{"id":12,"date":"2026-08-13T01:10:27","date_gmt":"2026-08-13T01:10:27","guid":{"rendered":"https:\/\/reports.gprna.org\/psana\/?page_id=12"},"modified":"2026-08-13T01:10:27","modified_gmt":"2026-08-13T01:10:27","slug":"gsr-reports","status":"publish","type":"page","link":"https:\/\/reports.gprna.org\/psana\/gsr-reports\/","title":{"rendered":"GSR Reports"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">This page is for Pure &amp; Simple Area trusted servants only.<\/p>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-11 forminator-design--bold  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-11\" data-uid=\"6a91e1545e685\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-11\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-11 forminator-design--bold  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"11\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"bold\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a91e1545e685\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-1_6a91e1545e685\" name=\"hidden-1\" value=\"08\/28\/2026\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-2\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-2_6a91e1545e685\" name=\"hidden-2\" value=\"3:28:20 pm, GMT-0400\" \/><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a91e1545e685-label\" aria-describedby=\"forminator-radiogroup-radio-1-6a91e1545e685-description\"><span id=\"forminator-radiogroup-radio-1-6a91e1545e685-label\" class=\"forminator-label\">Are you a GSR, Alt-GSR, or an individual authorized to submit on behalf of an GSR? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-1\" value=\"Yes-Authorized\" id=\"forminator-field-radio-1-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-1-6a91e1545e685-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"No-Not Authorized\" id=\"forminator-field-radio-1-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-1-6a91e1545e685-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><span id=\"forminator-radiogroup-radio-1-6a91e1545e685-description\" class=\"forminator-description\">This form is for GSR Reports only.  Another form exists for all other reports.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a91e1545e685\" id=\"forminator-field-textarea-1_6a91e1545e685-label\" class=\"forminator-label\">If you are not submitting an GSR form, would you like to be contacted?<\/label><textarea name=\"textarea-1\" placeholder=\"Provide your name and reason you would like to be contacted.\" id=\"forminator-field-textarea-1_6a91e1545e685\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a91e1545e685\" id=\"forminator-field-email-1_6a91e1545e685-label\" class=\"forminator-label\">Email Address (not GSR) <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_6a91e1545e685\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a91e1545e685\" id=\"forminator-field-phone-1_6a91e1545e685-label\" class=\"forminator-label\">Phone (not GSR)<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_6a91e1545e685\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"us\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a91e1545e685\" id=\"forminator-field-text-1_6a91e1545e685-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"First Name\" id=\"forminator-field-text-1_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a91e1545e685\" id=\"forminator-field-text-2_6a91e1545e685-label\" class=\"forminator-label\">Last Initial <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Initial\" id=\"forminator-field-text-2_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"3\" \/><span id=\"forminator-field-text-2_6a91e1545e685-description\" class=\"forminator-description\"><span data-limit=\"3\" data-type=\"characters\">0 \/ 3<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6a91e1545e685\" id=\"forminator-field-email-2_6a91e1545e685-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-2_6a91e1545e685\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-2_6a91e1545e685-description\" \/><span id=\"forminator-field-email-2_6a91e1545e685-description\" class=\"forminator-description\">Your email address will not be displayed online.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6a91e1545e685\" id=\"forminator-field-phone-2_6a91e1545e685-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-2_6a91e1545e685\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-2_6a91e1545e685-description\" \/><span class=\"forminator-description\" id=\"forminator-field-phone-2_6a91e1545e685-description\">Your phone number will not be displayed online.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-11__field--select-2_6a91e1545e685\" id=\"forminator-form-11__field--select-2_6a91e1545e685-label\" class=\"forminator-label\">Select the Month of the ASC Meeting for this report: <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-11__field--select-2_6a91e1545e685\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"ASC Meeting Month...\" data-search=\"false\" data-search-placeholder=\"ASC Meeting Month...\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-11__field--select-2_6a91e1545e685-label\" aria-describedby=\"forminator-form-11__field--select-2_6a91e1545e685-description\"><option value=\"\"  >ASC Meeting Month&#8230;<\/option><option value=\"January\"  data-calculation=\"0\">January<\/option><option value=\"February\"  data-calculation=\"0\">February<\/option><option value=\"March\"  data-calculation=\"0\">March<\/option><option value=\"April\"  data-calculation=\"0\">April<\/option><option value=\"May\"  data-calculation=\"0\">May<\/option><option value=\"June\"  data-calculation=\"0\">June<\/option><option value=\"July\"  data-calculation=\"0\">July<\/option><option value=\"August\"  data-calculation=\"0\">August<\/option><option value=\"September\"  data-calculation=\"0\">September<\/option><option value=\"October\"  data-calculation=\"0\">October<\/option><option value=\"November\"  data-calculation=\"0\">November<\/option><option value=\"December\"  data-calculation=\"0\">December<\/option><\/select><span id=\"forminator-form-11__field--select-2_6a91e1545e685-description\" class=\"forminator-description\">Choose the month when the ASC meeting occurs.  If you are submitting early, your selection may be different than today&#8217;s month.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-11__field--select-1_6a91e1545e685\" id=\"forminator-form-11__field--select-1_6a91e1545e685-label\" class=\"forminator-label\">Select your Group <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-11__field--select-1_6a91e1545e685\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Group\" data-search=\"false\" data-search-placeholder=\"Group\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-11__field--select-1_6a91e1545e685-label\"><option value=\"\"  >Group<\/option><option value=\"New group:\"  data-calculation=\"0\">My group is not listed.<\/option><option value=\"All or Nothing\"  data-calculation=\"0\">All or Nothing<\/option><option value=\"Against All Odds\"  data-calculation=\"0\">Against All Odds<\/option><option value=\"Back To Basics\"  data-calculation=\"0\">Back To Basics<\/option><option value=\"Freedom to Live\"  data-calculation=\"0\">Freedom to Live<\/option><option value=\"Hope In Hatboro\"  data-calculation=\"0\">Hope In Hatboro<\/option><option value=\"Hope Without Dope\"  data-calculation=\"0\">Hope Without Dope<\/option><option value=\"It Works If You Work It\"  data-calculation=\"0\">It Works If You Work It<\/option><option value=\"Just For Today\"  data-calculation=\"0\">Just For Today<\/option><option value=\"Keep It Simple\"  data-calculation=\"0\">Keep It Simple<\/option><option value=\"Message of Hope, Promise of Freedom\"  data-calculation=\"0\">Message of Hope, Promise of Freedom<\/option><option value=\"Monday Night Recovery\"  data-calculation=\"0\">Monday Night Recovery<\/option><option value=\"Sharing Solutions\"  data-calculation=\"0\">Sharing Solutions<\/option><option value=\"Stand By Me\"  data-calculation=\"0\">Stand By Me<\/option><option value=\"Step It Up\"  data-calculation=\"0\">Step It Up<\/option><option value=\"Steps In Action\"  data-calculation=\"0\">Steps In Action<\/option><option value=\"The Early Steps Group\"  data-calculation=\"0\">The Early Steps Group<\/option><option value=\"Three Steps to Recovery\"  data-calculation=\"0\">Three Steps to Recovery<\/option><option value=\"Through Principles We Unite\"  data-calculation=\"0\">Through Principles We Unite<\/option><option value=\"Trust The Process\"  data-calculation=\"0\">Trust The Process<\/option><option value=\"Unconditional Recovery\"  data-calculation=\"0\">Unconditional Recovery<\/option><option value=\"We Do Recover\"  data-calculation=\"0\">We Do Recover<\/option><option value=\"We Want To Stay Clean\"  data-calculation=\"0\">We Want To Stay Clean<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a91e1545e685\" id=\"forminator-field-text-3_6a91e1545e685-label\" class=\"forminator-label\">Identify the Group that is missing from the list. <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Group\" id=\"forminator-field-text-3_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-8-6a91e1545e685-label\" class=\"forminator-label\">Identify your role. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-6a91e1545e685\" class=\"forminator-radio\" title=\"GSR\"><input type=\"radio\" name=\"radio-8\" value=\"GSR\" id=\"forminator-field-radio-8-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">GSR<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Alt-GSR\"><input type=\"radio\" name=\"radio-8\" value=\"Alt-GSR\" id=\"forminator-field-radio-8-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Alt-GSR<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-6a91e1545e685\" class=\"forminator-radio\" title=\"Substitute \/ Surrogate\"><input type=\"radio\" name=\"radio-8\" value=\"Substitute \/ Surrogate\" id=\"forminator-field-radio-8-3-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Substitute \/ Surrogate<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-6a91e1545e685\" class=\"forminator-radio\" title=\"Other Addict\"><input type=\"radio\" name=\"radio-8\" value=\"Other Addict\" id=\"forminator-field-radio-8-4-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Other Addict<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-22\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-22-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-22-6a91e1545e685-label\" class=\"forminator-label\">Have your meeting details (i.e. day, time, format, etc.) changed since the last ASC meeting? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-22-label-1\" for=\"forminator-field-radio-22-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-22\" value=\"Our group&#039;s day, time, and format have not changed and are appearing correctly on the meeting list.\" id=\"forminator-field-radio-22-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-22-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-22-label-2\" for=\"forminator-field-radio-22-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-22\" value=\"Our meeting details have recently changed.\" id=\"forminator-field-radio-22-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-22-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6a91e1545e685\" id=\"forminator-field-textarea-4_6a91e1545e685-label\" class=\"forminator-label\">Describe the changes to your meeting.<\/label><textarea name=\"textarea-4\" placeholder=\"Day\/time\/format\/etc. changes here.\nBe specific.\" id=\"forminator-field-textarea-4_6a91e1545e685\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><label class=\"forminator-label\">GPRNA Meeting Update Form:<\/label><p>It is suggested that you formally communicate the change to ensure the meeting list is updated.\u00a0 Here is the form used for communicating changes to your meeting day\/time\/format:<br><a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/naworks.org\/meeting-update-form\/\">GPRNA MEETING UPDATE FORM<\/a><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-23\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-23-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-23-6a91e1545e685-label\" class=\"forminator-label\">Has your group processed a meeting update form on the GPRNA website? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-23-label-1\" for=\"forminator-field-radio-23-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-23\" value=\"No- We have not submitted a meeting update form.\" id=\"forminator-field-radio-23-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-23-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-23-label-2\" for=\"forminator-field-radio-23-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-23\" value=\"Yes- We submitted a meeting update form.\" id=\"forminator-field-radio-23-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-23-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-12-6a91e1545e685-label\" class=\"forminator-label\">Would you like to download a GSR Orientation Packet? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-12\" value=\"No\" id=\"forminator-field-radio-12-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-12\" value=\"Yes-\" id=\"forminator-field-radio-12-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">GSR Orientation Packet:<\/label><p><a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/drive.google.com\/file\/d\/12BFa0tJPGVYv1c-_AQK5tcJcX66nplwt\/view\">GSR ORIENTATION PACKET<\/a><br>Updated October 2024<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-4-6a91e1545e685-label\" class=\"forminator-label\">Is your Group making a financial contribution to Area? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"No\" id=\"forminator-field-radio-4-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-4\" value=\"Yes-\" id=\"forminator-field-radio-4-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a91e1545e685\" id=\"forminator-field-text-5_6a91e1545e685-label\" class=\"forminator-label\">Contribution Amount <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"E.g. $150\" id=\"forminator-field-text-5_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-5_6a91e1545e685-description\" \/><span id=\"forminator-field-text-5_6a91e1545e685-description\" class=\"forminator-description\">Enter the contribution, in dollars.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-11-6a91e1545e685-label\" class=\"forminator-label\">Is your Group ordering literature? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-11\" value=\"No\" id=\"forminator-field-radio-11-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-11-label-2\" for=\"forminator-field-radio-11-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-11\" value=\"Yes-\" id=\"forminator-field-radio-11-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-11-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><label class=\"forminator-label\">Literature Order Form:<\/label><p>You will need to complete a literature order form:<br><a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/naworks.org\/gprna_docs\/area_docs\/psana\/Literature_Order_Form_Pure_and_Simple_Area.pdf\">PSANA LITERATURE ORDER FORM<\/a><br>Bring a paper copy of this form with you to the ASC Meeting.<br>Make note of the &#8220;TOTAL,&#8221; which needs to be entered below.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a91e1545e685\" id=\"forminator-field-text-6_6a91e1545e685-label\" class=\"forminator-label\">Literature Order Total <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"E.g. $150\" id=\"forminator-field-text-6_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-6_6a91e1545e685-description\" \/><span id=\"forminator-field-text-6_6a91e1545e685-description\" class=\"forminator-description\">Enter the total for your literature order, in dollars, that appears at the bottom of your order form.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-5-6a91e1545e685-label\" class=\"forminator-label\">Will you be submitting a motion to be voted on at the ASC Meeting? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-5\" value=\"Yes\" id=\"forminator-field-radio-5-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><label class=\"forminator-label\">Motion Form:<\/label><p>You need to complete and submit a motion form:<br><a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/naworks.org\/gprna_docs\/area_docs\/psana\/PSANA_motion_form.pdf\">PSANA MOTION FORM<\/a><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a91e1545e685\" id=\"forminator-field-upload-1_6a91e1545e685-label\" class=\"forminator-label\">Motion Upload <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload \" data-element=\"upload-1_6a91e1545e685\" aria-describedby=\"forminator-field-upload-1_6a91e1545e685-description\"><input type=\"file\" name=\"upload-1[]\" id=\"forminator-field-upload-1_6a91e1545e685\" class=\"forminator-input-file-required do-validate forminator-field-upload-1_6a91e1545e685-11\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"3\" data-limit-message=\"You can upload a maximum of 3 files.\" data-size=\"15728640\" data-size-message=\"Maximum file size allowed is 15 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-1_6a91e1545e685\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-1_6a91e1545e685-description\" class=\"forminator-description\">This is for motion forms only, not your report.  Complete one or more of the forms linked above.  You can upload an electronic copy or a photo.  You are limited to three submission here.  If you need to submit more, email them to secretary@pureandsimplearea.org<\/span><ul class=\"forminator-uploaded-files upload-container-upload-1_6a91e1545e685\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-6-6a91e1545e685-label\" class=\"forminator-label\">Do you have any fliers for upcoming events? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"No\" id=\"forminator-field-radio-6-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-6\" value=\"Yes\" id=\"forminator-field-radio-6-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_6a91e1545e685\" id=\"forminator-field-upload-2_6a91e1545e685-label\" class=\"forminator-label\">Upload Fliers <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload \" data-element=\"upload-2_6a91e1545e685\" aria-describedby=\"forminator-field-upload-2_6a91e1545e685-description\"><input type=\"file\" name=\"upload-2[]\" id=\"forminator-field-upload-2_6a91e1545e685\" class=\"forminator-input-file-required do-validate forminator-field-upload-2_6a91e1545e685-11\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"6\" data-limit-message=\"You can upload a maximum of 6 files.\" data-size=\"15728640\" data-size-message=\"Maximum file size allowed is 15 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-2_6a91e1545e685\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-2_6a91e1545e685-description\" class=\"forminator-description\">This is for fliers only, not your report.  The limit is six.  If you need to submit more, email secretary@pureandsimplearea.org<\/span><ul class=\"forminator-uploaded-files upload-container-upload-2_6a91e1545e685\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-6a91e1545e685-label\" aria-describedby=\"forminator-radiogroup-radio-7-6a91e1545e685-description\"><span id=\"forminator-radiogroup-radio-7-6a91e1545e685-label\" class=\"forminator-label\">Your event WILL NOT be posted to the GPRNA Events Calendar automatically. We suggest completing the online form at the address found below so that addicts in the Philadelphia Region are aware of your event. We will email you a link to the online form. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-6a91e1545e685\" class=\"forminator-radio\" title=\"Acknowledged.\"><input type=\"radio\" name=\"radio-7\" value=\"Acknowledged.\" id=\"forminator-field-radio-7-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-6a91e1545e685-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Acknowledged.<\/span><\/label><span id=\"forminator-radiogroup-radio-7-6a91e1545e685-description\" class=\"forminator-description\">https:\/\/naworks.org\/gprna-events\/<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><label class=\"forminator-label\">Preparing Your Report<\/label><p>You may report &#8220;All is well,&#8221; or you can provide additional information such as:<\/p>\n<ul>\n<li>Changes to your meeting day\/location\/time<\/li>\n<li>Changes to your meeting format<\/li>\n<li>Needs or struggles<\/li>\n<li>Growth or new members<\/li>\n<li>Upcoming events that your group will host<\/li>\n<li>Other items your group wants to have included in the minutes<\/li>\n<\/ul>\n<p><strong>Remember: All reported information will be visible on a public website.\u00a0 Personal identifiers, phone numbers, and email addresses should not be included.<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-6a91e1545e685-label\" aria-describedby=\"forminator-radiogroup-radio-9-6a91e1545e685-description\"><span id=\"forminator-radiogroup-radio-9-6a91e1545e685-label\" class=\"forminator-label\">What would you like to report? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-6a91e1545e685\" class=\"forminator-radio\" title=\"&quot;All is well.&quot;\"><input type=\"radio\" name=\"radio-9\" value=\"All is well.\" id=\"forminator-field-radio-9-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-6a91e1545e685-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">&#8220;All is well.&#8221;<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-6a91e1545e685\" class=\"forminator-radio\" title=\"I would like to report additional information.\"><input type=\"radio\" name=\"radio-9\" value=\"Report provided:\" id=\"forminator-field-radio-9-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-6a91e1545e685-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I would like to report additional information.<\/span><\/label><span id=\"forminator-radiogroup-radio-9-6a91e1545e685-description\" class=\"forminator-description\">Be sure to report any funds requested and the justification for those requests.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a91e1545e685-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a91e1545e685-label\" class=\"forminator-label\">How would you like to submit your report? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a91e1545e685-label\" for=\"forminator-field-checkbox-1-1-6a91e1545e685\" class=\"forminator-checkbox\" title=\"Type into a field\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Type into a field\" id=\"forminator-field-checkbox-1-1-6a91e1545e685\" aria-labelledby=\"forminator-field-checkbox-1-1-6a91e1545e685-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a91e1545e685-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Type into a field<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a91e1545e685-label\" for=\"forminator-field-checkbox-1-2-6a91e1545e685\" class=\"forminator-checkbox\" title=\"Upload a report\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Upload a report\" id=\"forminator-field-checkbox-1-2-6a91e1545e685\" aria-labelledby=\"forminator-field-checkbox-1-2-6a91e1545e685-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a91e1545e685-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Upload a report<\/span><\/label><span id=\"forminator-field-checkbox-1-6a91e1545e685-description\" class=\"forminator-description\">Select one or both.  Be mindful that any information included in your report will immediately become public.  Do not include personal identifiers, email addresses, or phone numbers.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6a91e1545e685\" id=\"forminator-field-textarea-2_6a91e1545e685-label\" class=\"forminator-label\">Enter your report.<\/label><textarea name=\"textarea-2\" placeholder=\"Your report here.\" id=\"forminator-field-textarea-2_6a91e1545e685\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-3\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-3_6a91e1545e685\" id=\"forminator-field-upload-3_6a91e1545e685-label\" class=\"forminator-label\">Upload your report.<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-3_6a91e1545e685\" aria-describedby=\"forminator-field-upload-3_6a91e1545e685-description\"><input type=\"file\" name=\"upload-3[]\" id=\"forminator-field-upload-3_6a91e1545e685\" class=\"forminator-input-file forminator-field-upload-3_6a91e1545e685-11\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"3\" data-limit-message=\"You can upload a maximum of 3 files.\" data-size=\"15728640\" data-size-message=\"Maximum file size allowed is 15 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-3_6a91e1545e685\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-3_6a91e1545e685-description\" class=\"forminator-description\">You are limited to three files.  If you need to upload more, submit them to reports@naworks.org<\/span><ul class=\"forminator-uploaded-files upload-container-upload-3_6a91e1545e685\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-13\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-13-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-13-6a91e1545e685-label\" class=\"forminator-label\">Do you have any anniversary celebrations to communicate? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-13-label-1\" for=\"forminator-field-radio-13-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-13\" value=\"No\" id=\"forminator-field-radio-13-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-13-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-13-label-2\" for=\"forminator-field-radio-13-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-13\" value=\"Yes\" id=\"forminator-field-radio-13-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-13-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a91e1545e685\" id=\"forminator-field-text-7_6a91e1545e685-label\" class=\"forminator-label\">Addict #1- First Name and Last Initial<\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-7_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a91e1545e685\" id=\"forminator-field-number-1_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-1\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-1_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a91e1545e685\" id=\"forminator-field-date-2-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-2-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-14\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-14-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-14-6a91e1545e685-label\" class=\"forminator-label\">Two or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-14-label-1\" for=\"forminator-field-radio-14-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-14\" value=\"No\" id=\"forminator-field-radio-14-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-14-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-14-label-2\" for=\"forminator-field-radio-14-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-14\" value=\"Yes\" id=\"forminator-field-radio-14-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-14-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a91e1545e685\" id=\"forminator-field-text-8_6a91e1545e685-label\" class=\"forminator-label\">Addict #2- First Name and Last Initial<\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-8_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_6a91e1545e685\" id=\"forminator-field-number-2_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-2\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-2_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a91e1545e685\" id=\"forminator-field-date-3-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-3-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-15\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-15-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-15-6a91e1545e685-label\" class=\"forminator-label\">Three or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-15-label-1\" for=\"forminator-field-radio-15-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-15\" value=\"No\" id=\"forminator-field-radio-15-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-15-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-15-label-2\" for=\"forminator-field-radio-15-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-15\" value=\"Yes\" id=\"forminator-field-radio-15-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-15-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a91e1545e685\" id=\"forminator-field-text-9_6a91e1545e685-label\" class=\"forminator-label\">Addict #3- First Name and Last Initial<\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-9_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_6a91e1545e685\" id=\"forminator-field-number-3_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-3\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-3_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_6a91e1545e685\" id=\"forminator-field-date-4-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-4-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-16\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-16-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-16-6a91e1545e685-label\" class=\"forminator-label\">Four or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-16-label-1\" for=\"forminator-field-radio-16-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-16\" value=\"No\" id=\"forminator-field-radio-16-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-16-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-16-label-2\" for=\"forminator-field-radio-16-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-16\" value=\"Yes\" id=\"forminator-field-radio-16-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-16-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a91e1545e685\" id=\"forminator-field-text-10_6a91e1545e685-label\" class=\"forminator-label\">Addict #4- First Name and Last Initial<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-10_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-4\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-4_6a91e1545e685\" id=\"forminator-field-number-4_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-4\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-4_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-5\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-5-picker_6a91e1545e685\" id=\"forminator-field-date-5-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-5\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-5-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-17\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-17-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-17-6a91e1545e685-label\" class=\"forminator-label\">Five or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-17-label-1\" for=\"forminator-field-radio-17-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-17\" value=\"No\" id=\"forminator-field-radio-17-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-17-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-17-label-2\" for=\"forminator-field-radio-17-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-17\" value=\"Yes\" id=\"forminator-field-radio-17-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-17-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6a91e1545e685\" id=\"forminator-field-text-11_6a91e1545e685-label\" class=\"forminator-label\">Addict #5- First Name and Last Initial<\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-11_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-5\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-5_6a91e1545e685\" id=\"forminator-field-number-5_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-5\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-5_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_6a91e1545e685\" id=\"forminator-field-date-6-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-6-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-18\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-18-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-18-6a91e1545e685-label\" class=\"forminator-label\">Six or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-18-label-1\" for=\"forminator-field-radio-18-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-18\" value=\"No\" id=\"forminator-field-radio-18-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-18-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-18-label-2\" for=\"forminator-field-radio-18-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-18\" value=\"Yes\" id=\"forminator-field-radio-18-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-18-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6a91e1545e685\" id=\"forminator-field-text-12_6a91e1545e685-label\" class=\"forminator-label\">Addict #6- First Name and Last Initial<\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-12_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-6\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-6_6a91e1545e685\" id=\"forminator-field-number-6_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-6\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-6_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-7-picker_6a91e1545e685\" id=\"forminator-field-date-7-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-7\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-7-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-19\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-19-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-19-6a91e1545e685-label\" class=\"forminator-label\">Seven or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-19-label-1\" for=\"forminator-field-radio-19-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-19\" value=\"No\" id=\"forminator-field-radio-19-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-19-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-19-label-2\" for=\"forminator-field-radio-19-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-19\" value=\"Yes\" id=\"forminator-field-radio-19-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-19-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6a91e1545e685\" id=\"forminator-field-text-13_6a91e1545e685-label\" class=\"forminator-label\">Addict #7- First Name and Last Initial<\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-13_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-7\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-7_6a91e1545e685\" id=\"forminator-field-number-7_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-7\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-7_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-8\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-8-picker_6a91e1545e685\" id=\"forminator-field-date-8-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-8\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-8-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-20\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-20-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-20-6a91e1545e685-label\" class=\"forminator-label\">Eight or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-20-label-1\" for=\"forminator-field-radio-20-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-20\" value=\"No\" id=\"forminator-field-radio-20-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-20-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-20-label-2\" for=\"forminator-field-radio-20-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-20\" value=\"Yes\" id=\"forminator-field-radio-20-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-20-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6a91e1545e685\" id=\"forminator-field-text-14_6a91e1545e685-label\" class=\"forminator-label\">Addict #8- First Name and Last Initial<\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-14_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-8\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-8_6a91e1545e685\" id=\"forminator-field-number-8_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-8\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-8_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-9\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-9-picker_6a91e1545e685\" id=\"forminator-field-date-9-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-9\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-9-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-21\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-21-6a91e1545e685-label\"><span id=\"forminator-radiogroup-radio-21-6a91e1545e685-label\" class=\"forminator-label\">Nine or more anniversary celebrations? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-21-label-1\" for=\"forminator-field-radio-21-1-6a91e1545e685\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-21\" value=\"No\" id=\"forminator-field-radio-21-1-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-21-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-21-label-2\" for=\"forminator-field-radio-21-2-6a91e1545e685\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-21\" value=\"Yes\" id=\"forminator-field-radio-21-2-6a91e1545e685\" aria-labelledby=\"forminator-field-radio-21-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6a91e1545e685\" id=\"forminator-field-text-15_6a91e1545e685-label\" class=\"forminator-label\">Addict #9- First Name and Last Initial<\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"E.g. John D\" id=\"forminator-field-text-15_6a91e1545e685\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-9\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-9_6a91e1545e685\" id=\"forminator-field-number-9_6a91e1545e685-label\" class=\"forminator-label\">Years<\/label><input name=\"number-9\" value=\"\" placeholder=\"E.g. 5\" id=\"forminator-field-number-9_6a91e1545e685\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"date-10\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-10-picker_6a91e1545e685\" id=\"forminator-field-date-10-picker_6a91e1545e685-label\" class=\"forminator-label\">Date of Celebration<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-10\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-10-picker_6a91e1545e685\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><label class=\"forminator-label\">More than nine (9) anniversaries?<\/label><p>You may only submit nine (9) anniversary celebrations using this online form.\u00a0 If you need to submit more, please see the ASC Secretary or email secretary@pureandsimplearea.org<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6a91e1545e685\" id=\"forminator-field-textarea-3_6a91e1545e685-label\" class=\"forminator-label\">Optional Private Notes to the Secretary<\/label><textarea name=\"textarea-3\" placeholder=\"Optional Notes Here\" id=\"forminator-field-textarea-3_6a91e1545e685\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" aria-describedby=\"forminator-field-textarea-3_6a91e1545e685-description\" ><\/textarea><span id=\"forminator-field-textarea-3_6a91e1545e685-description\" class=\"forminator-description\">The secretary will see this information but it will not be displayed in the report preview or in the minutes.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit Form<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"12e8dab882\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/psana\/wp-json\/wp\/v2\/pages\/12\" \/><input type=\"hidden\" name=\"form_id\" value=\"11\"><input type=\"hidden\" name=\"page_id\" value=\"12\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/reports.gprna.org\/psana\/gsr-reports\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This page is for Pure &amp; Simple Area trusted servants only.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-12","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/pages\/12","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/comments?post=12"}],"version-history":[{"count":1,"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/pages\/12\/revisions"}],"predecessor-version":[{"id":13,"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/pages\/12\/revisions\/13"}],"wp:attachment":[{"href":"https:\/\/reports.gprna.org\/psana\/wp-json\/wp\/v2\/media?parent=12"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}