{"id":5796,"date":"2019-03-04T17:59:12","date_gmt":"2019-03-04T17:59:12","guid":{"rendered":"http:\/\/ltrc.kinggraphicdesign.com\/?page_id=5796"},"modified":"2019-03-07T20:38:57","modified_gmt":"2019-03-07T20:38:57","slug":"registration","status":"publish","type":"page","link":"https:\/\/ltrc.org\/index.php\/registration\/","title":{"rendered":"LTRC Registration \/ Waiver Form"},"content":{"rendered":"\nFill out below or <a href=\"http:\/\/ltrc.kinggraphicdesign.com\/wp-content\/uploads\/2019\/02\/RegistrWaiver9.2015.pdf\">click here<\/a> for a PDF printable form.<h2><\/h2>\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-5815\"><form id=\"wpforms-form-5815\" class=\"wpforms-validate wpforms-form\" data-formid=\"5815\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/5796\"><div class=\"wpforms-field-container\"><div id=\"wpforms-5815-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_3\">Participant&#039;s Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5815-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-5815-field_6-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_6\">Birth Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5815-field_6\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" name=\"wpforms[fields][6][date]\" required><\/div><div id=\"wpforms-5815-field_4-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_4\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][4]\" id=\"wpforms-5815-field_4\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><\/div><div id=\"wpforms-5815-field_9-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_9\">Address<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-5815-field_9\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][9][address1]\" ><label for=\"wpforms-5815-field_9\" 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-5815-field_9-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][9][address2]\" ><label for=\"wpforms-5815-field_9-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-5815-field_9-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][9][city]\" ><label for=\"wpforms-5815-field_9-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-5815-field_9-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][9][state]\" value=\"Maryland\" ><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\"  selected='selected'>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-5815-field_9-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-5815-field_9-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"99999[-9999]\" data-inputmask-greedy=\"false\" name=\"wpforms[fields][9][postal]\" ><label for=\"wpforms-5815-field_9-postal\" class=\"wpforms-field-sublabel after \">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-5815-field_17-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_17\">Home Phone<\/label><input type=\"tel\" id=\"wpforms-5815-field_17\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-5815-field_18-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_18\">Cell Phone<\/label><input type=\"tel\" id=\"wpforms-5815-field_18\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-5815-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-5815-field_7\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][7][primary]\" required><label for=\"wpforms-5815-field_7\" class=\"wpforms-field-sublabel after \">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-5815-field_7-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-5815-field_7\" name=\"wpforms[fields][7][secondary]\" required><label for=\"wpforms-5815-field_7-secondary\" class=\"wpforms-field-sublabel after \">Confirm Email<\/label><\/div><\/div><div class=\"wpforms-field-description\">E-mail is the primary method of communication the LTRC program will use to notify you of news and events. Please be sure to enter a valid e-mail address that you check at least once a week so you are always up-to-date with the latest news.<\/div><\/div><div id=\"wpforms-5815-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_19\">Activity Registering For<\/label><input type=\"text\" id=\"wpforms-5815-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-5815-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><ul id=\"wpforms-5815-field_20\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-5815-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Yes, I am interested in helping\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_20_1\">Yes, I am interested in helping<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-5815-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Yes, I would like more information\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_20_2\">Yes, I would like more information<\/label><\/li><\/ul><\/div><div id=\"wpforms-5815-field_21-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_21\">Emergency Contact Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5815-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">In case of an emergency, please notify (if minor\/child participant, provide parent\u2019s information or Guardian, as applicable)<\/div><\/div><div id=\"wpforms-5815-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_22\">Emergency Contact Relationship<\/label><input type=\"text\" id=\"wpforms-5815-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-5815-field_24-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_24\">Emergency Contact Home Phone<\/label><input type=\"tel\" id=\"wpforms-5815-field_24\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-5815-field_25-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_25\">Emergency Contact Cell Phone<\/label><input type=\"tel\" id=\"wpforms-5815-field_25\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-5815-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_26\">Physician&#039;s Name<\/label><input type=\"text\" id=\"wpforms-5815-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/div><div id=\"wpforms-5815-field_27-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_27\">Physician&#039;s Phone<\/label><input type=\"tel\" id=\"wpforms-5815-field_27\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][27]\" ><\/div><div id=\"wpforms-5815-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_28\">Name of Medical Provider<\/label><input type=\"text\" id=\"wpforms-5815-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" ><\/div><div id=\"wpforms-5815-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_29\">Date of Last Tetanus Immunization<\/label><input type=\"text\" id=\"wpforms-5815-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" ><\/div><div id=\"wpforms-5815-field_31-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_31\">Are there any medical or health factors or conditions that might affect participant\u2019s performance in activity?<\/label><ul id=\"wpforms-5815-field_31\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5815-field_31_1\" name=\"wpforms[fields][31]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_31_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5815-field_31_2\" name=\"wpforms[fields][31]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_31_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-5815-field_32-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_32\">Is participant taking any medications or have a condition that may affect participant\u2019s safety or performance in the activity?<\/label><ul id=\"wpforms-5815-field_32\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5815-field_32_1\" name=\"wpforms[fields][32]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_32_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5815-field_32_2\" name=\"wpforms[fields][32]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_32_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-5815-field_33-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_33\">Is participant required any special accommodations (due to disabilty) to participate in the activity:<\/label><ul id=\"wpforms-5815-field_33\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5815-field_33_1\" name=\"wpforms[fields][33]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_33_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5815-field_33_2\" name=\"wpforms[fields][33]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_33_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-5815-field_39-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_39\">If Yes, Please Expalain<\/label><textarea id=\"wpforms-5815-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" ><\/textarea><\/div><div id=\"wpforms-5815-field_2-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_2\">I Agree <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][2]\" id=\"wpforms-5815-field_2\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"No\" >No<\/option><option value=\"Yes\" >Yes<\/option><\/select><div class=\"wpforms-field-description\">In case of injury or emergency, I for myself and\/or participant (if participant is minor\/child), and my personal representatives, heirs and assigns, (severally and collectively \u201cI\u201d) for this registration form) give permission for an activity representative to call 911 and transport participant to a hospital. I shall inform the Recreation Council, in writing, of any medical or health conditions of participant that occurs or develops and which could affect participant\u2019s safety, performance or participation in or throughout the activity.\r\n<\/div><\/div><div id=\"wpforms-5815-field_37-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_37\">Acknowledgement, Waiver and Release of Liability: <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][37]\" id=\"wpforms-5815-field_37\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"No\" >No<\/option><option value=\"Yes\" >Yes<\/option><\/select><div class=\"wpforms-field-description\">I hereby confirm participant is in good health and able to participate in the activity. Also, I have been advised to consult with a licensed physician prior to participation in the activity. I acknowledge the activity may involve both apparent and inherent risks and dangers of bodily injury or death and damage to property. I fully accept and acknowledge the activities may involve risks, and I hereby assume all dangers and risks associated with the participant in the activity and will be responsible for the same. I further understand that concussion information is available at <a href=\"https:\/\/www.cdc.gov\/headsup\/index.html\">http:\/\/www.cdc.gov\/headsup\/youthsports\/index.html.<\/a>\r\n<br><br>\r\nI acknowledge that Baltimore County, Maryland, the Recreation Council, and their respective employees, directors, officers, volunteers, members and any other participant, entity, party or person involved in any regard with the Activity or the Activity premises and their respective agents, personal representatives, heirs, employees, contractors, successors and assigns (each an activity representative and collectively the \u201cactivity representatives\u201d), shall not be responsible or liable in any regard or manner for any and all property damage or bodily injury (including serious physical injury or even death) incurred by participant or any party related thereto, as a result of his\/her participation in the activity.\r\n<br><br>\r\nI have read, fully understand, and hereby freely sign, approve of, and agree to the terms of this Registration Form. I hereby expressly and forever unconditionally release, discharge, covenant not to sue, waive my rights and remedies, and agree to hold harmless and indemnify the activity representatives from any and all claims, costs, demands, losses, damages, or expenses, and from all acts of active or passive negligence or other fault on the part of the activity representatives associated with, in whole or in part, participant\u2019s involvement with the activity. I shall inform the Recreation Council in writing if any information provided in this Registration Form is incorrect or changes through the course of the activity. I shall present a government issued photo identification card including, but not limited to, my driver\u2019s license, passport, or United States Visa to the activity representative for review, if requested, at the time I submit this Registration Form to the recreation council.<\/div><\/div><div id=\"wpforms-5815-field_15-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_15\">GDPR Agreement <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5815-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-5815-field_15_1\" name=\"wpforms[fields][15][]\" value=\"I consent to having this website store my submitted information so they can respond to my inquiry and for registration to LTRC programs.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5815-field_15_1\">I consent to having this website store my submitted information so they can respond to my inquiry and for registration to LTRC programs.<\/label><\/li><\/ul><\/div><div id=\"wpforms-5815-field_38-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_38\">Date <\/label><input type=\"text\" id=\"wpforms-5815-field_38\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" name=\"wpforms[fields][38][date]\" ><\/div><div id=\"wpforms-5815-field_13-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-5815-field_13\">Captcha <span class=\"wpforms-required-label\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\"><\/span>\n\t\t\t\t\t<span class=\"cal\"><\/span>\n\t\t\t\t\t<span class=\"n2\"><\/span>\n\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-5815-field_13\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" name=\"wpforms[fields][13][a]\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][13][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][13][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][13][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-5815-field-hp\" class=\"wpforms-field-label\">Phone<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-5815-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"5815\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-5815\" value=\"wpforms-submit\" data-alt-text=\"Sending...\">Submit<\/button><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Fill out below or click here for a PDF printable form.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":25,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5796","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/pages\/5796","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/comments?post=5796"}],"version-history":[{"count":4,"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/pages\/5796\/revisions"}],"predecessor-version":[{"id":5829,"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/pages\/5796\/revisions\/5829"}],"wp:attachment":[{"href":"https:\/\/ltrc.org\/index.php\/wp-json\/wp\/v2\/media?parent=5796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}