{"id":197,"date":"2018-07-26T13:03:01","date_gmt":"2018-07-26T20:03:01","guid":{"rendered":"https:\/\/kern.org\/cccc\/?page_id=197"},"modified":"2024-08-12T23:53:24","modified_gmt":"2024-08-12T23:53:24","slug":"child-care-center-update-form","status":"publish","type":"page","link":"https:\/\/kern.org\/community-connection-child-care\/for-providers\/documents-forms\/child-care-center-update-form\/","title":{"rendered":"Child Care Center Update Form"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/kern.org\/community-connection-child-care\/wp-content\/uploads\/sites\/15\/2018\/07\/rositakids.jpg\" alt=\"Rosita holding two kids\" class=\"img-responsive pull-right spacer-left\" \/> CCCC offers free child care referrals to parents in Kern County, California. Please complete the form below with your updated information so that we can update our records. Complete only the items that apply to your business. This form is for child care programs in Kern County, California only.<\/p>\n<p>Please note: On-line update information will be used by CCCC for child care referral purposes only. Information will not be shared with any other child care referral service.<\/p>\n<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 the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return 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' ><style>#gform_wrapper_2[data-form-index=\"0\"].gform-theme,[data-parent-form=\"2_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/community-connection-child-care\/wp-json\/wp\/v2\/pages\/197' 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_below validation_below'><li id=\"field_2_71\" 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_2_71'>LinkedIn<\/label><div class='ginput_container'><input name='input_71' id='input_2_71' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_71'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_2_1\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_1'>Director Name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_2\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_2'>Business Name<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_2_2' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_3\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_3'>Street Address<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_4\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_4'>Zip Code<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_2_4' type='text' value='' class='small' maxlength='10'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_5\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_5'>Major Cross Streets<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_2_5' type='text' value='' class='medium'  aria-describedby=\"gfield_description_2_5\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_5'>(Example: 24th Street and F Street)<\/div><\/li><li id=\"field_2_6\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>Home Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_2_6' type='tel' value='' class='small'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_7\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>Phone Number Parents Should Call<\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_2_7' type='tel' value='' class='small'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_8\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_8'>Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_8' id='input_2_8' type='tel' value='' class='small'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_9\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_9'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_9' id='input_2_9' type='email' value='' class='medium'     aria-invalid=\"false\" aria-describedby=\"gfield_description_2_9\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_2_9'>(Example: kisilva@kern.org)<\/div><\/li><li id=\"field_2_10\" 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\"><\/h2><\/li><li id=\"field_2_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h5>Current Openings<\/h5> Please update your openings every 3 weeks <\/li><li id=\"field_2_11\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'>Number of vacancies<\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_2_11' type='number' step='any' min='0' max='5000' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_11\" \/><div class='gfield_description instruction ' id='gfield_instruction_2_11'>Please enter a number from <strong>0<\/strong> to <strong>5000<\/strong>.<\/div><\/div><\/li><li id=\"field_2_13\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_13'>Date vacancy is expected<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_13' id='input_2_13' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_2_13_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_2_13_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_13' class='gform_hidden' value='https:\/\/kern.org\/community-connection-child-care\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_15'>How many children are you licensed for?<\/label><div class='ginput_container ginput_container_number'><input name='input_15' id='input_2_15' type='number' step='any' min='0' max='5000' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_15\" \/><div class='gfield_description instruction ' id='gfield_instruction_2_15'>Please enter a number from <strong>0<\/strong> to <strong>5000<\/strong>.<\/div><\/div><\/li><li id=\"field_2_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\"><\/h2><\/li><li id=\"field_2_16\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h5>What ages do you care for?<\/h5><\/li><li id=\"field_2_17\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'>From<\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_2_17' type='number' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_17\" \/><div class='gfield_description instruction ' id='gfield_instruction_2_17'>Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_2_18\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'>To<\/label><div class='ginput_container ginput_container_number'><input name='input_18' id='input_2_18' type='number' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_18\" \/><div class='gfield_description instruction ' id='gfield_instruction_2_18'>Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_2_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you prefer to care for a narrower age group?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_23'>\n\t\t\t<li class='gchoice gchoice_2_23_0'>\n\t\t\t\t<input name='input_23' type='radio' value='Yes'  id='choice_2_23_0'    \/>\n\t\t\t\t<label for='choice_2_23_0' id='label_2_23_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_23_1'>\n\t\t\t\t<input name='input_23' type='radio' value='No'  id='choice_2_23_1'    \/>\n\t\t\t\t<label for='choice_2_23_1' id='label_2_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >If \"yes\", what ages?<\/li><li id=\"field_2_21\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_21'>From<\/label><div class='ginput_container ginput_container_number'><input name='input_21' id='input_2_21' type='number' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_21\" \/><div class='gfield_description instruction ' id='gfield_instruction_2_21'>Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_2_22\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'>To<\/label><div class='ginput_container ginput_container_number'><input name='input_22' id='input_2_22' type='number' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_22\" \/><div class='gfield_description instruction ' id='gfield_instruction_2_22'>Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_2_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Check all the days that you provide care<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_25'><li class='gchoice gchoice_2_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Sunday'  id='choice_2_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_1' id='label_2_25_1' class='gform-field-label gform-field-label--type-inline'>Sunday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='Monday'  id='choice_2_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_2' id='label_2_25_2' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_25_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.3' type='checkbox'  value='Tuesday'  id='choice_2_25_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_3' id='label_2_25_3' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_25_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.4' type='checkbox'  value='Wednesday'  id='choice_2_25_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_4' id='label_2_25_4' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_25_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.5' type='checkbox'  value='Thursday'  id='choice_2_25_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_5' id='label_2_25_5' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_25_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.6' type='checkbox'  value='Friday'  id='choice_2_25_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_6' id='label_2_25_6' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_25_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.7' type='checkbox'  value='Saturday'  id='choice_2_25_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_7' id='label_2_25_7' class='gform-field-label gform-field-label--type-inline'>Saturday<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_26\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'>What time do you provide care? Start time<\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_2_26' class='small gfield_select'     aria-invalid=\"false\" ><option value='12 AM' >12 AM<\/option><option value='1 AM' >1 AM<\/option><option value='2 AM' >2 AM<\/option><option value='3 AM' >3 AM<\/option><option value='4 AM' >4 AM<\/option><option value='5 AM' >5 AM<\/option><option value='6 AM' >6 AM<\/option><option value='7 AM' >7 AM<\/option><option value='8 AM' >8 AM<\/option><option value='9 AM' >9 AM<\/option><option value='10 AM' >10 AM<\/option><option value='11 AM' >11 AM<\/option><option value='12 PM' >12 PM<\/option><option value='1 PM' >1 PM<\/option><option value='2 PM' >2 PM<\/option><option value='3 PM' >3 PM<\/option><option value='4 PM' >4 PM<\/option><option value='5 PM' >5 PM<\/option><option value='6 PM' >6 PM<\/option><option value='7 PM' >7 PM<\/option><option value='8 PM' >8 PM<\/option><option value='9 PM' >9 PM<\/option><option value='10 PM' >10 PM<\/option><option value='11 PM' >11 PM<\/option><\/select><\/div><\/li><li id=\"field_2_28\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_28'>What time do you provide care? End time<\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_2_28' class='small gfield_select'     aria-invalid=\"false\" ><option value='12 AM' >12 AM<\/option><option value='1 AM' >1 AM<\/option><option value='2 AM' >2 AM<\/option><option value='3 AM' >3 AM<\/option><option value='4 AM' >4 AM<\/option><option value='5 AM' >5 AM<\/option><option value='6 AM' >6 AM<\/option><option value='7 AM' >7 AM<\/option><option value='8 AM' >8 AM<\/option><option value='9 AM' >9 AM<\/option><option value='10 AM' >10 AM<\/option><option value='11 AM' >11 AM<\/option><option value='12 PM' >12 PM<\/option><option value='1 PM' >1 PM<\/option><option value='2 PM' >2 PM<\/option><option value='3 PM' >3 PM<\/option><option value='4 PM' >4 PM<\/option><option value='5 PM' >5 PM<\/option><option value='6 PM' >6 PM<\/option><option value='7 PM' >7 PM<\/option><option value='8 PM' >8 PM<\/option><option value='9 PM' >9 PM<\/option><option value='10 PM' >10 PM<\/option><option value='11 PM' >11 PM<\/option><\/select><\/div><\/li><li id=\"field_2_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Do you operate<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_29'><li class='gchoice gchoice_2_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='All year long'  id='choice_2_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_1' id='label_2_29_1' class='gform-field-label gform-field-label--type-inline'>All year long<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='During the school year ONLY'  id='choice_2_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_2' id='label_2_29_2' class='gform-field-label gform-field-label--type-inline'>During the school year ONLY<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_29_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.3' type='checkbox'  value='Summer ONLY'  id='choice_2_29_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_3' id='label_2_29_3' class='gform-field-label gform-field-label--type-inline'>Summer ONLY<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you provide Before-and-After-School care?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_30'>\n\t\t\t<li class='gchoice gchoice_2_30_0'>\n\t\t\t\t<input name='input_30' type='radio' value='Yes'  id='choice_2_30_0'    \/>\n\t\t\t\t<label for='choice_2_30_0' id='label_2_30_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_30_1'>\n\t\t\t\t<input name='input_30' type='radio' value='No'  id='choice_2_30_1'    \/>\n\t\t\t\t<label for='choice_2_30_1' id='label_2_30_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_31\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_31'>If &quot;yes&quot;, what ages?<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_2_31' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_32\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_32'>Name(s) of Elementary School(s) near business<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_2_32' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is there a school bus stop near your facility?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_33'>\n\t\t\t<li class='gchoice gchoice_2_33_0'>\n\t\t\t\t<input name='input_33' type='radio' value='Yes'  id='choice_2_33_0'    \/>\n\t\t\t\t<label for='choice_2_33_0' id='label_2_33_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_33_1'>\n\t\t\t\t<input name='input_33' type='radio' value='No'  id='choice_2_33_1'    \/>\n\t\t\t\t<label for='choice_2_33_1' id='label_2_33_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_34\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_34'>If &quot;yes&quot;, to which schools?<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_2_34' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do provide transportation?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_35'>\n\t\t\t<li class='gchoice gchoice_2_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Yes'  id='choice_2_35_0'    \/>\n\t\t\t\t<label for='choice_2_35_0' id='label_2_35_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='No'  id='choice_2_35_1'    \/>\n\t\t\t\t<label for='choice_2_35_1' id='label_2_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_36\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>If &quot;yes&quot;, to which schools?<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_2_36' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do provide transportation to\/from child&#039;s home?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_37'>\n\t\t\t<li class='gchoice gchoice_2_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='Yes'  id='choice_2_37_0'    \/>\n\t\t\t\t<label for='choice_2_37_0' id='label_2_37_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_37_1'>\n\t\t\t\t<input name='input_37' type='radio' value='No'  id='choice_2_37_1'    \/>\n\t\t\t\t<label for='choice_2_37_1' id='label_2_37_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_38\" 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\"><\/h2><\/li><li id=\"field_2_39\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h5>What do you charge?<\/h5>\n<em>(This information is for CCCC internal purposes only and will not be given out to parents)<\/em><\/li><li id=\"field_2_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Infant\/Toddler (Age 0-23 months)<\/strong><\/li><li id=\"field_2_40\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_40'>Full Time $<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_2_40' type='text' value='' class='small' maxlength='4'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_42\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_42'>Per<\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_2_42' class='small gfield_select'     aria-invalid=\"false\" ><option value='Day' >Day<\/option><option value='Week' >Week<\/option><option value='Month' >Month<\/option><option value='Quarter' >Quarter<\/option><option value='Year' >Year<\/option><\/select><\/div><\/li><li id=\"field_2_43\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_43'>Part Time $<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_2_43' type='text' value='' class='small' maxlength='4'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_44\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_44'>Per<\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_2_44' class='small gfield_select'     aria-invalid=\"false\" ><option value='Day' >Day<\/option><option value='Week' >Week<\/option><option value='Month' >Month<\/option><option value='Quarter' >Quarter<\/option><option value='Year' >Year<\/option><\/select><\/div><\/li><li id=\"field_2_45\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Preschooler (Age 2-5 years)<\/strong><\/li><li id=\"field_2_46\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_46'>Full Time $<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_2_46' type='text' value='' class='small' maxlength='4'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_47\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_47'>Per<\/label><div class='ginput_container ginput_container_select'><select name='input_47' id='input_2_47' class='small gfield_select'     aria-invalid=\"false\" ><option value='Day' >Day<\/option><option value='Week' >Week<\/option><option value='Month' >Month<\/option><option value='Quarter' >Quarter<\/option><option value='Year' >Year<\/option><\/select><\/div><\/li><li id=\"field_2_48\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_48'>Part Time $<\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_2_48' type='text' value='' class='small' maxlength='4'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_49\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_49'>Per<\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_2_49' class='small gfield_select'     aria-invalid=\"false\" ><option value='Day' >Day<\/option><option value='Week' >Week<\/option><option value='Month' >Month<\/option><option value='Quarter' >Quarter<\/option><option value='Year' >Year<\/option><\/select><\/div><\/li><li id=\"field_2_50\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Kindergartener and up<\/strong><\/li><li id=\"field_2_51\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_51'>Full Time $<\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_2_51' type='text' value='' class='small' maxlength='4'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_52\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_52'>Per<\/label><div class='ginput_container ginput_container_select'><select name='input_52' id='input_2_52' class='small gfield_select'     aria-invalid=\"false\" ><option value='Day' >Day<\/option><option value='Week' >Week<\/option><option value='Month' >Month<\/option><option value='Quarter' >Quarter<\/option><option value='Year' >Year<\/option><\/select><\/div><\/li><li id=\"field_2_53\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_53'>Part Time $<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_2_53' type='text' value='' class='small' maxlength='4'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_54\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_54'>Per<\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_2_54' class='small gfield_select'     aria-invalid=\"false\" ><option value='Day' >Day<\/option><option value='Week' >Week<\/option><option value='Month' >Month<\/option><option value='Quarter' >Quarter<\/option><option value='Year' >Year<\/option><\/select><\/div><\/li><li id=\"field_2_55\" 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\"><\/h2><\/li><li id=\"field_2_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Can you, or persons on your staff, converse in a language other than English?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_63'>\n\t\t\t<li class='gchoice gchoice_2_63_0'>\n\t\t\t\t<input name='input_63' type='radio' value='Yes'  id='choice_2_63_0'    \/>\n\t\t\t\t<label for='choice_2_63_0' id='label_2_63_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_63_1'>\n\t\t\t\t<input name='input_63' type='radio' value='No'  id='choice_2_63_1'    \/>\n\t\t\t\t<label for='choice_2_63_1' id='label_2_63_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_57\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_57'>If yes, please list languages<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_2_57' type='text' value='' class='small' maxlength='4'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are you a part of the Community Connection for Child Care Food Program (CCFP)?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_64'>\n\t\t\t<li class='gchoice gchoice_2_64_0'>\n\t\t\t\t<input name='input_64' type='radio' value='Yes'  id='choice_2_64_0'    \/>\n\t\t\t\t<label for='choice_2_64_0' id='label_2_64_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_64_1'>\n\t\t\t\t<input name='input_64' type='radio' value='No'  id='choice_2_64_1'    \/>\n\t\t\t\t<label for='choice_2_64_1' id='label_2_64_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >If &quot;no&quot;, would you like a CCFP representative to contact you about enrolling?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_65'>\n\t\t\t<li class='gchoice gchoice_2_65_0'>\n\t\t\t\t<input name='input_65' type='radio' value='Yes'  id='choice_2_65_0'    \/>\n\t\t\t\t<label for='choice_2_65_0' id='label_2_65_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_65_1'>\n\t\t\t\t<input name='input_65' type='radio' value='No'  id='choice_2_65_1'    \/>\n\t\t\t\t<label for='choice_2_65_1' id='label_2_65_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you or your staff have any experience in providing care for children with special needs?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_66'>\n\t\t\t<li class='gchoice gchoice_2_66_0'>\n\t\t\t\t<input name='input_66' type='radio' value='Yes'  id='choice_2_66_0'    \/>\n\t\t\t\t<label for='choice_2_66_0' id='label_2_66_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_66_1'>\n\t\t\t\t<input name='input_66' type='radio' value='No'  id='choice_2_66_1'    \/>\n\t\t\t\t<label for='choice_2_66_1' id='label_2_66_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_61\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_61'>If &quot;yes&quot;, what training, experience and\/or accomodations does you and your staff have?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_61' id='input_2_61' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_62\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_62'>Would you like to share any other information about your family child care business to help parents learn more about your program?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_2_62' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Based on your knowledge of CCCC services, please grade the quality of services you received from CCCC.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_67'>\n\t\t\t<li class='gchoice gchoice_2_67_0'>\n\t\t\t\t<input name='input_67' type='radio' value='Excellent'  id='choice_2_67_0'    \/>\n\t\t\t\t<label for='choice_2_67_0' id='label_2_67_0' class='gform-field-label gform-field-label--type-inline'>Excellent<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_1'>\n\t\t\t\t<input name='input_67' type='radio' value='Very Good'  id='choice_2_67_1'    \/>\n\t\t\t\t<label for='choice_2_67_1' id='label_2_67_1' class='gform-field-label gform-field-label--type-inline'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_2'>\n\t\t\t\t<input name='input_67' type='radio' value='Average'  id='choice_2_67_2'    \/>\n\t\t\t\t<label for='choice_2_67_2' id='label_2_67_2' class='gform-field-label gform-field-label--type-inline'>Average<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_3'>\n\t\t\t\t<input name='input_67' type='radio' value='Fair'  id='choice_2_67_3'    \/>\n\t\t\t\t<label for='choice_2_67_3' id='label_2_67_3' class='gform-field-label gform-field-label--type-inline'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_4'>\n\t\t\t\t<input name='input_67' type='radio' value='Poor'  id='choice_2_67_4'    \/>\n\t\t\t\t<label for='choice_2_67_4' id='label_2_67_4' class='gform-field-label gform-field-label--type-inline'>Poor<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_68\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_68'>As a result of your experience with the Resource &amp; Referral\/Resource Library, what service-related improvements can you suggest?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_68' id='input_2_68' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_69\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Thank you for taking the time to complete this form. Please click the Submit Form button to send us your information.<\/li><li id=\"field_2_70\" class=\"gfield gfield--type-captcha gfield--input-type-captcha 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_2_70'>CAPTCHA<\/label><div id='input_2_70' class='ginput_container ginput_recaptcha' data-sitekey='6LfkbkIqAAAAAF2_-b92kOAOhBYhf8S1utywM2lb'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='i31+u8LeH6WvfNQySGkZRGlHh7V\/uDtpLXjFLJMiabNpQp7dyV\/q2C+3H6J4TuFY+Vy2W8r+PXsArsmtdYYNOjXo3L+Y\/dU7RncuA3+kOqYE6ec=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsIjA0YjcxNWI1N2FlN2RjN2EwZjM4ODVkODQzNjI4ODIyIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 2, 'https:\/\/kern.org\/community-connection-child-care\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_2').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_2');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_2').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_2').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_2').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_2').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_2').val();gformInitSpinner( 2, 'https:\/\/kern.org\/community-connection-child-care\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [2, current_page]);window['gf_submitting_2'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_2').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [2]);window['gf_submitting_2'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_2').text());}else{jQuery('#gform_2').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"2\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_2\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_2\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_2\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 2, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>CCCC offers free child care referrals to parents in Kern County, California. Please complete the form below with your updated information so that we can update our records. Complete only the items that apply to your business. This form is for child care programs in Kern County, California only. Please note: On-line update information will [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":45,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-197","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/pages\/197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/comments?post=197"}],"version-history":[{"count":1,"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/pages\/197\/revisions"}],"predecessor-version":[{"id":878,"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/pages\/197\/revisions\/878"}],"up":[{"embeddable":true,"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/pages\/45"}],"wp:attachment":[{"href":"https:\/\/kern.org\/community-connection-child-care\/wp-json\/wp\/v2\/media?parent=197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}