{"id":911,"date":"2026-06-11T09:48:45","date_gmt":"2026-06-11T09:48:45","guid":{"rendered":"https:\/\/alcoablountnaacp.org\/?page_id=911"},"modified":"2026-06-11T09:54:14","modified_gmt":"2026-06-11T09:54:14","slug":"academy-of-beloved-community-registration-form","status":"publish","type":"page","link":"https:\/\/alcoablountnaacp.org\/index.php\/academy-of-beloved-community-registration-form\/","title":{"rendered":"Academy of Beloved Community \u2013 Registration Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"911\" class=\"elementor elementor-911\">\n\t\t\t\t<div class=\"elementor-element elementor-element-719409b8 e-flex e-con-boxed e-con e-parent\" data-id=\"719409b8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d9462da elementor-widget elementor-widget-text-editor\" data-id=\"7d9462da\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"178\" class=\"wp-image-902\" src=\"https:\/\/alcoablountnaacp.org\/wp-content\/uploads\/2026\/06\/beloved-1024x178.png\" alt=\"\" srcset=\"https:\/\/alcoablountnaacp.org\/wp-content\/uploads\/2026\/06\/beloved-1024x178.png 1024w, https:\/\/alcoablountnaacp.org\/wp-content\/uploads\/2026\/06\/beloved-300x52.png 300w, https:\/\/alcoablountnaacp.org\/wp-content\/uploads\/2026\/06\/beloved-768x133.png 768w, https:\/\/alcoablountnaacp.org\/wp-content\/uploads\/2026\/06\/beloved.png 1348w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<style id=\"wpforms-css-vars-906\">\n\t\t\t\t#wpforms-906 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style>\n<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-906\">\n<form id=\"wpforms-form-906\" class=\"wpforms-validate wpforms-form\" data-formid=\"906\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/911\" data-token=\"92f57ce809703bb0615291a8b8743b3c\" data-token-time=\"1781320830\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><\/p>\n<div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div>\n<div class=\"wpforms-field-container\">\n<div id=\"wpforms-906-field_1-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"1\">\n<div id=\"wpforms-906-field_1\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-906-field_1-error\">\n<p><strong>Registration Deadline:<\/strong> June 22, 2026 &mdash; Spaces are limited. Register today!<\/p>\n<p><strong>Form can be emailed:<\/strong> <a href=\"mailto:alcoablountnaacp@gmail.com\">alcoablountnaacp@gmail.com<\/a><br \/><strong>Website:<\/strong> <a href=\"https:\/\/alcoablountnaacp.org\" target=\"_blank\" rel=\"noopener\">alcoablountnaacp.org<\/a><br \/><strong>Mail:<\/strong> 401 W. Broadway, Maryville, TN 37801<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div>\n<\/div>\n<\/div>\n<div id=\"wpforms-906-field_2-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"2\">\n<h3 id=\"wpforms-906-field_2\" class=\"wpforms-field-medium\" aria-errormessage=\"wpforms-906-field_2-error\">CHILD&rsquo;S INFORMATION<\/h3>\n<\/div>\n<div id=\"wpforms-906-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\">\n<fieldset>\n<legend class=\"wpforms-field-label\">Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n<div class=\"wpforms-field-row wpforms-field-medium\">\n<div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-906-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" aria-errormessage=\"wpforms-906-field_3-error\" required><label for=\"wpforms-906-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div>\n<div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-906-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" aria-errormessage=\"wpforms-906-field_3-last-error\" required><label for=\"wpforms-906-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div>\n<\/div>\n<\/fieldset>\n<\/div>\n<div id=\"wpforms-906-field_4-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_4\">Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><\/p>\n<div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-906-field_4\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][4][date]\" aria-errormessage=\"wpforms-906-field_4-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div>\n<\/div>\n<div id=\"wpforms-906-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_5\">Current Grade <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-906-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-906-field_5-error\" required><\/div>\n<div id=\"wpforms-906-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_6\">School <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-906-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-906-field_6-error\" required><\/div>\n<div id=\"wpforms-906-field_7-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"7\">\n<h3 id=\"wpforms-906-field_7\" class=\"wpforms-field-medium\" aria-errormessage=\"wpforms-906-field_7-error\">PARENT\/GUARDIAN INFORMATION<\/h3>\n<\/div>\n<div id=\"wpforms-906-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\">\n<fieldset>\n<legend class=\"wpforms-field-label\">Parent\/Guardian Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n<div class=\"wpforms-field-row wpforms-field-medium\">\n<div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-906-field_8\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][8][first]\" aria-errormessage=\"wpforms-906-field_8-error\" required><label for=\"wpforms-906-field_8\" class=\"wpforms-field-sublabel after\">First<\/label><\/div>\n<div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-906-field_8-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][8][last]\" aria-errormessage=\"wpforms-906-field_8-last-error\" required><label for=\"wpforms-906-field_8-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div>\n<\/div>\n<\/fieldset>\n<\/div>\n<div id=\"wpforms-906-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\">\n<fieldset>\n<legend class=\"wpforms-field-label\">Relationship to Child <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n<ul id=\"wpforms-906-field_9\" class=\"wpforms-field-required\">\n<li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-906-field_9_1\" name=\"wpforms[fields][9]\" value=\"Mother\" aria-errormessage=\"wpforms-906-field_9_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_9_1\">Mother<\/label><\/li>\n<li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-906-field_9_2\" name=\"wpforms[fields][9]\" value=\"Father\" aria-errormessage=\"wpforms-906-field_9_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_9_2\">Father<\/label><\/li>\n<li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-906-field_9_3\" name=\"wpforms[fields][9]\" value=\"Grandparent\" aria-errormessage=\"wpforms-906-field_9_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_9_3\">Grandparent<\/label><\/li>\n<li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-906-field_9_4\" name=\"wpforms[fields][9]\" value=\"Legal Guardian\" aria-errormessage=\"wpforms-906-field_9_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_9_4\">Legal Guardian<\/label><\/li>\n<\/ul>\n<\/fieldset>\n<\/div>\n<div id=\"wpforms-906-field_10-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_10\">Primary Phone No <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-906-field_10\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][10]\" aria-label=\"Primary Phone No\" aria-errormessage=\"wpforms-906-field_10-error\" required><\/div>\n<div id=\"wpforms-906-field_11-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_11\">Alternate No<\/label><input type=\"tel\" id=\"wpforms-906-field_11\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][11]\" aria-label=\"Alternate No\" aria-errormessage=\"wpforms-906-field_11-error\" ><\/div>\n<div id=\"wpforms-906-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_12\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-906-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" spellcheck=\"false\" aria-errormessage=\"wpforms-906-field_12-error\" required><\/div>\n<div id=\"wpforms-906-field_13-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"13\">\n<fieldset>\n<legend class=\"wpforms-field-label\">Home Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n<div class=\"wpforms-field-row wpforms-field-medium\">\n<div ><input type=\"text\" id=\"wpforms-906-field_13\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][13][address1]\" aria-errormessage=\"wpforms-906-field_13-error\" required><label for=\"wpforms-906-field_13\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div>\n<\/div>\n<div class=\"wpforms-field-row wpforms-field-medium\">\n<div ><input type=\"text\" id=\"wpforms-906-field_13-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][13][address2]\" aria-errormessage=\"wpforms-906-field_13-address2-error\" ><label for=\"wpforms-906-field_13-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div>\n<\/div>\n<div class=\"wpforms-field-row wpforms-field-medium\">\n<div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-906-field_13-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][13][city]\" aria-errormessage=\"wpforms-906-field_13-city-error\" required><label for=\"wpforms-906-field_13-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div>\n<div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-906-field_13-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][13][state]\" aria-errormessage=\"wpforms-906-field_13-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>&#8212; Select state &#8212;<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-906-field_13-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div>\n<\/div>\n<div class=\"wpforms-field-row wpforms-field-medium\">\n<div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-906-field_13-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][13][postal]\" aria-errormessage=\"wpforms-906-field_13-postal-error\" required><label for=\"wpforms-906-field_13-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div>\n<\/div>\n<\/fieldset>\n<\/div>\n<div id=\"wpforms-906-field_14-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"14\">\n<h3 id=\"wpforms-906-field_14\" class=\"wpforms-field-medium\" aria-errormessage=\"wpforms-906-field_14-error\">EMERGENCY CONTACT<\/h3>\n<\/div>\n<div id=\"wpforms-906-field_15-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"15\">\n<fieldset>\n<legend class=\"wpforms-field-label\">Emergency Contact Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n<div class=\"wpforms-field-row wpforms-field-medium\">\n<div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-906-field_15\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][15][first]\" aria-errormessage=\"wpforms-906-field_15-error\" required><label for=\"wpforms-906-field_15\" class=\"wpforms-field-sublabel after\">First<\/label><\/div>\n<div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-906-field_15-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][15][last]\" aria-errormessage=\"wpforms-906-field_15-last-error\" required><label for=\"wpforms-906-field_15-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div>\n<\/div>\n<\/fieldset>\n<\/div>\n<div id=\"wpforms-906-field_16-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_16\">Emergency Contact Phone No. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-906-field_16\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][16]\" aria-label=\"Emergency Contact Phone No.\" aria-errormessage=\"wpforms-906-field_16-error\" required><\/div>\n<div id=\"wpforms-906-field_17-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"17\">\n<h3 id=\"wpforms-906-field_17\" class=\"wpforms-field-medium\" aria-errormessage=\"wpforms-906-field_17-error\">HEALTH &amp; SPECIAL NEEDS<\/h3>\n<\/div>\n<div id=\"wpforms-906-field_18-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"18\">\n<fieldset>\n<legend class=\"wpforms-field-label\">Does your child have any known allergies\/Health Needs? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n<ul id=\"wpforms-906-field_18\" class=\"wpforms-field-required\">\n<li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-906-field_18_1\" name=\"wpforms[fields][18]\" value=\"Yes\" aria-errormessage=\"wpforms-906-field_18_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_18_1\">Yes<\/label><\/li>\n<li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-906-field_18_2\" name=\"wpforms[fields][18]\" value=\"No\" aria-errormessage=\"wpforms-906-field_18_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_18_2\">No<\/label><\/li>\n<\/ul>\n<\/fieldset>\n<\/div>\n<div id=\"wpforms-906-field_19-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-906-field_19\">If yes, please describe allergies\/Health Needs<\/label><textarea id=\"wpforms-906-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-906-field_19-error\" ><\/textarea><\/div>\n<div id=\"wpforms-906-field_20-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"20\">\n<h3 id=\"wpforms-906-field_20\" class=\"wpforms-field-medium\" aria-errormessage=\"wpforms-906-field_20-error\">PERMISSIONS AND AGREEMENTS<\/h3>\n<\/div>\n<div id=\"wpforms-906-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\">\n<fieldset>\n<legend class=\"wpforms-field-label\">Permissions and Agreements <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n<ul id=\"wpforms-906-field_21\" class=\"wpforms-field-required\">\n<li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-906-field_21_1\" name=\"wpforms[fields][21][]\" value=\"I give permission for my child to participate in all Academy of Beloved Community activities including cultural arts, African American history, group discussions, etc.\" aria-errormessage=\"wpforms-906-field_21_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_21_1\">I give permission for my child to participate in all Academy of Beloved Community activities including cultural arts, African American history, group discussions, etc.<\/label><\/li>\n<li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-906-field_21_2\" name=\"wpforms[fields][21][]\" value=\"Photo\/Video Release: I give permission for photos and\/or videos of my child to be used for the Academy of the Beloved Community promotional materials and social media.\" aria-errormessage=\"wpforms-906-field_21_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_21_2\">Photo\/Video Release: I give permission for photos and\/or videos of my child to be used for the Academy of the Beloved Community promotional materials and social media.<\/label><\/li>\n<li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-906-field_21_3\" name=\"wpforms[fields][21][]\" value=\"I understand that in the case of a medical emergency, every effort will be made to contact me. If I cannot be reached, I authorize emergency medical treatment for my child.\" aria-errormessage=\"wpforms-906-field_21_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-906-field_21_3\">I understand that in the case of a medical emergency, every effort will be made to contact me. 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