{"id":4356,"date":"2021-10-06T14:12:24","date_gmt":"2021-10-06T22:12:24","guid":{"rendered":"https:\/\/healthyfuturesak.org\/?page_id=4356"},"modified":"2021-10-06T14:18:43","modified_gmt":"2021-10-06T22:18:43","slug":"kicks-for-kids-donation","status":"publish","type":"page","link":"https:\/\/healthyfuturesak.org\/kicks-for-kids-donation\/","title":{"rendered":"Kicks for Kids Donation"},"content":{"rendered":"<p>[et_pb_section][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text]<\/p>\n<script type=\"text\/javascript\">var 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class='gform-body gform_body'><div id='gform_fields_15' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_15_8\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_8\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/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_15_8'>\n                            \n                            <span id='input_15_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_8.3' id='input_15_8_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_15_8_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_15_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_8.6' id='input_15_8_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_15_8_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_15_3\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_3\" ><label class='gfield_label gform-field-label' for='input_15_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_15_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_15_4\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_4\" ><label class='gfield_label gform-field-label' for='input_15_4'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_15_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_15_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_9\" ><legend class='gfield_label gform-field-label' >Type of shoe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_15_9'>\n\t\t\t<div class='gchoice gchoice_15_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Winter Boot'  id='choice_15_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_15_9_0' id='label_15_9_0' class='gform-field-label gform-field-label--type-inline'>Winter Boot<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_15_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Sneaker'  id='choice_15_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_15_9_1' id='label_15_9_1' class='gform-field-label gform-field-label--type-inline'>Sneaker<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_15_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Athletic Specific'  id='choice_15_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_15_9_2' id='label_15_9_2' class='gform-field-label gform-field-label--type-inline'>Athletic Specific<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_15_12\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_12\" ><label class='gfield_label gform-field-label' for='input_15_12'>Category<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_15_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Adult' >Adult<\/option><option value='Child' >Child<\/option><\/select><\/div><\/div><div id=\"field_15_13\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_13\" ><label class='gfield_label gform-field-label' for='input_15_13'>Total number to be donated<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_15_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_15_14\" 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