for='choice_29_21_4' id='label_29_21_4' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_21_5'>\n\t\t\t\t<input name='input_21' type='radio' value='Prefer not to State'  id='choice_29_21_5'    \/>\n\t\t\t\t<label for='choice_29_21_5' id='label_29_21_5' class='gform-field-label gform-field-label--type-inline'>Prefer not to State<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_24\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Release Forms<\/h2><\/li><li id=\"field_29_25\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1><b>University of Maine System and 4-H Photo Release Agreement<\/b><\/h1>\n<h2>TERMS OF ACCEPTANCE<\/h2>\n<p>I hereby grant and authorize the University of Maine System, acting through the University of Maine, (hereinafter UMS) and the 4-H Program (defined as 4-H Afterschool, National 4-H Council, 4-H Cooperative Extension System, USDA\/CSREES, Maine 4-H Program, 4-H clubs and programs, etc.) 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) obtained during the current 4-H year (October-September) at 4-H-sponsored events, 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 below.<\/b><\/p>\n<h2>SIGNATURE<\/h2>\n<p>I, the undersigned for this photo release form, warrant the truthfulness of the information provided in this application.<\/p><\/li><li id=\"field_29_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_26'>Participant Signature<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_29_26' type='text' value='' class='large'  aria-describedby=\"gfield_description_29_26\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_29_26'>I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.<\/div><\/li><li id=\"field_29_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_28'>Parent\/Guardian Signature<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_29_28' type='text' value='' class='large'  aria-describedby=\"gfield_description_29_28\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_29_28'>I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.<\/div><\/li><li id=\"field_29_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2><b>University of Maine Release and Assumption of Risk<\/b><\/h2>\n<p>I Parent\/Guardian of the child completing this form acknowledge, declare and agree as follows:<\/p>\n<ol>\n<li>That I have voluntarily agreed to allow my child in the STEAM Team Community Science Xplorers 4-H program hosted in partnership with the Belfast Free Library and in consideration of my child being permitted to participate in the Program, do voluntarily execute this &ldquo;Release and Assumption of Risk&rdquo; on behalf of myself, my heirs and next-of-kin. My personal representatives and my estate.<\/li>\n<li>That I have been fully informed of the nature, scope and demands of the Program, and understand that the Program may include activities which could be dangerous to my child and other participants and which could cause property damage, bodily injury and\/or death. * See below for specific risks and dangers of the Program<\/li>\n<li>That the University of Maine System and its University of Maine Cooperative Extension (hereinafter referred to as the &ldquo;University&rdquo;) has informed me that there may be dangers and hazards inherent to my child as a result of participating in the Program because of the activities and travel involved, and that I personally recognize and appreciate that such dangers and hazards exist for my child. I accept and assume full responsibility for all harm and injury, of every nature, including death, which may occur to my child or which s\/he may suffer or cause to others, and for all damages or loss to any personal property owned by me or damaged by my child or my animal while my child is participating in the Program and during all travel and transportation, and, in furtherance thereof, I agree to indemnify, hold harmless and release the University, its Trustees, faculty, employees, volunteers and agents, from and against any and all claims, demands, actions or causes of action, on account of damage or loss to my personal property, my child&rsquo;s injury or death, or the bodily injury, death or damage to personal property of others caused by my child or animal , which may occur or result directly or indirectly from my child&rsquo;s participation in the Program and not as a direct result of any negligent act of the University, its Trustees, faculty, employees, volunteers or agents.<\/li>\n<\/ol>\n<p>I declare that&nbsp;my child is able to physically withstand and cope with the indicated rigors of the Program with or without a reasonable accommodation.&nbsp; In complying with the letter and spirit of applicable laws and pursuing its own goals of diversity, the University of Maine does not discriminate on the grounds of race, color, religion, sex, sexual orientation, including transgender status and gender expression, national origin, citizenship status, age, disability, genetic information or veteran status in employment, education, and all other programs and activities.&nbsp; The following person has been designated to handle inquiries regarding nondiscrimination policies:&nbsp; Director, Office of Equal Opportunity, 101 North Stevens Hall, 207.581.1226.<\/p>\n<p>The University provides reasonable accommodations to qualified individuals with disabilities upon request. Any person with a disability who needs accommodations for this program should contact Karen Giles at karen.giles@maine.edu to discuss their needs at least 14 days in advance.<\/p>\n<ol start=\"4\">\n<li>This &ldquo;Release and Assumption of Risk&rdquo; shall be construed and interpreted pursuant to the laws of the State of Maine, and if any portion thereof is held invalid, void, unenforceable or illegal, the reminder shall continue in full force and effect.<\/li>\n<p>I declare that I completely understand and have fully informed myself of the terms and conditions of the release and assumption of risk by having read it, or having it read to me, before signing and I intend to be fully bound thereby.&nbsp;<\/p>\n<p>*Such dangers, hazards and risks of this activity may include, but are not limited to, injuries inflicted by the following:<\/p>\n<p>Exposure to elements such as severe weather, heat, cold, sun, and biting insects.<\/p>\n<p>Explosure to live animals including fish and other marine life.<\/p>\n<p>Utilizing tools (scissors, paint, food dye, and other craft supplies) in workshops.<\/p><\/li><li id=\"field_29_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_31'>Participant Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_29_31' type='text' value='' class='large'  aria-describedby=\"gfield_description_29_31\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_29_31'>I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.<\/div><\/li><li id=\"field_29_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_30'>Parent\/Guardian Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_29_30' type='text' value='' class='large'  aria-describedby=\"gfield_description_29_30\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_29_30'>I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.<\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' 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