{"id":7245,"date":"2026-03-06T06:30:55","date_gmt":"2026-03-06T11:30:55","guid":{"rendered":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/?page_id=7245"},"modified":"2026-04-13T07:19:08","modified_gmt":"2026-04-13T11:19:08","slug":"membership","status":"publish","type":"page","link":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/membership\/","title":{"rendered":"Apply Now"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7245\" class=\"elementor elementor-7245\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c747b4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c747b4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5308886\" data-id=\"5308886\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b60a8a4 elementor-widget elementor-widget-heading\" data-id=\"b60a8a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Online Membership Application<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dad703c elementor-widget elementor-widget-text-editor\" data-id=\"dad703c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong>We&#8217;re so glad you&#8217;re joining our family!<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-602d4bb elementor-widget elementor-widget-wpforms\" data-id=\"602d4bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-7301\"><form id=\"wpforms-form-7301\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7301\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/miamivalleyoh\/wp-json\/wp\/v2\/pages\/7245\" data-token=\"d8573a947e2cc2fc5683691206757e4f\" data-token-time=\"1776933605\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-7301-field_24-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"24\"><div id=\"wpforms-7301-field_24\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-7301-field_24-error\"><div style=\"width:100%;text-align:center;margin:0 auto\">\n<div style=\"width:100%;text-align:center\"><img decoding=\"async\" style=\"width:250px;height:auto;margin:0 auto 15px auto\" src=\"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-content\/uploads\/2026\/03\/Logo.png\" alt=\"MVOPT Logo\" \/><\/div>\n<div style=\"font-size:14px;line-height:1.6;color:#444;max-width:450px;margin:0 auto\">Thanks for taking a moment to start your Prime Timers journey with this application. Just a few quick steps and you're done. Once sent, we'll review it and reach out to you shortly.<\/div>\n<\/div>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7301-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">Type of Membership Application: (Check one) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_28_1\" name=\"wpforms[fields][28][]\" value=\"New Membership\" aria-errormessage=\"wpforms-7301-field_28_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_28_1\">New Membership<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_28_2\" name=\"wpforms[fields][28][]\" value=\"Renewal\" aria-errormessage=\"wpforms-7301-field_28_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_28_2\">Renewal<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_111-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"111\"><fieldset><legend class=\"wpforms-field-label\">Applicant Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7301-field_111\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][111][first]\" aria-errormessage=\"wpforms-7301-field_111-error\" required><label for=\"wpforms-7301-field_111\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7301-field_111-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][111][last]\" aria-errormessage=\"wpforms-7301-field_111-last-error\" required><label for=\"wpforms-7301-field_111-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-7301-field_112-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"112\"><fieldset><legend class=\"wpforms-field-label\">Birthday <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][112][date][m]\" id=\"wpforms-7301-field_112-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\" aria-label=\"Month\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][112][date][d]\" id=\"wpforms-7301-field_112-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\" aria-label=\"Day\"  required><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][112][date][y]\" id=\"wpforms-7301-field_112-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\" aria-label=\"Year\"  required><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-7301-field_142-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"142\"><fieldset><legend class=\"wpforms-field-label\">Do You have a Partner: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_142\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_142_1\" name=\"wpforms[fields][142]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_142_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_142_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_142_2\" name=\"wpforms[fields][142]\" value=\"No\" aria-errormessage=\"wpforms-7301-field_142_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_142_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_113-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"113\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Partner&#039;s Name (Optional)<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7301-field_113\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][113][first]\" aria-errormessage=\"wpforms-7301-field_113-error\" ><label for=\"wpforms-7301-field_113\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7301-field_113-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][113][last]\" aria-errormessage=\"wpforms-7301-field_113-last-error\" ><label for=\"wpforms-7301-field_113-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-7301-field_114-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"114\"><fieldset><legend class=\"wpforms-field-label\">Anniversary<\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][114][date][m]\" id=\"wpforms-7301-field_114-month\" class=\"wpforms-field-date-time-date-month\" aria-label=\"Month\" ><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][114][date][d]\" id=\"wpforms-7301-field_114-day\" class=\"wpforms-field-date-time-date-day\" aria-label=\"Day\" ><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][114][date][y]\" id=\"wpforms-7301-field_114-year\" class=\"wpforms-field-date-time-date-year\" aria-label=\"Year\" ><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-7301-field_115-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"115\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-7301-field_115\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][115][address1]\" aria-errormessage=\"wpforms-7301-field_115-error\" required><label for=\"wpforms-7301-field_115\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-7301-field_115-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][115][address2]\" aria-errormessage=\"wpforms-7301-field_115-address2-error\" ><label for=\"wpforms-7301-field_115-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-7301-field_115-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][115][city]\" aria-errormessage=\"wpforms-7301-field_115-city-error\" required><label for=\"wpforms-7301-field_115-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-7301-field_115-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][115][state]\" aria-errormessage=\"wpforms-7301-field_115-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-7301-field_115-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-7301-field_115-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][115][postal]\" aria-errormessage=\"wpforms-7301-field_115-postal-error\" required><label for=\"wpforms-7301-field_115-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-7301-field_116-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"116\"><label class=\"wpforms-field-label\" for=\"wpforms-7301-field_116\">Primary Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-7301-field_116\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][116]\" aria-label=\"Primary Phone\" aria-errormessage=\"wpforms-7301-field_116-error\" required><\/div><div id=\"wpforms-7301-field_117-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"117\"><label class=\"wpforms-field-label\" for=\"wpforms-7301-field_117\">Secondary Phone<\/label><input type=\"tel\" id=\"wpforms-7301-field_117\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][117]\" aria-label=\"Secondary Phone\" aria-errormessage=\"wpforms-7301-field_117-error\" ><\/div><div id=\"wpforms-7301-field_118-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"118\"><label class=\"wpforms-field-label\" for=\"wpforms-7301-field_118\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7301-field_118\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][118]\" spellcheck=\"false\" aria-errormessage=\"wpforms-7301-field_118-error\" required><\/div><div id=\"wpforms-7301-field_119-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"119\"><label class=\"wpforms-field-label\" for=\"wpforms-7301-field_119\">Other Paid Prime Timer Affiliations<\/label><textarea id=\"wpforms-7301-field_119\" class=\"wpforms-field-medium\" name=\"wpforms[fields][119]\" aria-errormessage=\"wpforms-7301-field_119-error\" ><\/textarea><\/div><div id=\"wpforms-7301-field_120-container\" class=\"wpforms-field wpforms-field-content tight-instructions\" data-field-id=\"120\"><div id=\"wpforms-7301-field_120\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-7301-field_120-error\"><p>Discretion is paramount in all actions and activity of Miami Valley Ohio Prime Timers (MVOPT).\u00a0 Personal informatrin will be kept confidential unless you give permission below to publish all or part of it in Miami Valley Ohio Prime Timers' materials.<\/p>\n<p>I understand that the Prime Timers Roster is given only to Prime Timers members to be used by the chapter to conduct its business.\u00a0 Members and the chapters are to keep the rosters private and confidential.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7301-field_236-container\" class=\"wpforms-field wpforms-field-content tight-instructions\" data-field-id=\"236\"><div id=\"wpforms-7301-field_236\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-7301-field_236-error\"><p><span style=\"text-decoration:underline\"><strong>Check the items we can publish in our Member Directory<\/strong><\/span><strong>:<\/strong><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7301-field_149-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"149\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_151-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-first\" data-field-id=\"151\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-First Name<\/legend><ul id=\"wpforms-7301-field_151\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_151_1\" name=\"wpforms[fields][151][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_151_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_151_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_150-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-last\" data-field-id=\"150\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Last Name<\/legend><ul id=\"wpforms-7301-field_150\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_150_1\" name=\"wpforms[fields][150][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_150_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_150_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_152-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-birthday\" data-field-id=\"152\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Birthday<\/legend><ul id=\"wpforms-7301-field_152\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_152_1\" name=\"wpforms[fields][152][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_152_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_152_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_155-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-partnername\" data-field-id=\"155\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Partner&#039;s Name<\/legend><ul id=\"wpforms-7301-field_155\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_155_1\" name=\"wpforms[fields][155][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_155_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_155_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_153-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-anniversary\" data-field-id=\"153\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Anniversary Date<\/legend><ul id=\"wpforms-7301-field_153\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_153_1\" name=\"wpforms[fields][153][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_153_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_153_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_159-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-address\" data-field-id=\"159\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Mailing Address<\/legend><ul id=\"wpforms-7301-field_159\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_159_1\" name=\"wpforms[fields][159][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_159_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_159_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_154-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-phone1\" data-field-id=\"154\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Primary Phone<\/legend><ul id=\"wpforms-7301-field_154\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_154_1\" name=\"wpforms[fields][154][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_154_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_154_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_162-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-phone2\" data-field-id=\"162\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Secondary Phone<\/legend><ul id=\"wpforms-7301-field_162\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_162_1\" name=\"wpforms[fields][162][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_162_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_162_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_156-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-email\" data-field-id=\"156\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Email Address<\/legend><ul id=\"wpforms-7301-field_156\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_156_1\" name=\"wpforms[fields][156][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_156_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_156_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_161-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid mobile-grid-2 dir-label-affiliations\" data-field-id=\"161\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dir-Affiliations<\/legend><ul id=\"wpforms-7301-field_161\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-7301-field_161_1\" name=\"wpforms[fields][161][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_161_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_161_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-7301-field_123-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"123\"><fieldset><legend class=\"wpforms-field-label\">How to display Last Name in MVOPT Directory <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_123\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_123_1\" name=\"wpforms[fields][123]\" value=\"Full Last Name\" aria-errormessage=\"wpforms-7301-field_123_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_123_1\">Full Last Name<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_123_2\" name=\"wpforms[fields][123]\" value=\"1st Initial Only\" aria-errormessage=\"wpforms-7301-field_123_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_123_2\">1st Initial Only<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_124-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"124\"><fieldset><legend class=\"wpforms-field-label\">Can MVOPT mail Prime Timer materials to you? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_124\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_124_1\" name=\"wpforms[fields][124]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_124_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_124_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_124_2\" name=\"wpforms[fields][124]\" value=\"No\" aria-errormessage=\"wpforms-7301-field_124_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_124_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_125-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"125\"><fieldset><legend class=\"wpforms-field-label\">Can MVOPT contact you by phone? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_125\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_125_1\" name=\"wpforms[fields][125]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_125_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_125_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_125_2\" name=\"wpforms[fields][125]\" value=\"No\" aria-errormessage=\"wpforms-7301-field_125_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_125_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_126-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"126\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Select preferred phone: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_126\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_126_1\" name=\"wpforms[fields][126]\" value=\"Primary Phone\" aria-errormessage=\"wpforms-7301-field_126_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_126_1\">Primary Phone<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_126_2\" name=\"wpforms[fields][126]\" value=\"Secondary Phone\" aria-errormessage=\"wpforms-7301-field_126_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_126_2\">Secondary Phone<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_128-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"128\"><fieldset><legend class=\"wpforms-field-label\">May MVOPT include your Affiliations? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_128\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_128_1\" name=\"wpforms[fields][128]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_128_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_128_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_128_2\" name=\"wpforms[fields][128]\" value=\"No\" aria-errormessage=\"wpforms-7301-field_128_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_128_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_127-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"127\"><fieldset><legend class=\"wpforms-field-label\">Can MVOPT contact you via E-mail? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_127\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_127_1\" name=\"wpforms[fields][127]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_127_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_127_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_127_2\" name=\"wpforms[fields][127]\" value=\"No\" aria-errormessage=\"wpforms-7301-field_127_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_127_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_135-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"135\"><fieldset><legend class=\"wpforms-field-label\">If we need to contact you regarding event date\/time changes, notifications that affect you, what means do you want us to use? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_135\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_135_1\" name=\"wpforms[fields][135]\" value=\"Phone\" aria-errormessage=\"wpforms-7301-field_135_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_135_1\">Phone<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_135_2\" name=\"wpforms[fields][135]\" value=\"Text\" aria-errormessage=\"wpforms-7301-field_135_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_135_2\">Text<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-7301-field_135_3\" name=\"wpforms[fields][135]\" value=\"Other\" aria-errormessage=\"wpforms-7301-field_135_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_135_3\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_130-container\" class=\"wpforms-field wpforms-field-checkbox force-all-checks\" data-field-id=\"130\"><fieldset><legend class=\"wpforms-field-label\">This application cannot be accepted unless ALL the following statements are acknowledged <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7301-field_130\" class=\"wpforms-field-required\" data-choice-limit=\"6\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_130_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][130][]\" value=\"I understand that the MVOPT Directory is given ONLY to Members for their personal use\" aria-errormessage=\"wpforms-7301-field_130_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_130_1\">I understand that the MVOPT Directory is given ONLY to Members for their personal use<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_130_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][130][]\" value=\"I agree to keep the MVOPT Directory and its contents private and confidential\" aria-errormessage=\"wpforms-7301-field_130_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_130_2\">I agree to keep the MVOPT Directory and its contents private and confidential<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_130_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][130][]\" value=\"I direct MVOPT newsletter to be sent via E-mail\" aria-errormessage=\"wpforms-7301-field_130_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_130_3\">I direct MVOPT newsletter to be sent via E-mail<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_130_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][130][]\" value=\"I understand that MVOPT does not discriminate based on race, color, creed, national origin, transgender, binary, gay, bisexual or HIV status\" aria-errormessage=\"wpforms-7301-field_130_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_130_6\">I understand that MVOPT does not discriminate based on race, color, creed, national origin, transgender, binary, gay, bisexual or HIV status<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_130_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][130][]\" value=\"I understand that the use of illegal drugs is not permitted at any MVOPT function\" aria-errormessage=\"wpforms-7301-field_130_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_130_5\">I understand that the use of illegal drugs is not permitted at any MVOPT function<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_130_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][130][]\" value=\"I am at least 21 year of age\" aria-errormessage=\"wpforms-7301-field_130_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_130_4\">I am at least 21 year of age<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7301-field_132-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"132\"><div id=\"wpforms-7301-field_132\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-7301-field_132-error\"><p>-- $20 Annual Membership per person (<em>Due Jan 31<\/em>)<br \/>\n-- Make checks payable to: <strong>Miami Valley Ohio Prime Timers <\/strong>-- Mail to address at the top of this form OR give to a MVOPT Board Member<br \/>\n-- <a href=\"http:\/\/www.miamivalleyohioprimetimers.com\">www.miamivalleyohioprimetimers.com<\/a><\/p>\n<p><strong>Please select any interests or hobbies you enjoy and may want to share with others in a group (Check your Interests)<\/strong><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7301-field_165-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"165\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_186-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid interests-select-all\" data-field-id=\"186\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Select All<\/legend><ul id=\"wpforms-7301-field_186\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_186_1\" name=\"wpforms[fields][186][]\" value=\"Select All\" aria-errormessage=\"wpforms-7301-field_186_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_186_1\">Select All<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_184-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-afmuseum interest-item\" data-field-id=\"184\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Air Force Museum<\/legend><ul id=\"wpforms-7301-field_184\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_184_1\" name=\"wpforms[fields][184][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_184_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_184_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_187-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-antiquescollecting interest-item\" data-field-id=\"187\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Antiques--Collecting<\/legend><ul id=\"wpforms-7301-field_187\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_187_1\" name=\"wpforms[fields][187][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_187_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_187_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_188-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-ballet interest-item\" data-field-id=\"188\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Ballet<\/legend><ul id=\"wpforms-7301-field_188\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_188_1\" name=\"wpforms[fields][188][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_188_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_188_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_189-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-bicycling interest-item\" data-field-id=\"189\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Bicycling<\/legend><ul id=\"wpforms-7301-field_189\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_189_1\" name=\"wpforms[fields][189][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_189_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_189_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_190-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-boardgames interest-item\" data-field-id=\"190\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Board Games<\/legend><ul id=\"wpforms-7301-field_190\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_190_1\" name=\"wpforms[fields][190][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_190_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_190_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_191-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-bowling interest-item\" data-field-id=\"191\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Bowling<\/legend><ul id=\"wpforms-7301-field_191\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_191_1\" name=\"wpforms[fields][191][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_191_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_191_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_193-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-camping interest-item\" data-field-id=\"193\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Camping<\/legend><ul id=\"wpforms-7301-field_193\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_193_1\" name=\"wpforms[fields][193][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_193_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_193_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_192-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-cardgames interest-item\" data-field-id=\"192\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Card Games<\/legend><ul id=\"wpforms-7301-field_192\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_192_1\" name=\"wpforms[fields][192][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_192_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_192_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_194-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-church interest-item\" data-field-id=\"194\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Church<\/legend><ul id=\"wpforms-7301-field_194\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_194_1\" name=\"wpforms[fields][194][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_194_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_194_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_195-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-collecting interest-item\" data-field-id=\"195\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Collecting<\/legend><ul id=\"wpforms-7301-field_195\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_195_1\" name=\"wpforms[fields][195][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_195_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_195_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_198-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-computers interest-item\" data-field-id=\"198\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Computers<\/legend><ul id=\"wpforms-7301-field_198\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_198_1\" name=\"wpforms[fields][198][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_198_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_198_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_196-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-companionship interest-item\" data-field-id=\"196\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Companionship<\/legend><ul id=\"wpforms-7301-field_196\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_196_1\" name=\"wpforms[fields][196][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_196_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_196_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_197-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-computergaming interest-item\" data-field-id=\"197\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Computer Gaming<\/legend><ul id=\"wpforms-7301-field_197\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_197_1\" name=\"wpforms[fields][197][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_197_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_197_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_199-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-concertsattending interest-item\" data-field-id=\"199\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Concerts--Attending<\/legend><ul id=\"wpforms-7301-field_199\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_199_1\" name=\"wpforms[fields][199][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_199_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_199_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_202-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-cooking interest-item\" data-field-id=\"202\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Cooking<\/legend><ul id=\"wpforms-7301-field_202\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_202_1\" name=\"wpforms[fields][202][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_202_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_202_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_200-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-dancing interest-item\" data-field-id=\"200\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dancing<\/legend><ul id=\"wpforms-7301-field_200\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_200_1\" name=\"wpforms[fields][200][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_200_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_200_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_203-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-diningout interest-item\" data-field-id=\"203\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Dining Out<\/legend><ul id=\"wpforms-7301-field_203\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_203_1\" name=\"wpforms[fields][203][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_203_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_203_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_201-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-discussiongroups interest-item\" data-field-id=\"201\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Discussion Groups<\/legend><ul id=\"wpforms-7301-field_201\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_201_1\" name=\"wpforms[fields][201][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_201_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_201_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_204-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-erotica interest-item\" data-field-id=\"204\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Erotica<\/legend><ul id=\"wpforms-7301-field_204\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_204_1\" name=\"wpforms[fields][204][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_204_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_204_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_215-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-exercising interest-item\" data-field-id=\"215\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Exercising<\/legend><ul id=\"wpforms-7301-field_215\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_215_1\" name=\"wpforms[fields][215][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_215_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_215_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_214-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-fishing interest-item\" data-field-id=\"214\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Fishing<\/legend><ul id=\"wpforms-7301-field_214\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_214_1\" name=\"wpforms[fields][214][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_214_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_214_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_205-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-fleamarketsyardsales interest-item\" data-field-id=\"205\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Flea Markets\/Yard Sales<\/legend><ul id=\"wpforms-7301-field_205\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_205_1\" name=\"wpforms[fields][205][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_205_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_205_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_216-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-gardening interest-item\" data-field-id=\"216\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Gardening<\/legend><ul id=\"wpforms-7301-field_216\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_216_1\" name=\"wpforms[fields][216][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_216_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_216_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_206-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-gaybars interest-item\" data-field-id=\"206\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Gay Bars<\/legend><ul id=\"wpforms-7301-field_206\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_206_1\" name=\"wpforms[fields][206][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_206_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_206_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_213-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-genealogystampcoincollecting interest-item\" data-field-id=\"213\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Genealogy Stamp\/Coin Collecting<\/legend><ul id=\"wpforms-7301-field_213\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_213_1\" name=\"wpforms[fields][213][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_213_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_213_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_207-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-hikingwalking interest-item\" data-field-id=\"207\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Hiking\/Walking<\/legend><ul id=\"wpforms-7301-field_207\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_207_1\" name=\"wpforms[fields][207][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_207_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_207_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_212-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-longtermrelationship interest-item\" data-field-id=\"212\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Long Term Relationship<\/legend><ul id=\"wpforms-7301-field_212\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_212_1\" name=\"wpforms[fields][212][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_212_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_212_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_208-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-massages interest-item\" data-field-id=\"208\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Massages<\/legend><ul id=\"wpforms-7301-field_208\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_208_1\" name=\"wpforms[fields][208][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_208_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_208_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_211-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-moviestheatrehomevideo interest-item\" data-field-id=\"211\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Movies\/Theatre\/Home Videos<\/legend><ul id=\"wpforms-7301-field_211\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_211_1\" name=\"wpforms[fields][211][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_211_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_211_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_209-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-museumsartgalleries interest-item\" data-field-id=\"209\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Museums\/Art Galleries<\/legend><ul id=\"wpforms-7301-field_209\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_209_1\" name=\"wpforms[fields][209][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_209_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_209_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_217-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-musicattendingparticipating interest-item\" data-field-id=\"217\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Music Attending\/Participating<\/legend><ul id=\"wpforms-7301-field_217\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_217_1\" name=\"wpforms[fields][217][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_217_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_217_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_218-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-nudismsinglesgroups interest-item\" data-field-id=\"218\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Nudism Singles\/Groups<\/legend><ul id=\"wpforms-7301-field_218\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_218_1\" name=\"wpforms[fields][218][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_218_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_218_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_227-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-opera interest-item\" data-field-id=\"227\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Opera<\/legend><ul id=\"wpforms-7301-field_227\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_227_1\" name=\"wpforms[fields][227][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_227_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_227_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_219-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-photography interest-item\" data-field-id=\"219\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Photography<\/legend><ul id=\"wpforms-7301-field_219\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_219_1\" name=\"wpforms[fields][219][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_219_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_219_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_226-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-pickleball interest-item\" data-field-id=\"226\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Pickleball<\/legend><ul id=\"wpforms-7301-field_226\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_226_1\" name=\"wpforms[fields][226][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_226_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_226_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_220-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-reading interest-item\" data-field-id=\"220\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Reading<\/legend><ul id=\"wpforms-7301-field_220\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_220_1\" name=\"wpforms[fields][220][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_220_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_220_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_225-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-singing interest-item\" data-field-id=\"225\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Singing<\/legend><ul id=\"wpforms-7301-field_225\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_225_1\" name=\"wpforms[fields][225][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_225_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_225_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_221-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-skiing interest-item\" data-field-id=\"221\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Skiing<\/legend><ul id=\"wpforms-7301-field_221\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_221_1\" name=\"wpforms[fields][221][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_221_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_221_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_224-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-swimming interest-item\" data-field-id=\"224\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Swimming<\/legend><ul id=\"wpforms-7301-field_224\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_224_1\" name=\"wpforms[fields][224][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_224_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_224_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_222-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-sportsobserving interest-item\" data-field-id=\"222\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Sports--Observing<\/legend><ul id=\"wpforms-7301-field_222\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_222_1\" name=\"wpforms[fields][222][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_222_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_222_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_223-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-theatreattendingparticipating interest-item\" data-field-id=\"223\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Theatre Attending\/Participating<\/legend><ul id=\"wpforms-7301-field_223\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_223_1\" name=\"wpforms[fields][223][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_223_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_223_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_229-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-theatreplaysmusicals interest-item\" data-field-id=\"229\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Theatre Plays\/Musicals<\/legend><ul id=\"wpforms-7301-field_229\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_229_1\" name=\"wpforms[fields][229][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_229_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_229_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_234-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-traveldayweekends interest-item\" data-field-id=\"234\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Travel Day\/Weekends<\/legend><ul id=\"wpforms-7301-field_234\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_234_1\" name=\"wpforms[fields][234][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_234_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_234_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_230-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-volunteeringcommunity interest-item\" data-field-id=\"230\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Volunteering\/Community<\/legend><ul id=\"wpforms-7301-field_230\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_230_1\" name=\"wpforms[fields][230][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_230_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_230_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_233-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-vfweventsactivities interest-item\" data-field-id=\"233\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">VFW Events\/Activities<\/legend><ul id=\"wpforms-7301-field_233\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_233_1\" name=\"wpforms[fields][233][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_233_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_233_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_231-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-visitingshutins interest-item\" data-field-id=\"231\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Visiting Shut-ins<\/legend><ul id=\"wpforms-7301-field_231\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_231_1\" name=\"wpforms[fields][231][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_231_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_231_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_232-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-cruises interest-item\" data-field-id=\"232\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Cruises<\/legend><ul id=\"wpforms-7301-field_232\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_232_1\" name=\"wpforms[fields][232][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_232_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_232_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-7301-field_228-container\" class=\"wpforms-field wpforms-field-checkbox tight-grid int-hostingthemeparty interest-item\" data-field-id=\"228\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Hosting Theme Party<\/legend><ul id=\"wpforms-7301-field_228\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7301-field_228_1\" name=\"wpforms[fields][228][]\" value=\"Yes\" aria-errormessage=\"wpforms-7301-field_228_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7301-field_228_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><\/div><\/div><\/div>\t\t<div id=\"wpforms-7301-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-7301-field_1\" >Timer Partner&#039;s E-mail?<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-7301-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-7301-field_134-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"134\"><label class=\"wpforms-field-label\" for=\"wpforms-7301-field_134\">Please tells us about any additional interests, concerns or special needs you would like MVOPT to know about<\/label><textarea id=\"wpforms-7301-field_134\" class=\"wpforms-field-medium\" name=\"wpforms[fields][134]\" aria-errormessage=\"wpforms-7301-field_134-error\" ><\/textarea><\/div><div id=\"wpforms-7301-field_136-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"136\"><label class=\"wpforms-field-label\" for=\"wpforms-7301-field_136\">Enter Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7301-field_136\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][136]\" aria-errormessage=\"wpforms-7301-field_136-error\" required><\/div><div id=\"wpforms-7301-field_137-container\" class=\"wpforms-field wpforms-field-date-time todaysdate\" data-field-id=\"137\"><label class=\"wpforms-field-label\" for=\"wpforms-7301-field_137\">Date (mm\/dd\/yyyy) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-7301-field_137\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][137][date]\" aria-errormessage=\"wpforms-7301-field_137-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-7301-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-7301-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-7301-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7301\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/pages\/7245\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7301\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Online Membership Application We&#8217;re so glad you&#8217;re joining our family! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Thanks for taking a moment to&hellip; <\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"class_list":["post-7245","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/pages\/7245","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/comments?post=7245"}],"version-history":[{"count":5,"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/pages\/7245\/revisions"}],"predecessor-version":[{"id":9112,"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/pages\/7245\/revisions\/9112"}],"wp:attachment":[{"href":"https:\/\/chapters.theprimetimersww.com\/miamivalleyoh\/wp-json\/wp\/v2\/media?parent=7245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}