{"fields":[{"index":1,"element":"container","attributes":[],"settings":{"container_class":"","conditional_logics":{"type":"any","status":false,"conditions":[{"field":"","value":"","operator":""}]}},"columns":[{"width":"","left":"","fields":[{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_1","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"I, (*parent or legal guardian\u2019s name)","label_placement":"","admin_field_label":"I, (*parent or legal guardian\u2019s name)","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_16792395652290.44092796006732526"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_2","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"the parent or legal guardian of (*child\u2019s name)","label_placement":"","admin_field_label":"the parent or legal guardian of (*child\u2019s name)","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_16792395931920.47055040781548674"}]}],"editor_options":{"title":"One Column Container","icon_class":"dashicons dashicons-align-center"},"uniqElKey":"el_1679239542871"},{"index":5,"element":"terms_and_condition","attributes":{"type":"checkbox","name":"terms-n-condition","value":false,"class":""},"settings":{"tnc_html":"<p>have read the Pilgrim\u2019s Rock LLC COPPA Parental Consent Notice, the Terms and Conditions of Service, and Privacy Policy posted at\u00a0<a title=\"Pilgrim's Rock Website\" href=\"https:\/\/pilgrimsrock.com\/\">www.pilgrimsrock.com<\/a>. By agreeing and submitting this form, I authorize my child to fully register and participate in Services and the online course software\u00a0<a title=\"Pilgrim's Rock Online Course System\" href=\"https:\/\/courses.pilgrimsrock.com\/\" target=\"_blank\" rel=\"noopener\">https:\/\/courses.pilgrimsrock.com<\/a>.<\/p>\n<p>I understand that by consenting to my child\u2019s registration in\u00a0<a title=\"Pilgrim's Rock Online Course System\" href=\"https:\/\/courses.pilgrimsrock.com\/\" target=\"_blank\" rel=\"noopener\">https:\/\/courses.pilgrimsrock.com<\/a>, I am enabling my child to participate in all aspects, features and Services of\u00a0<a title=\"Pilgrim's Rock Website\" href=\"https:\/\/pilgrimsrock.com\/\">www.pilgrimsrock.com<\/a>.<\/p>\n<p>I understand that participation in\u00a0<a title=\"Pilgrim's Rock Online Course System\" href=\"https:\/\/courses.pilgrimsrock.com\/\" target=\"_blank\" rel=\"noopener\">https:\/\/courses.pilgrimsrock.com<\/a>\u00a0activities may enable my child to post personal information (i.e. email address, name, city or activities\/interests) that will be accessible to other\u00a0<a title=\"Pilgrim's Rock Online Course System\" href=\"https:\/\/courses.pilgrimsrock.com\/\" target=\"_blank\" rel=\"noopener\">https:\/\/courses.pilgrimsrock.com<\/a>\u00a0users. I further understand that what other\u00a0<a title=\"Pilgrim's Rock Online Course System\" href=\"https:\/\/courses.pilgrimsrock.com\/\" target=\"_blank\" rel=\"noopener\">https:\/\/courses.pilgrimsrock.com<\/a>\u00a0members do with this information is beyond the control of\u00a0<a title=\"Pilgrim's Rock Online Course System\" href=\"https:\/\/courses.pilgrimsrock.com\/\" target=\"_blank\" rel=\"noopener\">https:\/\/courses.pilgrimsrock.com<\/a>\u00a0and Pilgrim\u2019s Rock LLC.<\/p>\n<p>I understand that my child\u2019s information will be collected and processed in the United States and that the site uses cookies. I consent to these practices. I understand that I may withdraw my permission granted herein, with written notice, at any time. I understand that if I withdraw my permission, the student will be suspended from any online course he\/she is enrolled in.<\/p>\n<p>I also understand that it is important to provide accurate information in this consent form in case Pilgrim\u2019s Rock needs to contact me for any reason.<\/p>","has_checkbox":true,"admin_field_label":"Terms and Conditions","container_class":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"title":"Terms & Conditions","icon_class":"ff-edit-terms-condition","template":"termsCheckbox"},"uniqElKey":"el_16792396830060.8940599639140587"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_3","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"Parent\/Legal Guardian (Full Name):","label_placement":"","admin_field_label":"*Parent\/Legal Guardian (Full Name):","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_1679239735639"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_4","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"Parent\/Legal Guardian (Full Name):","label_placement":"","admin_field_label":"*Parent\/Legal Guardian (Full Name):","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_16792397417100.8094904886042311"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_5","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"Your Relationship to Child: ","label_placement":"","admin_field_label":"Your Relationship to Child: ","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_16792397541260.11872975532358332"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_6","value":"","class":"","placeholder":"16","maxlength":""},"settings":{"container_class":"","label":"Age of Child:","label_placement":"","admin_field_label":"Age of Child:","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_16792397781990.32580737317076625"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_7","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"Age of Child:","label_placement":"","admin_field_label":"Age of Child:","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_16792397941900.4919479752433795"},{"index":1,"element":"input_email","attributes":{"type":"email","name":"email","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Email Address:","label_placement":"","help_message":"","admin_field_label":"Email Address:","validation_rules":{"required":{"value":true,"message":"This field is required"},"email":{"value":true,"message":"This field must contain a valid email"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"Email address need to be unique.","prefix_label":"","suffix_label":""},"editor_options":{"title":"Email Address","icon_class":"ff-edit-email","template":"inputText"},"uniqElKey":"el_1570866012914"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_8","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"Phone Number","label_placement":"","admin_field_label":"","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_1679239867127"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text","value":"","class":"","placeholder":"","maxlength":""},"settings":{"container_class":"","label":"E-Signature:","label_placement":"","admin_field_label":"E-Signature:","help_message":"","prefix_label":"","suffix_label":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[],"is_unique":"no","unique_validation_message":"This value need to be unique."},"editor_options":{"title":"Simple Text","icon_class":"ff-edit-text","template":"inputText"},"uniqElKey":"el_16789824101040.41943802434189803"},{"index":13,"element":"input_date","attributes":{"type":"text","name":"datetime","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Date Submitted:","admin_field_label":"","label_placement":"","date_config":"","date_format":"m\/d\/Y","help_message":"","is_time_enabled":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"title":"Time & Date","icon_class":"ff-edit-date","template":"inputText"},"uniqElKey":"el_16792398985360.22022665659679053"},{"index":9,"element":"input_checkbox","attributes":{"type":"checkbox","name":"checkbox","value":[]},"settings":{"dynamic_default_value":"","container_class":"","label":"","admin_field_label":"Consent ","label_placement":"","display_type":"","help_message":"","advanced_options":[{"label":"Under Age 180; Submit Consent","value":"Under Age 180; Submit Consent","calc_value":"","image":"","id":0},{"label":"Over Age 180; Submit Consent Not Needed","value":"Over Age 180; Submit Consent Not Needed","calc_value":"","image":"","id":1}],"calc_value_status":false,"enable_image_input":false,"values_visible":false,"randomize_options":"no","validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[],"layout_class":""},"editor_options":{"title":"Check Box","icon_class":"ff-edit-checkbox-1","template":"inputCheckable"},"uniqElKey":"el_16792399482210.4432733827232793"}],"submitButton":{"uniqElKey":"el_1524065200616","element":"button","attributes":{"type":"submit","class":""},"settings":{"align":"left","button_style":"default","container_class":"","help_message":"","background_color":"#409EFF","button_size":"md","color":"#ffffff","button_ui":{"type":"default","text":"Submit ","img_url":""},"normal_styles":{"backgroundColor":"#409EFF","borderColor":"#409EFF","color":"#ffffff","borderRadius":"","minWidth":""},"hover_styles":{"backgroundColor":"#ffffff","borderColor":"#409EFF","color":"#409EFF","borderRadius":"","minWidth":""},"current_state":"normal_styles"},"editor_options":{"title":"Submit Button"}}}