{"id":1163,"date":"2021-03-12T14:18:45","date_gmt":"2021-03-12T19:18:45","guid":{"rendered":"https:\/\/andrewsmemorial.org\/camp\/?page_id=1163"},"modified":"2021-06-14T14:17:22","modified_gmt":"2021-06-14T19:17:22","slug":"counselor-registration","status":"publish","type":"page","link":"https:\/\/andrewsmemorial.org\/camp\/counselor-registration\/","title":{"rendered":"Counselor Registration"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1155\"><form id=\"wpforms-form-1155\" class=\"wpforms-validate wpforms-form\" data-formid=\"1155\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/camp\/wp-json\/wp\/v2\/pages\/1163\" data-token=\"6f96d1f92f291d3ec6bad52cca024665\" data-token-time=\"1777398403\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1155-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_3\">Counselor assignment <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1155-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Junior 1 (June 22-26, 2026)\"  class=\"choice-1 depth-1\"  >Junior 1 (June 22-26, 2026)<\/option><option value=\"Teen 1 (June 22-26, 2026)\"  class=\"choice-2 depth-1\"  >Teen 1 (June 22-26, 2026)<\/option><option value=\"Junior 2 (July 22-24, 2026)\"  class=\"choice-3 depth-1\"  >Junior 2 (July 22-24, 2026)<\/option><option value=\"Teen 2 (July 22-24, 2026)\"  class=\"choice-4 depth-1\"  >Teen 2 (July 22-24, 2026)<\/option><\/select><\/div><div id=\"wpforms-1155-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1155-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-1155-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1155-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-1155-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1155-field_16-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_16\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1155-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><\/select><\/div><div id=\"wpforms-1155-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_7\">Age <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1155-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-1155-field_18-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_18\">Shirt size <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1155-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required=\"required\"><option value=\"YM\"  class=\"choice-1 depth-1\"  >YM<\/option><option value=\"YL\"  class=\"choice-2 depth-1\"  >YL<\/option><option value=\"S\"  class=\"choice-3 depth-1\"  >S<\/option><option value=\"M\"  class=\"choice-4 depth-1\"  >M<\/option><option value=\"L\"  class=\"choice-5 depth-1\"  >L<\/option><option value=\"XL\"  class=\"choice-6 depth-1\"  >XL<\/option><option value=\"XXL\"  class=\"choice-7 depth-1\"  >XXL<\/option><option value=\"3X\"  class=\"choice-8 depth-1\"  >3X<\/option><option value=\"4X\"  class=\"choice-9 depth-1\"  >4X<\/option><\/select><\/div><div id=\"wpforms-1155-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_23\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1155-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required><\/div><div id=\"wpforms-1155-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1155-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1155-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_17\">Marital status <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1155-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required=\"required\"><option value=\"Single\"  class=\"choice-1 depth-1\"  >Single<\/option><option value=\"Married\"  class=\"choice-2 depth-1\"  >Married<\/option><\/select><\/div><div id=\"wpforms-1155-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_22\">Contact telephone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1155-field_22\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"(999) 999-9999\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-1155-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_8\">Hobbies\/interests<\/label><input type=\"text\" id=\"wpforms-1155-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-1155-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_2\">Personal testimony <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1155-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><div class=\"wpforms-field-description\">Please share a brief statement of your salvation testimony. <\/div><\/div><div id=\"wpforms-1155-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_13\">Pastor&#039;s Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1155-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-1155-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_15\">Pastor&#039;s email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1155-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/div><div id=\"wpforms-1155-field_12-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_12\">Church address <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1155-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/textarea><\/div><div id=\"wpforms-1155-field_21-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1155-field_21\">Counselor training session (All counselors strongly encouraged to attend June 23 or July 21, 9:30 am) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1155-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required=\"required\"><option value=\"Yes, I plan to attend.\"  class=\"choice-1 depth-1\"  >Yes, I plan to attend.<\/option><option value=\"No, I cannot attend.  Please share training materials prior to my arrival.\"  class=\"choice-2 depth-1\"  >No, I cannot attend.  Please share training materials prior to my arrival.<\/option><\/select><\/div><div id=\"wpforms-1155-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><label class=\"wpforms-field-label\">I am a member in good standing at my church. As a volunteer at Camp Deer Lake, I will be primarily responsible for youth from my church group.  My service will include chaperoning activities, offering spiritual leadership in dormitories, spiritual encouragement during morning\/evening devotions, and personal counseling in chapel services.  Potential counselors must be recommended by pastor.  Criminal background check may be required if approved. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1155-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1155-field_14_1\" name=\"wpforms[fields][14][]\" value=\"I understand and accept the terms stated throughout this application form.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1155-field_14_1\">I understand and accept the terms stated throughout this application form.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-invisible\" ><div class=\"g-recaptcha\" data-sitekey=\"6Lf3xZ8UAAAAALiIvE60AX9GlbM-3PmeLcdlAA8g\" data-size=\"invisible\"><\/div><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1155\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/pages\/1163\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1155\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_crdt_document":"","jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-1163","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/PbwKJP-iL","_links":{"self":[{"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/pages\/1163","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/comments?post=1163"}],"version-history":[{"count":3,"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/pages\/1163\/revisions"}],"predecessor-version":[{"id":1228,"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/pages\/1163\/revisions\/1228"}],"wp:attachment":[{"href":"https:\/\/andrewsmemorial.org\/camp\/wp-json\/wp\/v2\/media?parent=1163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}