{"id":5142,"date":"2023-07-13T23:34:55","date_gmt":"2023-07-13T23:34:55","guid":{"rendered":"https:\/\/www.onelegacy.org\/wp?page_id=5142"},"modified":"2023-07-13T23:54:51","modified_gmt":"2023-07-13T23:54:51","slug":"grief-group-support-interest-sp","status":"publish","type":"page","link":"https:\/\/www.onelegacy.org\/wp\/grief-group-support-interest-sp","title":{"rendered":"Formulario de inter\u00e9s de apoyo del grupo de duelo"},"content":{"rendered":"<p>OneLegacy proporciona  grupos de apoyo de duelo virtuales gratuitos para ayudar a las familias donantes en su proceso de duelo. Los grupos de apoyo de duelo en persona se llevan a cabo en nuestras oficinas de Azusa y Orange.<\/p>\n<p>&nbsp;<\/p>\n<form name=\"req_form\" id=\"req_form\" accept-charset=\"UTF-8\" onsubmit=\"return false;\">\n<div class=\"form-group\"><label for=\"fname\">Su primer nombre<\/label><br \/>\n<input id=\"fname\" class=\"form-control\" name=\"fname\" required=\"required\" type=\"text\" data-err=\"Su primer nombre\" \/><\/div>\n<div class=\"form-group\"><label for=\"lname\">Su apellido<\/label><br \/>\n<input id=\"lname\" class=\"form-control\" name=\"lname\" required=\"required\" type=\"text\" data-err=\"Su apellido\" \/><\/div>\n<div class=\"form-group\"><label for=\"email\">Correo Electr\u00f3nico<\/label><br \/>\n<input id=\"email\" class=\"form-control\" name=\"email\" required=\"required\" type=\"email\" data-err=\"Correo Electr\u00f3nico\" \/><\/div>\n<div class=\"form-group\"><label for=\"phone\">Su n\u00famero de tel\u00e9fono<\/label><br \/>\n<input id=\"phone\" class=\"form-control\" name=\"phone\" required=\"required\" type=\"text\" data-err=\"Su n\u00famero de tel\u00e9fono\" \/><\/div>\n<div class=\"form-group\"><label for=\"donor_name\">Nombre Completo de Donante<\/label><br \/>\n<input id=\"donor_name\" class=\"form-control\" name=\"donor_name\" required=\"required\" type=\"text\" data-err=\"Nombre Completo de Donante\" \/><\/div>\n<div class=\"form-group\"><label for=\"donor_rel\">Relaci\u00f3n al donante<\/label><br \/>\n<input id=\"donor_rel\" class=\"form-control\" name=\"donor_rel\" required=\"required\" type=\"text\" data-err=\"Relaci\u00f3n al donante\" \/><\/div>\n<div>Estoy interesada en (o):<\/div>\n<div class=\"form-check\"><input id=\"i1\" name=\"interest\" value=\"P\u00e9rdida General (2do mi\u00e9rcoles 6:30-8PM)\" data-err=\"Interesada\" class=\"form-check-input\" type=\"checkbox\" \/><label class=\"form-check-label\" for=\"i1\">P\u00e9rdida General (2do mi\u00e9rcoles 6:30-8PM)<\/label><\/div>\n<div class=\"form-check\"><input id=\"i2\" name=\"interest\" value=\"P\u00e9rdida de Ni\u00f1a(o) (2do jueves 10-11:30AM)\" data-err=\"Interesada\" class=\"form-check-input\" type=\"checkbox\" \/><label class=\"form-check-label\" for=\"i2\">P\u00e9rdida de Ni\u00f1a(o) (2do jueves 10-11:30AM)<\/label><\/div>\n<div class=\"form-check\"><input id=\"i3\" name=\"interest\" value=\"P\u00e9rdida de Pareja (3er mi\u00e9rcoles 6:30-8PM)\" data-err=\"Interesada\" class=\"form-check-input\" type=\"checkbox\" \/><label class=\"form-check-label\" for=\"i3\">P\u00e9rdida de Pareja (3er mi\u00e9rcoles 6:30-8PM)<\/label><\/div>\n<div class=\"form-check\"><input id=\"i4\" name=\"interest\" value=\"P\u00e9rdida Reciente (3er jueves 3-4:30PM)\" data-err=\"Interesada\" class=\"form-check-input\" type=\"checkbox\" \/><label class=\"form-check-label\" for=\"i4\">P\u00e9rdida Reciente (3er jueves 3-4:30PM) <\/label><\/div>\n<div class=\"form-check\"><input id=\"i5\" name=\"interest\" value=\"En person - Azusa and Orange (3er sabado 10-11:30AM)\" data-err=\"Interesada\" class=\"form-check-input\" type=\"checkbox\" \/><label class=\"form-check-label\" for=\"i5\">En person &#8211; Azusa and Orange (3er sabado 10-11:30AM)<\/label><\/div>\n<div class=\"form-check\"><input id=\"i6\" name=\"interest\" value=\"P\u00e9rdida de Ni\u00f1a(o) (4to martes 6:30-8PM)\" data-err=\"Interesada\" class=\"form-check-input\" type=\"checkbox\" \/><label class=\"form-check-label\" for=\"i6\">P\u00e9rdida de Ni\u00f1a(o) (4to martes 6:30-8PM) <\/label><\/div>\n<div class=\"form-check\"><input id=\"i7\" name=\"interest\" value=\"En Espanol (4to jueves 6:30-8PM)\" data-err=\"Interesada\" class=\"form-check-input\" type=\"checkbox\" \/><label class=\"form-check-label\" for=\"i7\">En Espanol (4to jueves 6:30-8PM)<\/label><\/div>\n<div class=\"form-group my-3\">\n<input class=\"btn btn-primary btn-sm\" type=\"submit\" name=\"submit_post\" id=\"submit_post\" value=\"Enviar\" onclick=\"AC.submit_ggs(this.form);\"><\/div>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>OneLegacy proporciona grupos de apoyo de duelo virtuales gratuitos para ayudar a las familias donantes en su proceso de duelo. Los grupos de apoyo de duelo en persona se llevan a cabo en nuestras oficinas de Azusa y Orange. &nbsp; Su primer nombre Su apellido Correo Electr\u00f3nico Su n\u00famero de tel\u00e9fono Nombre Completo de Donante [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":81,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-5142","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/pages\/5142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/comments?post=5142"}],"version-history":[{"count":6,"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/pages\/5142\/revisions"}],"predecessor-version":[{"id":5150,"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/pages\/5142\/revisions\/5150"}],"wp:attachment":[{"href":"https:\/\/www.onelegacy.org\/wp\/wp-json\/wp\/v2\/media?parent=5142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}