{"id":289,"date":"2021-02-17T18:43:05","date_gmt":"2021-02-17T23:43:05","guid":{"rendered":"https:\/\/yfc.ca\/kawartha-lakes\/?page_id=289"},"modified":"2026-02-16T22:51:28","modified_gmt":"2026-02-17T03:51:28","slug":"come-cook-with-us","status":"publish","type":"page","link":"https:\/\/yfc.ca\/kawartha-lakes\/come-cook-with-us\/","title":{"rendered":"Come Cook With Us"},"content":{"rendered":"<section class=\"y-columned-content white two   guten-block\" >\r\n\t<div class=\"grid-narrow\">\r\n\t\t\t\t\t<h3 class=\"y-columned-content--title y-color-responsive-text\">Come Cook With Us (CCWU)<\/h3>\r\n\t\t\t\t<div class=\"y-columned-content--inner\">\r\n\t\t\t\t\t\t\t<div class=\"y-columned-content--column y-color-responsive-text\"><h4 class=\"et_pb_module et_pb_image et_pb_image_1\"><span class=\"et_pb_image_wrap \" style=\"color: #000000;\"><img decoding=\"async\" title=\"\" src=\"http:\/\/youthunlimitedkaw.com\/wp-content\/uploads\/2019\/01\/ccwu-0.png\" alt=\"\" width=\"auto\" height=\"auto\" \/><strong><span style=\"font-size: min(21.2308px + 0.192308vw, 24px);\">An after school program where kids will have fun and <\/span><\/strong><\/span><span style=\"color: #008000;\"><span class=\"et_pb_image_wrap \"><strong><span style=\"font-size: min(21.2308px + 0.192308vw, 24px);\">LEARN HOW TO COOK<\/span><\/strong><\/span><\/span><span class=\"et_pb_image_wrap \" style=\"color: #000000;\"><strong><span style=\"font-size: min(21.2308px + 0.192308vw, 24px);\">!\u00a0<\/span><\/strong><\/span><\/h4>\n<p><strong><span style=\"color: #000000;\">We are running a six week session on Thursdays:<\/span><\/strong><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"color: #000000;\"><strong>Thursdays, March 5th to April 16th<\/strong><\/span><\/li>\n<li>No class on March 18th for vacation time during March Break<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5><span style=\"color: #000000;\"><span style=\"color: #008000;\">WHEN<\/span>:\u00a0 Thursdays from 4:15 to 6:30 pm<\/span><\/h5>\n<h5><span style=\"color: #000000;\"><span style=\"color: #008000;\">WHERE<\/span>:\u00a0<\/span> Knox Presbyterian Church,\u00a06 Joseph St, Bobcaygeon<\/h5>\n<h5><span style=\"color: #008000;\">COST<\/span>:\u00a0 $40\/student per session (subsidies available)<\/h5>\n<h5><span style=\"color: #008000;\">AGES<\/span>:\u00a0 Grade 3-8 (8-13 year old)<\/h5>\n<h5>PROGRAM OVERVIEW:\u00a0 <strong>At CCWU we provide participants with a fun and safe place to learn how to cook, make healthy and balanced food choices, practice kitchen safety, table setting, and share a Bible story.\u00a0 Each week after cooking, we will share the meal together around the table with good conversation, then cleanup!\u00a0 \u00a0<span style=\"text-decoration: underline; color: #008000;\">On the last night of the session, the participants\u2019 families are invited to come and enjoy the meal that their children have prepared<\/span><\/strong><span style=\"text-decoration: underline; color: #008000;\">!<\/span><\/h5>\n<p>Email:\u00a0 <a href=\"mailto:klinfo@kawyu.ca\">klinfo@kawyu.ca<\/a> for more information<\/p>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #808000;\">REGISTRATION OPENS SOON!<\/span><\/h4>\n<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"y-columned-content--column y-color-responsive-text\"><h4 class=\"et_pb_module et_pb_image et_pb_image_1\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-291 aligncenter\" src=\"https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/uploads\/sites\/44\/2021\/02\/BOB-Cooking-1024x1024-1-300x300.jpg\" alt=\"\" width=\"400\" height=\"400\" srcset=\"https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/uploads\/sites\/44\/2021\/02\/BOB-Cooking-1024x1024-1-300x300.jpg 300w, https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/uploads\/sites\/44\/2021\/02\/BOB-Cooking-1024x1024-1.jpg 1024w, https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/uploads\/sites\/44\/2021\/02\/BOB-Cooking-1024x1024-1-150x150.jpg 150w, https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/uploads\/sites\/44\/2021\/02\/BOB-Cooking-1024x1024-1-768x768.jpg 768w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/>Registration Information:<\/h4>\n<p>Please note that there are a limited number of spots for each session of CCWU. You will receive an email within the week to confirm your spot(s). A waiting list will be created and those who do not get to participate in the first session will have first priority to participate in the next session offered.<\/p>\n<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t<\/div>\r\n<\/section>\r\n\n\n\t<section class=\"y-gravity-form white  guten-block\" >\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t\t\t\t\t<h3 class=\"y-accordion--title y-color-responsive-text\">Spring Registration<\/h3>\r\n\t\t\t\t\t\t<div class=\"y-gravity-form--inner\">\r\n\t\t\t\t<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_29' style='display:none'><div id='gf_29' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_29' id='gform_29'  action='\/kawartha-lakes\/wp-json\/wp\/v2\/pages\/289#gf_29' data-formid='29' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lfq1YsaAAAAAIlCN1-uzuUjef83MGbopf9xeWCd' data-tabindex='0'><input id=\"input_feab95372cd3e325fc4bd19ae4e40479\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_feab95372cd3e325fc4bd19ae4e40479\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_29' class='gf_progressbar_wrapper' data-start-at-zero='1'>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_0' style='width:0%;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_29_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_29' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_77\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Class Time is Thursdays, 4:15 &#8211; 6:30 pm<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_77'><li class='gchoice gchoice_29_77_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.1' type='checkbox'  value='Thursdays, March 5th to April 16th, 2026 (off March Break)'  id='choice_29_77_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_77_1' id='label_29_77_1' class='gform-field-label gform-field-label--type-inline'>Thursdays, March 5th to April 16th, 2026 (off March Break)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_61\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_29_61 gfield_product_29_61 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_29_61_1'><span class=\"gform-field-label gfield_label_product\">Number of Kids to Register for this Session (Max 2 per form)<\/span> <span class=\"screen-reader-text\">Quantity<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_61.1' value='Number of Kids to Register for this Session (Max 2 per form)' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_29_61'>$ 40.00 CAD<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_61.2' id='ginput_base_price_29_61' class='gform_hidden' value='$ 40.00 CAD'\/>\n\t\t\t\t\t <label for='ginput_quantity_29_61_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_61.3' value='' id='input_29_61_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Number of Kids to Register for this Session (Max 2 per form)\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_29_73\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_29_ gfield_total gfield_total_29_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_29_73'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_29'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_73' id='input_29_73' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_29_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Participant Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_29_1'>\n                            \n                            <span id='input_29_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_29_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_29_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_6'>Birth Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_29_6' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_29_6_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_29_6_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_29_6' class='gform_hidden' value='https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_29_44\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_44'>Age<\/label><div class='ginput_container ginput_container_number'><input name='input_44' id='input_29_44' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_29_80\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_80'>Gender<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_29_80' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_29_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_29_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_29_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_29_4_1' id='input_29_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_29_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_29_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_29_4_2' id='input_29_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_29_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_29_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_29_4_3' id='input_29_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_29_4_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_29_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_29_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_29_4_5' id='input_29_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_29_4_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_29_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_5'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_29_5' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_29_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_29_55\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Does the student have any health concerns or accommodations needed:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_55'><li class='gchoice gchoice_29_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='Physical'  id='choice_29_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_55_1' id='label_29_55_1' class='gform-field-label gform-field-label--type-inline'>Physical<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='Emotional or Mental'  id='choice_29_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_55_2' id='label_29_55_2' class='gform-field-label gform-field-label--type-inline'>Emotional or Mental<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_55_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.3' type='checkbox'  value='Behavioural'  id='choice_29_55_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_55_3' id='label_29_55_3' class='gform-field-label gform-field-label--type-inline'>Behavioural<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_55_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.4' type='checkbox'  value='N\/A'  id='choice_29_55_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_55_4' id='label_29_55_4' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_10\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_10'>Please describe below any health concerns, medical conditions\/allergies, or accommodations needed  that we should be aware of:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_29_10' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you have someone else to register?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_29_46'>\n\t\t\t<li class='gchoice gchoice_29_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='Yes'  id='choice_29_46_0'    \/>\n\t\t\t\t<label for='choice_29_46_0' id='label_29_46_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_29_46_1'>\n\t\t\t\t<input name='input_46' type='radio' value='No'  id='choice_29_46_1'    \/>\n\t\t\t\t<label for='choice_29_46_1' id='label_29_46_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_47\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Participant Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_29_47'>\n                            \n                            <span id='input_29_47_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_47.3' id='input_29_47_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_29_47_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_47_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_47.6' id='input_29_47_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_29_47_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_48\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_48'>Birth Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_48' id='input_29_48' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_29_48_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_29_48_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_29_48' class='gform_hidden' value='https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_29_49\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_49'>Age<\/label><div class='ginput_container ginput_container_number'><input name='input_49' id='input_29_49' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_29_79\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_79'>Gender<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_29_79' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Does the student have any health concerns or accommodations needed:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_56'><li class='gchoice gchoice_29_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='Physical'  id='choice_29_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_56_1' id='label_29_56_1' class='gform-field-label gform-field-label--type-inline'>Physical<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='Emotional or Mental'  id='choice_29_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_56_2' id='label_29_56_2' class='gform-field-label gform-field-label--type-inline'>Emotional or Mental<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='Behavioural'  id='choice_29_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_56_3' id='label_29_56_3' class='gform-field-label gform-field-label--type-inline'>Behavioural<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='N\/A'  id='choice_29_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_56_4' id='label_29_56_4' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_52\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_52'>Please describe below any health concerns or medical conditions\/allergies checked above that we should be aware of:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_52' id='input_29_52' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_29_43' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_2' class='gform_page' data-js='page-field-id-43' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Parent\/Guardian\/Caregiver Contact Information<\/h2><\/li><li id=\"field_29_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_12'>Parent\/Guardian\/Caregiver Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_29_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_14'>Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_29_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_13'>Relationship to Student<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_29_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_16'>Alternate Emergency Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_29_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_15'>Alt. Emergency Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_29_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_17'>Relationship to Student<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_29_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_42'>Additional Email Address for Program Communication<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_29_42' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_29_39' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_29_39' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_3' class='gform_page' data-js='page-field-id-39' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Consents and Releases<\/h2><\/li><li id=\"field_29_34\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Purposes and Extent:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_34.1' id='input_29_34_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_29_34_1' >KLYU is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to develop and nurture on-going relationships with you and your child, and to inform you of program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish to limit the information collected or to view your child&#8217;s information, please contact us.<\/label><input type='hidden' name='input_34.2' value='KLYU is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to develop and nurture on-going relationships with you and your child, and to inform you of program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish to limit the information collected or to view your child&#039;s information, please contact us.' class='gform_hidden' \/><input type='hidden' name='input_34.3' value='21' class='gform_hidden' \/><\/div><\/li><li id=\"field_29_35\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Medical Consent:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_35.1' id='input_29_35_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_29_35_1' >I\/we, the parents or guardians named above, authorize Kawartha Lakes Youth Unlimited (KLYU) to administer any first aid treatment necessary, and in the case of medical emergency, to authorize any physician or hospital to provide a medical assessment, treatment or procedures for the participant named above. KLYU representatives will do everything in their power to contact parents or emergency contacts before such action, if a problem should arise.<\/label><input type='hidden' name='input_35.2' value='I\/we, the parents or guardians named above, authorize Kawartha Lakes Youth Unlimited (KLYU) to administer any first aid treatment necessary, and in the case of medical emergency, to authorize any physician or hospital to provide a medical assessment, treatment or procedures for the participant named above. KLYU representatives will do everything in their power to contact parents or emergency contacts before such action, if a problem should arise.' class='gform_hidden' \/><input type='hidden' name='input_35.3' value='21' class='gform_hidden' \/><\/div><\/li><li id=\"field_29_33\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Responsibility:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_33.1' id='input_29_33_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_29_33_1' >I\/we acknowledge that it is my responsibility to take the necessary steps for insuring against personal injury, property damage, or any loss by my child or by self. I also acknowledge that I must assume total responsibility for ALL medical coverage, accidental insurance and personal injury, or any other loss or damage. I will also pay for the cost to have my child sent home if he\/she is unwilling to comply with the rules.<\/label><input type='hidden' name='input_33.2' value='I\/we acknowledge that it is my responsibility to take the necessary steps for insuring against personal injury, property damage, or any loss by my child or by self. I also acknowledge that I must assume total responsibility for ALL medical coverage, accidental insurance and personal injury, or any other loss or damage. I will also pay for the cost to have my child sent home if he\/she is unwilling to comply with the rules.' class='gform_hidden' \/><input type='hidden' name='input_33.3' value='21' class='gform_hidden' \/><\/div><\/li><li id=\"field_29_36\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Faith Disclosure:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_36.1' id='input_29_36_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_29_36_1' >I\/we understand that KLYU is a non-denominational, faith-based, not-for-profit organization that is governed and operated by Christian values, principles and beliefs.  I\/we understand that KLYU is inclusive to all participants regardless of their personal religious belief, race, sexuality, socio-economic status, or gender.  I\/we understand that the staff and volunteers of KLYU, with the utmost dignity and respect, may engage in discussions, conversations and\/or lessons regarding topics of faith with my child during the course of their participation with KLYU and its affiliates.<\/label><input type='hidden' name='input_36.2' value='I\/we understand that KLYU is a non-denominational, faith-based, not-for-profit organization that is governed and operated by Christian values, principles and beliefs.  I\/we understand that KLYU is inclusive to all participants regardless of their personal religious belief, race, sexuality, socio-economic status, or gender.  I\/we understand that the staff and volunteers of KLYU, with the utmost dignity and respect, may engage in discussions, conversations and\/or lessons regarding topics of faith with my child during the course of their participation with KLYU and its affiliates.' class='gform_hidden' \/><input type='hidden' name='input_36.3' value='21' class='gform_hidden' \/><\/div><\/li><li id=\"field_29_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Photos\/Media Release: I\/we (do\/do not) authorize KLYU to take, use and own, in perpetuity, names, photographs, or recordings of the students; understanding that these photos or recordings may be used for public promotional purpose (such as newspaper articles, newsletters, Facebook, other media outlets, etc.).  KLYU does not sell or give away any recorded materials or mailing list information.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_27'><li class='gchoice gchoice_29_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Agree'  id='choice_29_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_27_1' id='label_29_27_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Disagree'  id='choice_29_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_27_2' id='label_29_27_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Communication: A policy is in effect that communications is to be used solely for the dissemination of information.  I\/we agree to permit KLYU staff or volunteers to communicate with applicant student via telephone, email, social media or text.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_29_28'><li class='gchoice gchoice_29_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Agree'  id='choice_29_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_28_1' id='label_29_28_1' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_29_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Disagree'  id='choice_29_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_29_28_2' id='label_29_28_2' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_29_37\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Parent\/Guardian Acknowledgement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_37.1' id='input_29_37_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_29_37\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_29_37_1' >Acknowledged<\/label><input type='hidden' name='input_37.2' value='Acknowledged' class='gform_hidden' \/><input type='hidden' name='input_37.3' value='21' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_29_37' tabindex='0'>By participating in this registration process and the corresponding activity, I\/we, named below, undertake and agree to indemnify and hold harmless KLYU and KYFC, its trustees directors corporation members, servants, agents, volunteers, employees, and all program personnel from any and all actions, claims, and demands whatsoever whether existing as of this date or in the future; and, against any loss, damage or injury suffered by the participant as a result of being part of the activities of KLYU, as well as of any medical treatment authorized by the supervising individuals representing KLYU.  This consent and authorization is effective only when participating in or travelling to events sponsored by KLYU.<\/div><\/li><li id=\"field_29_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_32'>I have read, understood, and agree with the above and sign it to cover all the student activities associated with the Kawartha Lakes Youth Unlimited Program. (please type your written name and sign below)<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_29_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_29_38\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_38'>Date Signed<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_38' id='input_29_38' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_29_38_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_29_38_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_29_38' class='gform_hidden' value='https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_29_31\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_31'>Signature<\/label><input type='hidden' value='' name='input_31' id='input_29_31_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_29_31_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_29_31' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/yfc.ca\/kawartha-lakes\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_29_31_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_29_31_resetbutton' src='data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAABgAAAAYCAYAAADgdz34AAAAGXRFWHRTb2Z0d2FyZQBBZG9iZSBJbWFnZVJlYWR5ccllPAAAAtRJREFUeNrsld9rklEYx32nc7i2GulGtZg6XJbJyBeJzbGZJJVuAyFD7D8QumiG7nLXQuw6dtHN7oYwFtIgDG+2CGQtGf1grBpWIkPHaDpJZvZ95F2cqfPHRTfRgY\/H85znfb7nPc85z8sVi0XR32zcf4GmBTiOk8GWY8YSdEpwHpwG7eAA\/ABJsA3\/w5MEJOUGi8VyCUFFeCiGvlcsFvOFQqGtzK1d4Bzmr8DvDfy\/NyTgcDj6I5GIGA91YdiN4CW7RqNp83g8fZ2dna17e3v5ubm5r1tbWz8F8WH4v4PIh7oCTOumH4VCIQkGg6axsTElgkRhyoJTXq\/33srKStzpdL5KpVK0RVcxvw+Rb40KlNr09LTSbDZH8HcJ\/DqyY2sksE9Go1GHVqsN5fP5Yk9Pz3WIJNmctNQT8Pl8n\/DQZza40CjIokqlerywsMCTYWdnpwVjTb0kF1dXVy2sLR6Pn4HIJnu6mLZht9s3KUeUE7VarYPt459ZOqZlKMFEFRRVfI+QzMzMeBHOOTAw4GbnKt4AK6Vte0\/nHA6pBu\/T4ejoqAgnS4dTlT82U74aJOourYTn+ds1VlyNm+AReMjaK5LsdrvpxoqSyWSX8DbVSwDHtYJ+hi9gETxl\/SoCWK1WGfWJRKLQ0dGhO0kAq5MGAoFB\/OVZXC6XtqYAzvamwWCgMiDK5XKXsSL5CRpZv98vnp+fH2SNJpPpYk0BlIIXSJaB\/lOZkEqlNyCi4ahAHd8iajGUj41a2a+2xzmj0fgsFAoN0QA3lAJfAxMISDeVpx7jSbJnMplSOZ6amuptVIBaZHx8\/G0sFruj1+tlgo2KWh\/oF3opGWl+bW3t1uzsrHJ5eXm42Q+OGW\/wADc7gYe3w+Fwen19\/YByhMMgt9lsqpGRkQvYxifwfQnup9PprFwuX2rmi0ZvYAdDwurPgl1A9ek1eE7byqYR7P873+TfAgwATQiKdubVli0AAAAASUVORK5CYII=' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_29_31_data' name='input_29_31_data' value=''><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_29_72' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_29_72' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_29_4' class='gform_page' data-js='page-field-id-72' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_29_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_70\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_29_ gfield_total gfield_total_29_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_29_70'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_29'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_70' id='input_29_70' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_29_58\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_29_58'>How would you like to pay for your registration?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_29_58' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Online using credit card' >Online using credit card<\/option><option value='E-transfer to payment@kawyu.ca' >E-transfer to payment@kawyu.ca<\/option><option value='Cash in person' >Cash in person<\/option><\/select><\/div><\/li><div id=\"field_29_59\" class=\"gfield gfield--type-square_creditcard gfield--input-type-square_creditcard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_29_59_1'>Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_square_card gform-grid-row single-element'  id='input_29_59' >\n\t\t\t\t\t<div class='ginput_full gform-grid-col' id='input_29_59_1_container'>\n\t\t\t\t\t\t<div class='sq-input-container sq-cardholder-container'><input class='sq-input' type='text' name='input_59.3' id='input_29_59_3' value='' placeholder=\"Cardholder Name\"><label for='input_29_59_3' id='input_29_59_3_label'  class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class='ginput_full gform-grid-col' id='input_29_59_3_container'>\n\t\t\t\t\t\t<div id='input_29_59_1' class='square-single-form'><\/div><label for='input_29_59_1' id='input_29_59_1_label'  class='gform-field-label gform-field-label--type-sub'>Card Details<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><li id=\"field_29_60\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Once you have submitted your registration form, please send an e-transfer to payment@kawyu.ca for the above total with a message stating it&#8217;s for &#8220;CCWU&#8221; or cooking program. <\/li><li id=\"field_29_71\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >After you submit this form, please remember to bring cash for the above total with you to the first cooking session.<\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_29' class='gform_previous_button gform-theme-button 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