{"id":4310,"date":"2021-04-27T16:06:45","date_gmt":"2021-04-27T20:06:45","guid":{"rendered":"https:\/\/can.girlguides.ca\/?page_id=4310"},"modified":"2023-10-26T11:13:23","modified_gmt":"2023-10-26T15:13:23","slug":"cookie-receiver-application","status":"publish","type":"page","link":"https:\/\/can.girlguides.ca\/index.php\/cookie-receiver-application\/","title":{"rendered":"NAT &#8211; Cookie Receiver application"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><script>\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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return 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<\/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_381' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_381'  action='\/index.php\/wp-json\/wp\/v2\/pages\/4310' data-formid='381' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_381' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_381_5\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_5'><span class='gform-field-label__text'>Provincial Council<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_381_5' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Alberta Council (incl. Northwest Territories and Yukon)' >Alberta Council (incl. Northwest Territories and Yukon)<\/option><option value='British Columbia Council' >British Columbia Council<\/option><option value='Manitoba Council' >Manitoba Council<\/option><option value='Newfoundland and Labrador Council' >Newfoundland and Labrador Council<\/option><option value='New Brunswick (and PEI) Council' >New Brunswick (and PEI) Council<\/option><option value='Nova Scotia Council' >Nova Scotia Council<\/option><option value='Ontario (and Nunavut) Council' >Ontario (and Nunavut) Council<\/option><option value='Quebec Council' >Quebec Council<\/option><option value='Saskatchewan Council' >Saskatchewan Council<\/option><\/select><\/div><\/li><li id=\"field_381_7\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_7'><span class='gform-field-label__text'>ANY Council Area<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_381_7' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='None\/National Council' >None\/National Council<\/option><option value='Aurora Adventures' >Aurora Adventures<\/option><option value='Calgary Area' >Calgary Area<\/option><option value='Chinook Area' >Chinook Area<\/option><option value='Cypress Hills Area' >Cypress Hills Area<\/option><option value='Edmonton Area' >Edmonton Area<\/option><option value='Parkland Area' >Parkland Area<\/option><option value='Peace River Area' >Peace River Area<\/option><option value='Prairie Rose Area' >Prairie Rose Area<\/option><option value='Tamarac Area' >Tamarac Area<\/option><option value='Woodsmoke Area' >Woodsmoke Area<\/option><\/select><\/div><\/li><li id=\"field_381_15\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_15'><span class='gform-field-label__text'>Aurora Adventures District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_381_15' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Hay River' >Hay River<\/option><option value='Inuvik' >Inuvik<\/option><option value='Yellowknife' >Yellowknife<\/option><option value='Yukon' >Yukon<\/option><\/select><\/div><\/li><li id=\"field_381_16\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_16'><span class='gform-field-label__text'>Calgary District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_381_16' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='12 Mile Coulee' >12 Mile Coulee<\/option><option value='Adelaide Glenn' >Adelaide Glenn<\/option><option value='Annie Bannister' >Annie Bannister<\/option><option value='Beth Riddoch' >Beth Riddoch<\/option><option value='Blackfoot' >Blackfoot<\/option><option value='Co-West' >Co-West<\/option><option value='Crystal Palace' >Crystal Palace<\/option><option value='Deerfoot' >Deerfoot<\/option><option value='East Bow' >East Bow<\/option><option value='Famous Five' >Famous Five<\/option><option value='Nitanisak' >Nitanisak<\/option><option value='Patterson' >Patterson<\/option><option value='Paxhill' >Paxhill<\/option><option value='Prairie Mosaic' >Prairie Mosaic<\/option><option value='Sarcee Hills' >Sarcee Hills<\/option><option value='Scenic Bow Valley' >Scenic Bow Valley<\/option><option value='Silverbirch' >Silverbirch<\/option><option value='Sunrise' >Sunrise<\/option><option value='Three Sisters' >Three Sisters<\/option><option value='Westglen' >Westglen<\/option><option value='Wichewakn' >Wichewakn<\/option><\/select><\/div><\/li><li id=\"field_381_17\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_17'><span class='gform-field-label__text'>Chinook District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_381_17' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Chinook East' >Chinook East<\/option><option value='Clarke-Hall' >Clarke-Hall<\/option><option value='McCready' >McCready<\/option><\/select><\/div><\/li><li id=\"field_381_18\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_18'><span class='gform-field-label__text'>Cypress Hills District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_381_18' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Grasslands' >Grasslands<\/option><option value='Redcliff' >Redcliff<\/option><option value='Ross Glen' >Ross Glen<\/option><option value='Westminster' >Westminster<\/option><\/select><\/div><\/li><li id=\"field_381_19\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_19'><span class='gform-field-label__text'>Edmonton District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_381_19' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Betty Martin' >Betty Martin<\/option><option value='Borealis Gateway' >Borealis Gateway<\/option><option value='Emily Murphy' >Emily Murphy<\/option><option value='Glowing Ember' >Glowing Ember<\/option><option value='Helen Burns' >Helen Burns<\/option><option value='Maywood' >Maywood<\/option><option value='McCourt' >McCourt<\/option><option value='Midway North' >Midway North<\/option><option value='Betty Gemmell' >Betty Gemmell<\/option><option value='Papaschase' >Papaschase<\/option><option value='Northeast' >Northeast<\/option><option value='Northern Lights' >Northern Lights<\/option><option value='Sherwood Park' >Sherwood Park<\/option><option value='SunShine' >SunShine<\/option><option value='Willow' >Willow<\/option><\/select><\/div><\/li><li id=\"field_381_20\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_20'><span class='gform-field-label__text'>Parkland District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_381_20' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Crimson Star' >Crimson Star<\/option><option value='Diamond Willow' >Diamond Willow<\/option><option value='Golden Poplar' >Golden Poplar<\/option><option value='Kuusamo' >Kuusamo<\/option><option value='Nose Creek' >Nose Creek<\/option><option value='Num Ti Jah' >Num Ti Jah<\/option><option value='Westview' >Westview<\/option><option value='Wolf Willow' >Wolf Willow<\/option><option value='Yankee Valley' >Yankee Valley<\/option><\/select><\/div><\/li><li id=\"field_381_21\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_21'><span class='gform-field-label__text'>Peace River District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_381_21' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Heatherwood' >Heatherwood<\/option><option value='Lac Cardinal' >Lac Cardinal<\/option><option value='Northern Borealis' >Northern Borealis<\/option><option value='Pewapun' >Pewapun<\/option><option value='Wapiti Meadows' >Wapiti Meadows<\/option><\/select><\/div><\/li><li id=\"field_381_22\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_22'><span class='gform-field-label__text'>Prairie Rose District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_381_22' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Badlan' >Badlan<\/option><option value='Ho Kah Nah' >Ho Kah Nah<\/option><option value='Moonlight' >Moonlight<\/option><option value='River Rose' >River Rose<\/option><option value='Twilight' >Twilight<\/option><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_381_23\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_23'><span class='gform-field-label__text'>Tamarac District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_381_23' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Aurora' >Aurora<\/option><option value='Fireside' >Fireside<\/option><option value='Forest Waters' >Forest Waters<\/option><option value='Muskotehk' >Muskotehk<\/option><option value='Pembina Trailac' >Pembina Trailac<\/option><option value='Pinedale' >Pinedale<\/option><option value='Prairie Win' >Prairie Win<\/option><option value='Rainbow' >Rainbow<\/option><option value='Spruce Grove' >Spruce Grove<\/option><option value='Starlight' >Starlight<\/option><option value='Three Sisters' >Three Sisters<\/option><option value='Twin Rivers' >Twin Rivers<\/option><\/select><\/div><\/li><li id=\"field_381_24\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_24'><span class='gform-field-label__text'>Woodsmoke District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_381_24' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Battle River' >Battle River<\/option><option value='Lakeland' >Lakeland<\/option><option value='Lloydminster' >Lloydminster<\/option><option value='Sak A Guna D' >Sak A Guna D<\/option><option value='Veg-An-Milio' >Veg-An-Milio<\/option><\/select><\/div><\/li><li id=\"field_381_8\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_8'><span class='gform-field-label__text'>BC Area<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_381_8' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Fraser Skies' >Fraser Skies<\/option><option value='Kootenay' >Kootenay<\/option><option value='Lions' >Lions<\/option><option value='Lougheed' >Lougheed<\/option><option value='Monashee' >Monashee<\/option><option value='North Star' >North Star<\/option><option value='Pacific Shores' >Pacific Shores<\/option><option value='Rivers North' >Rivers North<\/option><option value='Southern Vancouver Island' >Southern Vancouver Island<\/option><option value='Thompson Nicola' >Thompson Nicola<\/option><option value='West Coast' >West Coast<\/option><\/select><\/div><\/li><li id=\"field_381_25\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_25'><span class='gform-field-label__text'>Fraser Skies District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_381_25' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Abbotsford' >Abbotsford<\/option><option value='Chilliwack' >Chilliwack<\/option><option value='Clover Ridge' >Clover Ridge<\/option><option value='Clover Valley' >Clover Valley<\/option><option value='Kwantlen' >Kwantlen<\/option><option value='Langley Valley' >Langley Valley<\/option><option value='No Fraser Skies' >No Fraser Skies<\/option><option value='North Delta' >North Delta<\/option><option value='Ottergrove' >Ottergrove<\/option><option value='Peninsula' >Peninsula<\/option><option value='Telegraph Trail' >Telegraph Trail<\/option><option value='Vedder Mountain' >Vedder Mountain<\/option><option value='Willoughby' >Willoughby<\/option><\/select><\/div><\/li><li id=\"field_381_26\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_26'><span class='gform-field-label__text'>Kootenay District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_381_26' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Bugaboo' >Bugaboo<\/option><option value='Columbia' >Columbia<\/option><option value='Elk Valley' >Elk Valley<\/option><option value='Ghost Valleys' >Ghost Valleys<\/option><option value='Granby' >Granby<\/option><option value='Mountain View' >Mountain View<\/option><\/select><\/div><\/li><li id=\"field_381_27\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_27'><span class='gform-field-label__text'>Lions District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_381_27' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Cedar Shadows' >Cedar Shadows<\/option><option value='Coast Mountain' >Coast Mountain<\/option><option value='Grouse' >Grouse<\/option><option value='Lynn Valley' >Lynn Valley<\/option><option value='Seymour' >Seymour<\/option><option value='Squamish' >Squamish<\/option><option value='Tetrahedron' >Tetrahedron<\/option><option value='Waterfront' >Waterfront<\/option><option value='West Vancouver' >West Vancouver<\/option><\/select><\/div><\/li><li id=\"field_381_28\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_28'><span class='gform-field-label__text'>Lougheed District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_381_28' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Alouette' >Alouette<\/option><option value='Chimo' >Chimo<\/option><option value='Como Lake' >Como Lake<\/option><option value='Eagle Mountain' >Eagle Mountain<\/option><option value='Haney' >Haney<\/option><option value='Hyde Creek' >Hyde Creek<\/option><option value='Mission' >Mission<\/option><option value='Mundy Lake' >Mundy Lake<\/option><option value='Pitt Meadows' >Pitt Meadows<\/option><\/select><\/div><\/li><li id=\"field_381_29\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_29'><span class='gform-field-label__text'>Monashee District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_381_29' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Layer Cake Mtn' >Layer Cake Mtn<\/option><option value='Mountain Ridge' >Mountain Ridge<\/option><option value='Naitaka' >Naitaka<\/option><option value='Revelstoke' >Revelstoke<\/option><option value='South 5' >South 5<\/option><option value='Sunvalley Orchards' >Sunvalley Orchards<\/option><option value='Vernon' >Vernon<\/option><option value='Wa&#039;ya Spirit' >Wa&#039;ya Spirit<\/option><\/select><\/div><\/li><li id=\"field_381_30\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_30'><span class='gform-field-label__text'>North Star District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_381_30' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Lone Star' >Lone Star<\/option><\/select><\/div><\/li><li id=\"field_381_31\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_31'><span class='gform-field-label__text'>Pacific Shores District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_381_31' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Blue Heron' >Blue Heron<\/option><option value='Broughton Strait' >Broughton Strait<\/option><option value='Campbell River' >Campbell River<\/option><option value='Coastal Rainforest' >Coastal Rainforest<\/option><option value='Comox Valley' >Comox Valley<\/option><option value='Hurford' >Hurford<\/option><option value='Malaspina Strait' >Malaspina Strait<\/option><option value='Mountain Valley Trail' >Mountain Valley Trail<\/option><option value='Nanaimo Arbutus' >Nanaimo Arbutus<\/option><option value='Nanaimo Piper' >Nanaimo Piper<\/option><option value='Trillium' >Trillium<\/option><\/select><\/div><\/li><li id=\"field_381_32\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_32'><span class='gform-field-label__text'>Rivers North District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_381_32' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Alcan' >Alcan<\/option><option value='Aurora' >Aurora<\/option><option value='Big Sky' >Big Sky<\/option><option value='Chilco' >Chilco<\/option><option value='Dease Lake' >Dease Lake<\/option><option value='Haida Gwaii' >Haida Gwaii<\/option><option value='Harmony' >Harmony<\/option><option value='Misty Island' >Misty Island<\/option><option value='Mouse Mountain' >Mouse Mountain<\/option><option value='Northern Rockies' >Northern Rockies<\/option><option value='Quesnel' >Quesnel<\/option><option value='South Williston' >South Williston<\/option><option value='Stuart Lake' >Stuart Lake<\/option><option value='Tall Totem' >Tall Totem<\/option><option value='Tsimotsa' >Tsimotsa<\/option><option value='Valley' >Valley<\/option><option value='Whispering Pines' >Whispering Pines<\/option><\/select><\/div><\/li><li id=\"field_381_33\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_33'><span class='gform-field-label__text'>Southern Vancouver Island District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_381_33' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Bay To Bay' >Bay To Bay<\/option><option value='Camas' >Camas<\/option><option value='Chatham' >Chatham<\/option><option value='Harbours' >Harbours<\/option><option value='Lakes' >Lakes<\/option><option value='Pacific Skies' >Pacific Skies<\/option><option value='Peninsula Shores' >Peninsula Shores<\/option><option value='Portage Inlet' >Portage Inlet<\/option><option value='Raven' >Raven<\/option><option value='Straits' >Straits<\/option><option value='Woodwyn' >Woodwyn<\/option><\/select><\/div><\/li><li id=\"field_381_34\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_34'><span class='gform-field-label__text'>Thompson Nicola District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_381_34' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Cariboo Yellowhead' >Cariboo Yellowhead<\/option><option value='Fraser Nicola' >Fraser Nicola<\/option><option value='Monarch' >Monarch<\/option><option value='Mount Paul' >Mount Paul<\/option><option value='Mt Terry Fox' >Mt Terry Fox<\/option><option value='South Caribou' >South Caribou<\/option><option value='South Thompson' >South Thompson<\/option><\/select><\/div><\/li><li id=\"field_381_35\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_35'><span class='gform-field-label__text'>West Coast District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_381_35' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Burnaby Glens' >Burnaby Glens<\/option><option value='Burnaby Lakes' >Burnaby Lakes<\/option><option value='Burnaby Mountain' >Burnaby Mountain<\/option><option value='Burnaby North' >Burnaby North<\/option><option value='Kitsilano\/Fairview' >Kitsilano\/Fairview<\/option><option value='Ladner\/Tsawwassen' >Ladner\/Tsawwassen<\/option><option value='Mackenzie Heights' >Mackenzie Heights<\/option><option value='New Westminster' >New Westminster<\/option><option value='Ocean Vista' >Ocean Vista<\/option><option value='Renfrew' >Renfrew<\/option><option value='River&#039;s Edge' >River&#039;s Edge<\/option><option value='Southridge' >Southridge<\/option><option value='West Point Grey' >West Point Grey<\/option><\/select><\/div><\/li><li id=\"field_381_9\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_9'><span class='gform-field-label__text'>MB Area<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_381_9' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Cambrian' >Cambrian<\/option><option value='Crocus West' >Crocus West<\/option><option value='Grand Pines' >Grand Pines<\/option><option value='Lagimodiere' >Lagimodiere<\/option><option value='Prairie Valley' >Prairie Valley<\/option><\/select><\/div><\/li><li id=\"field_381_37\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_37'><span class='gform-field-label__text'>Cambrian District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_381_37' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Heartland' >Heartland<\/option><option value='Intermountain' >Intermountain<\/option><option value='Northwest Trails' >Northwest Trails<\/option><option value='Westman' >Westman<\/option><\/select><\/div><\/li><li id=\"field_381_38\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_38'><span class='gform-field-label__text'>Crocus West District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_38' id='input_381_38' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Heartland' >Heartland<\/option><option value='Intermountain' >Intermountain<\/option><option value='Northwest Trails' >Northwest Trails<\/option><option value='Westman' >Westman<\/option><\/select><\/div><\/li><li id=\"field_381_39\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_39'><span class='gform-field-label__text'>Grand Pines District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_381_39' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Fort Rouge\/River Heights' >Fort Rouge\/River Heights<\/option><option value='Pine Ridge' >Pine Ridge<\/option><option value='Riel' >Riel<\/option><option value='University' >University<\/option><\/select><\/div><\/li><li id=\"field_381_40\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_40'><span class='gform-field-label__text'>Grand Pines District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_381_40' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Fort Rouge\/River Heights' >Fort Rouge\/River Heights<\/option><option value='Pine Ridge' >Pine Ridge<\/option><option value='Riel' >Riel<\/option><option value='University' >University<\/option><\/select><\/div><\/li><li id=\"field_381_36\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_36'><span class='gform-field-label__text'>Lagimodiere District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_381_36' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Interlake' >Interlake<\/option><option value='Northeast' >Northeast<\/option><option value='Rosswood Valley' >Rosswood Valley<\/option><option value='Seven Oaks' >Seven Oaks<\/option><option value='St Boniface' >St Boniface<\/option><option value='Transcona' >Transcona<\/option><\/select><\/div><\/li><li id=\"field_381_41\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_41'><span class='gform-field-label__text'>Prairie Valley District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_41' id='input_381_41' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Northwest' >Northwest<\/option><option value='Pembina Trails' >Pembina Trails<\/option><option value='Sanford' >Sanford<\/option><option value='Sturgeon' >Sturgeon<\/option><\/select><\/div><\/li><li id=\"field_381_10\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_10'><span class='gform-field-label__text'>NB Area<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_381_10' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Coastal Shore' >Coastal Shore<\/option><option value='Kennebecasis' >Kennebecasis<\/option><option value='Mawiw' >Mawiw<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Tidewater' >Tidewater<\/option><option value='Waters Edge' >Waters Edge<\/option><\/select><\/div><\/li><li id=\"field_381_42\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_42'><span class='gform-field-label__text'>Coastal Shore District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_381_42' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Chaleur' >Chaleur<\/option><option value='Gloucester' >Gloucester<\/option><option value='Island View' >Island View<\/option><option value='River&#039;s Edge' >River&#039;s Edge<\/option><\/select><\/div><\/li><li id=\"field_381_43\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_43'><span class='gform-field-label__text'>Kennebecasis District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_381_43' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Blue Water' >Blue Water<\/option><option value='Gold' >Gold<\/option><option value='Silver' >Silver<\/option><option value='Sussex' >Sussex<\/option><\/select><\/div><\/li><li id=\"field_381_44\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_44'><span class='gform-field-label__text'>Mawiw District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_381_44' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Arbour' >Arbour<\/option><option value='Eagle' >Eagle<\/option><option value='Fiddlehead' >Fiddlehead<\/option><option value='Fredericton South' >Fredericton South<\/option><option value='Lakeland' >Lakeland<\/option><option value='The Lakes' >The Lakes<\/option><\/select><\/div><\/li><li id=\"field_381_45\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_45'><span class='gform-field-label__text'>PEI District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_381_45' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Kings County' >Kings County<\/option><option value='Prince County' >Prince County<\/option><option value='Queens County' >Queens County<\/option><\/select><\/div><\/li><li id=\"field_381_46\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_46'><span class='gform-field-label__text'>Tidewater District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_381_46' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Maple' >Maple<\/option><option value='Riverview' >Riverview<\/option><option value='Sackville' >Sackville<\/option><option value='Samphire' >Samphire<\/option><\/select><\/div><\/li><li id=\"field_381_47\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_47'><span class='gform-field-label__text'>Waters Edge District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_47' id='input_381_47' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Eastern Trail' >Eastern Trail<\/option><option value='Harbour' >Harbour<\/option><option value='Riverside' >Riverside<\/option><option value='St George' >St George<\/option><option value='Western Trail' >Western Trail<\/option><\/select><\/div><\/li><li id=\"field_381_11\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_11'><span class='gform-field-label__text'>NL Area<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_381_11' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Con Ba Su' >Con Ba Su<\/option><option value='Eastern Bays' >Eastern Bays<\/option><option value='Long Range Trails' >Long Range Trails<\/option><option value='Northern Mosaic' >Northern Mosaic<\/option><option value='Ocean&#039;s Edge' >Ocean&#039;s Edge<\/option><option value='Trefoil Central' >Trefoil Central<\/option><option value='Tuckamore' >Tuckamore<\/option><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_381_48\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_48'><span class='gform-field-label__text'>Con Ba Su District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_48' id='input_381_48' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Chamberlains' >Chamberlains<\/option><option value='Hopewell' >Hopewell<\/option><option value='Kelligrews\/Foxtrap' >Kelligrews\/Foxtrap<\/option><option value='Long Pond' >Long Pond<\/option><option value='No Con Ba Su' >No Con Ba Su<\/option><option value='Paradise' >Paradise<\/option><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_381_49\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_49'><span class='gform-field-label__text'>Eastern Bays District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_381_49' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='BNB' >BNB<\/option><option value='Cormack' >Cormack<\/option><option value='Discovery' >Discovery<\/option><option value='Eastern Horizons' >Eastern Horizons<\/option><option value='Green Grange' >Green Grange<\/option><option value='Heritage Run' >Heritage Run<\/option><\/select><\/div><\/li><li id=\"field_381_50\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_50'><span class='gform-field-label__text'>Long Range Trails District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_50' id='input_381_50' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Blomidon' >Blomidon<\/option><option value='Humber Valley' >Humber Valley<\/option><option value='Stephenville' >Stephenville<\/option><option value='Wreckhouse' >Wreckhouse<\/option><\/select><\/div><\/li><li id=\"field_381_51\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_51'><span class='gform-field-label__text'>Northern Mosaic District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_51' id='input_381_51' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Labrador West' >Labrador West<\/option><option value='Lake Melville' >Lake Melville<\/option><option value='Snowshoe' >Snowshoe<\/option><option value='St Anthony' >St Anthony<\/option><\/select><\/div><\/li><li id=\"field_381_52\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_52'><span class='gform-field-label__text'>Ocean&#039;s Edge District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_52' id='input_381_52' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Goulds' >Goulds<\/option><option value='Marconi' >Marconi<\/option><option value='Shamrock' >Shamrock<\/option><option value='Witless Bay' >Witless Bay<\/option><\/select><\/div><\/li><li id=\"field_381_53\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_53'><span class='gform-field-label__text'>Trefoil Central District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_381_53' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Centennial' >Centennial<\/option><option value='Coast of Bays' >Coast of Bays<\/option><option value='Emerald' >Emerald<\/option><option value='Notre Dame' >Notre Dame<\/option><option value='Silverbirch' >Silverbirch<\/option><\/select><\/div><\/li><li id=\"field_381_54\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_54'><span class='gform-field-label__text'>Tuckamore District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_381_54' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Beachy Cove' >Beachy Cove<\/option><option value='Braya' >Braya<\/option><option value='East Coast' >East Coast<\/option><option value='Jellybean Row' >Jellybean Row<\/option><option value='Killick Coast' >Killick Coast<\/option><option value='Parkside' >Parkside<\/option><option value='Pleasantview' >Pleasantview<\/option><option value='Waterford Valley' >Waterford Valley<\/option><\/select><\/div><\/li><li id=\"field_381_12\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_12'><span class='gform-field-label__text'>NS Area<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_381_12' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Ceilidh' >Ceilidh<\/option><option value='Dartmouth Shore' >Dartmouth Shore<\/option><option value='Harbourside' >Harbourside<\/option><option value='Harvest Trail' >Harvest Trail<\/option><option value='Maplewood' >Maplewood<\/option><option value='Tri-Waters' >Tri-Waters<\/option><\/select><\/div><\/li><li id=\"field_381_55\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_55'><span class='gform-field-label__text'>Ceilidh District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_381_55' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Cairdeas' >Cairdeas<\/option><option value='Coastal' >Coastal<\/option><option value='Ocean View' >Ocean View<\/option><option value='Two Rivers' >Two Rivers<\/option><\/select><\/div><\/li><li id=\"field_381_56\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_56'><span class='gform-field-label__text'>Dartmouth Shore District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_381_56' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Banook' >Banook<\/option><option value='Brookhouse' >Brookhouse<\/option><option value='Colby' >Colby<\/option><option value='Forest Hills' >Forest Hills<\/option><option value='Shoreline' >Shoreline<\/option><option value='Shubie' >Shubie<\/option><\/select><\/div><\/li><li id=\"field_381_57\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_57'><span class='gform-field-label__text'>Harbourside District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_57' id='input_381_57' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Halifax South' >Halifax South<\/option><option value='Hammonds Plains' >Hammonds Plains<\/option><option value='No Harbourside' >No Harbourside<\/option><option value='Shoreview' >Shoreview<\/option><option value='St Margaret&#039;s Bay' >St Margaret&#039;s Bay<\/option><option value='Timberlea-Prospect' >Timberlea-Prospect<\/option><option value='Windsor Park' >Windsor Park<\/option><\/select><\/div><\/li><li id=\"field_381_58\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_58'><span class='gform-field-label__text'>Harvest Trail District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_381_58' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Chase' >Chase<\/option><option value='Fundy View' >Fundy View<\/option><option value='Hants' >Hants<\/option><option value='Parker' >Parker<\/option><option value='South Shore' >South Shore<\/option><option value='Western' >Western<\/option><\/select><\/div><\/li><li id=\"field_381_65\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_65'><span class='gform-field-label__text'>Maplewood District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_381_65' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Colchester' >Colchester<\/option><option value='Cumberland' >Cumberland<\/option><option value='Pictou' >Pictou<\/option><option value='Tri County' >Tri County<\/option><\/select><\/div><\/li><li id=\"field_381_66\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_66'><span class='gform-field-label__text'>Triwaters District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_66' id='input_381_66' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Bedford' >Bedford<\/option><option value='Bridgeview' >Bridgeview<\/option><option value='Canal' >Canal<\/option><option value='Carter' >Carter<\/option><\/select><\/div><\/li><li id=\"field_381_13\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_13'><span class='gform-field-label__text'>QC District<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_381_13' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Des Mont\u00e9r\u00e9giennes' >Des Mont\u00e9r\u00e9giennes<\/option><option value='Hayes-Apple Valley' >Hayes-Apple Valley<\/option><option value='Lakeshore' >Lakeshore<\/option><option value='Laval-Mille-Iles' >Laval-Mille-Iles<\/option><option value='Liesse' >Liesse<\/option><option value='Monklands' >Monklands<\/option><option value='Northern Lights' >Northern Lights<\/option><option value='Northshore' >Northshore<\/option><option value='Pincourt' >Pincourt<\/option><option value='Pointe-Claire' >Pointe-Claire<\/option><option value='Qu\u00e9bec Est' >Qu\u00e9bec Est<\/option><option value='Riverdale' >Riverdale<\/option><option value='Riverview' >Riverview<\/option><option value='Secteur Argenteuil' >Secteur Argenteuil<\/option><option value='St Lazare' >St Lazare<\/option><option value='St-Lawrence' >St-Lawrence<\/option><option value='Valois-Dorval' >Valois-Dorval<\/option><\/select><\/div><\/li><li id=\"field_381_14\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_14'><span class='gform-field-label__text'>SK Area<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_381_14' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Bridging Rivers' >Bridging Rivers<\/option><option value='Southern Horizons' >Southern Horizons<\/option><option value='Northern Pines' >Northern Pines<\/option><\/select><\/div><\/li><li id=\"field_381_67\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_67'><span class='gform-field-label__text'>Bridging Rivers District:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_381_67' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Aurora' >Aurora<\/option><option value='Day Lights' >Day Lights<\/option><option value='Evergreen' >Evergreen<\/option><option value='Morning Lights' >Morning Lights<\/option><option value='Northern Points' >Northern Points<\/option><option value='Pasquia Lily' >Pasquia Lily<\/option><option value='Prairie To Pine' >Prairie To Pine<\/option><option value='Stardust' >Stardust<\/option><\/select><\/div><\/li><li id=\"field_381_68\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_68'><span class='gform-field-label__text'>Southern Horizons District:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_381_68' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Black Gold' >Black Gold<\/option><option value='Long Lake' >Long Lake<\/option><option value='North By Northwest' >North By Northwest<\/option><option value='Parkland Prairie' >Parkland Prairie<\/option><option value='Prairie Heart' >Prairie Heart<\/option><option value='Prairie Skies' >Prairie Skies<\/option><option value='Rainbow' >Rainbow<\/option><option value='Salton' >Salton<\/option><option value='Southern Lights' >Southern Lights<\/option><option value='SunRidge' >SunRidge<\/option><option value='Tipitotum' >Tipitotum<\/option><\/select><\/div><\/li><li id=\"field_381_72\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_72'><span class='gform-field-label__text'>Admin Community<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_381_72' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='none' >none<\/option><option value='1' >1<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><option value='32' >32<\/option><option value='34' >34<\/option><option value='35' >35<\/option><option value='36' >36<\/option><option value='37' >37<\/option><option value='38' >38<\/option><option value='40' >40<\/option><option value='41' >41<\/option><option value='99' >99<\/option><\/select><\/div><\/li><li id=\"field_381_73\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Cookie Receiver Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/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_381_73'>\n                            \n                            <span id='input_381_73_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_73.3' id='input_381_73_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_381_73_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_381_73_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_73.6' id='input_381_73_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_381_73_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_381_75\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_75'><span class='gform-field-label__text'>Cookie Receiver Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_75' id='input_381_75' type='tel' value='' class='medium'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_381_74\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_74'><span class='gform-field-label__text'>Alternate Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_74' id='input_381_74' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_381_76\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_76'><span class='gform-field-label__text'>Cookie Receiver Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_76' id='input_381_76' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_381_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you a Guider registered in a unit<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_381_77'>\n\t\t\t<li class='gchoice gchoice_381_77_0'>\n\t\t\t\t<input name='input_77' type='radio' value='Yes'  id='choice_381_77_0'    \/>\n\t\t\t\t<label for='choice_381_77_0' id='label_381_77_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_381_77_1'>\n\t\t\t\t<input name='input_77' type='radio' value='No'  id='choice_381_77_1'    \/>\n\t\t\t\t<label for='choice_381_77_1' id='label_381_77_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_381_78\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_78'><span class='gform-field-label__text'>Full unit name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_381_78' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_381_87\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_87'><span class='gform-field-label__text'>Unit iMIS number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_381_87' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_381_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Location<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_381_80'><p>Please select one.<\/p>\n<p>**Please see above regarding the use of AMJ Terminals<\/p><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_381_80'>\n\t\t\t<li class='gchoice gchoice_381_80_0'>\n\t\t\t\t<input name='input_80' type='radio' value='I was a Cookie Receiver in the last campaign and there has been no change to my location details or contact information'  id='choice_381_80_0'    \/>\n\t\t\t\t<label for='choice_381_80_0' id='label_381_80_0' class='gform-field-label gform-field-label--type-inline'>I was a Cookie Receiver in the last campaign and there has been no change to my location details or contact information<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_381_80_1'>\n\t\t\t\t<input name='input_80' type='radio' value='**I am offering to return as the team lead for my nearest AMJ Campbell Terminal'  id='choice_381_80_1'    \/>\n\t\t\t\t<label for='choice_381_80_1' id='label_381_80_1' class='gform-field-label gform-field-label--type-inline'>**I am offering to return as the team lead for my nearest AMJ Campbell Terminal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_381_80_2'>\n\t\t\t\t<input name='input_80' type='radio' value='I have a new location that meets all the requirements in the position description'  id='choice_381_80_2'    \/>\n\t\t\t\t<label for='choice_381_80_2' id='label_381_80_2' class='gform-field-label gform-field-label--type-inline'>I have a new location that meets all the requirements in the position description<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_381_80_3'>\n\t\t\t\t<input name='input_80' type='radio' value='I do not have a location but would like to still act as a Cookie Receiver'  id='choice_381_80_3'    \/>\n\t\t\t\t<label for='choice_381_80_3' id='label_381_80_3' class='gform-field-label gform-field-label--type-inline'>I do not have a location but would like to still act as a Cookie Receiver<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_381_81\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_381_81'>No P.O. Boxes permitted<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_381_81' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_381_81_1_container' >\n                                        <input type='text' name='input_81.1' id='input_381_81_1' value=''    aria-required='true'    \/>\n                                        <label for='input_381_81_1' id='input_381_81_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_381_81_2_container' >\n                                        <input type='text' name='input_81.2' id='input_381_81_2' value=''     aria-required='false'   \/>\n                                        <label for='input_381_81_2' id='input_381_81_2_label' class='gform-field-label gform-field-label--type-sub '>Company Name if location is not a home<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_381_81_3_container' >\n                                    <input type='text' name='input_81.3' id='input_381_81_3' value=''    aria-required='true'    \/>\n                                    <label for='input_381_81_3' id='input_381_81_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_381_81_4_container' >\n                                        <select name='input_81.4' id='input_381_81_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_381_81_4' id='input_381_81_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_381_81_5_container' >\n                                    <input type='text' name='input_81.5' id='input_381_81_5' value=''    aria-required='true'    \/>\n                                    <label for='input_381_81_5' id='input_381_81_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_81.6' id='input_381_81_6' value='CA' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_381_85\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_85'><span class='gform-field-label__text'>Maximum number of cases for delivery (space available)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_381_85' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_381_88\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_88'><span class='gform-field-label__text'>Where at this location will cookies be stored?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_381_88' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_381_89\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_381_89'><span class='gform-field-label__text'>Length of time cookies can be stored at your location<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_381_89' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_381_86\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I will be available to accept cookie delivery during the month of September, no matter the date<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_381_86'>\n\t\t\t<li class='gchoice gchoice_381_86_0'>\n\t\t\t\t<input name='input_86' type='radio' value='Yes'  id='choice_381_86_0'    \/>\n\t\t\t\t<label for='choice_381_86_0' id='label_381_86_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_381_86_1'>\n\t\t\t\t<input name='input_86' type='radio' value='No'  id='choice_381_86_1'    \/>\n\t\t\t\t<label for='choice_381_86_1' id='label_381_86_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_381_71\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><style>\n    #masthead, .site-header, .entry-title, .entry-header{\n                display: none !important;\n    }\n                .entry-content{\n                                margin: 0px !important;\n                \n                }\n                .site-content{\n                                padding: 0px !important;\n                }\n                .site {\n                margin: 0px;\n                }\n.gform_wrapper li.gfield.gf_list_2col ul.gfield_checkbox li label, .gform_wrapper li.gfield.gf_list_2col ul.gfield_radio li label, .gform_wrapper li.gfield.gf_list_3col ul.gfield_checkbox li label, .gform_wrapper li.gfield.gf_list_3col ul.gfield_radio li label, .gform_wrapper li.gfield.gf_list_4col ul.gfield_checkbox li label, .gform_wrapper li.gfield.gf_list_4col ul.gfield_radio li label{\n                font-size: 100%;\n}\n<\/style>\n<\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_381' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_381' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_381' id='gform_theme_381' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_381' id='gform_style_settings_381' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_381' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='381' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='nksc1abY3obPLfXEcaLpFiGOhGob5SEvsM+EtfvgAOJgClRbW0VutzgXs1QJIe5gY4LoF5YgZg8vxibfdrXcg5cMXwE13uaNtGLrhfIgklVPnRg=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_381' value='WyJ7XCJnZm9ybV9zdWJtaXNzaW9uX21ldGhvZFwiOltcIjQyOGQ4MmZjN2M4MDQ1NjBmYzlkYWQ1NmVkYWY2YTBkXCIsXCI4MTMxZTE3YTI1ZTk5NjVjNWEzOGViNmVmZWRhMjU5MlwiXSxcImdmb3JtX3RoZW1lXCI6XCI3ZThkOGRmZjgxMjU4ODJjM2FkODc1NDNmZDMxOGQ3YVwiLFwiZ2Zvcm1fc3R5bGVfc2V0dGluZ3NcIjpcIjE2MjFjZWEwODMyNWNiYjg4Y2U5YmU0ZDM2MmFiN2QyXCIsXCJmb3JtX2lkXCI6XCJjMmZiODRjMDlmNDE5MTJkOWJkZjRmNGVkNTJlZTlhOVwiLFwidXJsXCI6XCI1NDk2ZDYxMTYzODc0ODA2NWQ4N2VhOTk1MjFkMDI2OFwiLFwic3RhdGVfdGltZXN0YW1wXCI6XCIxZTNmYTdhYTI3NTY5MTllMWFiMjk2MGRjYjI1NzgyNVwifSIsIjBjMDU1NTNiY2VkNjJjNzBkMmMwOGJmMWMzYjg3MTJjIiwxNzg5NTg1OTE1XQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_381' id='gform_target_page_number_381' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_381' id='gform_source_page_number_381' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-4310","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages\/4310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/comments?post=4310"}],"version-history":[{"count":2,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages\/4310\/revisions"}],"predecessor-version":[{"id":5799,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages\/4310\/revisions\/5799"}],"wp:attachment":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/media?parent=4310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}