{"id":323,"date":"2026-08-10T20:37:26","date_gmt":"2026-08-10T20:37:26","guid":{"rendered":"https:\/\/alegrialearningcenter.com\/?page_id=323"},"modified":"2026-08-13T11:24:20","modified_gmt":"2026-08-13T11:24:20","slug":"formulario-de-inscripcion","status":"publish","type":"page","link":"https:\/\/alegrialearningcenter.com\/index.php\/formulario-de-inscripcion\/","title":{"rendered":"Formulario de inscripci\u00f3n"},"content":{"rendered":"<style>.kb-row-layout-id323_835c0c-07 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id323_835c0c-07 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id323_835c0c-07 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id323_835c0c-07{background-image:url('https:\/\/alegrialearningcenter.com\/wp-content\/uploads\/2025\/10\/hand-drawn-school-doodle-icons-pattern-vector.jpg');background-size:cover;background-position:center center;background-attachment:scroll;background-repeat:no-repeat;}.kb-row-layout-id323_835c0c-07 > .kt-row-layout-overlay{opacity:0.38;background-color:#000000;}@media all and (max-width: 1024px){.kb-row-layout-id323_835c0c-07 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id323_835c0c-07 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id323_835c0c-07 alignnone kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-layout-overlay kt-row-overlay-normal\"><\/div><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column323_005a05-7d > .kt-inside-inner-col,.kadence-column323_005a05-7d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column323_005a05-7d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column323_005a05-7d > .kt-inside-inner-col{flex-direction:column;}.kadence-column323_005a05-7d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column323_005a05-7d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column323_005a05-7d{position:relative;}@media all and (max-width: 1024px){.kadence-column323_005a05-7d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column323_005a05-7d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column323_005a05-7d\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading323_c2fe36-aa, .wp-block-kadence-advancedheading.kt-adv-heading323_c2fe36-aa[data-kb-block=\"kb-adv-heading323_c2fe36-aa\"]{text-align:center;font-size:var(--global-kb-font-size-xl, 3rem);font-style:normal;color:#ffffff;}.wp-block-kadence-advancedheading.kt-adv-heading323_c2fe36-aa mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading323_c2fe36-aa[data-kb-block=\"kb-adv-heading323_c2fe36-aa\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h1 class=\"kt-adv-heading323_c2fe36-aa wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading323_c2fe36-aa\">The Commonwealth of Massachusetts<\/h1>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading323_d5e208-e8, .wp-block-kadence-advancedheading.kt-adv-heading323_d5e208-e8[data-kb-block=\"kb-adv-heading323_d5e208-e8\"]{text-align:center;font-style:normal;color:#B64E3C;}.wp-block-kadence-advancedheading.kt-adv-heading323_d5e208-e8 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading323_d5e208-e8[data-kb-block=\"kb-adv-heading323_d5e208-e8\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading323_d5e208-e8 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading323_d5e208-e8\">Department of Early Education and Care<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading323_c75eeb-2c, .wp-block-kadence-advancedheading.kt-adv-heading323_c75eeb-2c[data-kb-block=\"kb-adv-heading323_c75eeb-2c\"]{text-align:center;font-style:normal;color:#ffffff;}.wp-block-kadence-advancedheading.kt-adv-heading323_c75eeb-2c mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading323_c75eeb-2c[data-kb-block=\"kb-adv-heading323_c75eeb-2c\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h3 class=\"kt-adv-heading323_c75eeb-2c wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading323_c75eeb-2c\">Child&#8217;s Enrollment Form<\/h3>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<p><!----------------------------------------------FORMULARIO-----------------------------------------------------><\/p>\n\n<style>.kb-row-layout-id323_a6e21f-78 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id323_a6e21f-78 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id323_a6e21f-78 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id323_a6e21f-78 > .kt-row-layout-overlay{opacity:0.30;}.kb-row-layout-id323_a6e21f-78 ,.kb-row-layout-id323_a6e21f-78 h1,.kb-row-layout-id323_a6e21f-78 h2,.kb-row-layout-id323_a6e21f-78 h3,.kb-row-layout-id323_a6e21f-78 h4,.kb-row-layout-id323_a6e21f-78 h5,.kb-row-layout-id323_a6e21f-78 h6{color:#e8583e;}@media all and (max-width: 1024px){.kb-row-layout-id323_a6e21f-78 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id323_a6e21f-78 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id323_a6e21f-78 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column323_1f5884-56 > .kt-inside-inner-col{padding-top:20px;padding-right:20px;padding-bottom:20px;padding-left:20px;}.kadence-column323_1f5884-56 > .kt-inside-inner-col{box-shadow:0px 0px 60px 5px rgba(0, 0, 0, 0.2);}.kadence-column323_1f5884-56 > .kt-inside-inner-col,.kadence-column323_1f5884-56 > .kt-inside-inner-col:before{border-top-left-radius:10px;border-top-right-radius:10px;border-bottom-right-radius:10px;border-bottom-left-radius:10px;}.kadence-column323_1f5884-56 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column323_1f5884-56 > .kt-inside-inner-col{flex-direction:column;}.kadence-column323_1f5884-56 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column323_1f5884-56 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column323_1f5884-56{position:relative;}@media all and (max-width: 1024px){.kadence-column323_1f5884-56 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column323_1f5884-56 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}.kadence-column323_1f5884-56 {}.kb-form .kadence-blocks-form-field label {    display: block;    line-height: 1.8;    font-weight: 700;}<\/style>\n<div class=\"wp-block-kadence-column kadence-column323_1f5884-56\"><div class=\"kt-inside-inner-col\"><style>.kadence-form-323_fb321c-bd .kb-form .kadence-blocks-form-field label .required{color:#e40e0e;}.kadence-form-323_fb321c-bd .kb-form .kadence-blocks-form-field .kb-text-style-field, .kadence-form-323_fb321c-bd .kb-form .kadence-blocks-form-field .kb-select-style-field{font-size:var(--global-kb-font-size-md, 1.25rem);}.kadence-form-323_fb321c-bd .kb-form .kadence-blocks-form-field .kb-forms-submit{background:#008c91;}.kb-form input.kadence-blocks-field.verify{opacity:0.0;position:absolute;top:0.0;left:0.0;width:0.0;height:0.0;z-index:-1;}<\/style>\n<div class=\"wp-block-kadence-form kadence-form-323_fb321c-bd kb-form-wrap\"><form class=\"kb-form\" action=\"\" method=\"post\"><div class=\"kadence-blocks-form-field kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_0\">Child&#8217;s Name<span class=\"required\">*<\/span><\/label><input name=\"kb_field_0\" id=\"kb_field_323_fb321c-bd_0\" data-label=\"Child's Name\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-0\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-1 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_1\">Date of Birth<span class=\"required\">*<\/span><\/label><input name=\"kb_field_1\" id=\"kb_field_323_fb321c-bd_1\" data-label=\"Date of Birth\" type=\"date\" placeholder=\"\" value=\"\" data-type=\"date\" class=\"kb-field kb-text-style-field kb-date-field kb-field-1\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-2 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_2\">Age at Admission<\/label><input name=\"kb_field_2\" id=\"kb_field_323_fb321c-bd_2\" data-label=\"Age at Admission\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-2\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-3 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_3\">Date of Admission<\/label><input name=\"kb_field_3\" id=\"kb_field_323_fb321c-bd_3\" data-label=\"Date of Admission\" type=\"date\" placeholder=\"\" value=\"\" data-type=\"date\" class=\"kb-field kb-text-style-field kb-date-field kb-field-3\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-4 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_4\">Home Phone Number<\/label><input name=\"kb_field_4\" id=\"kb_field_323_fb321c-bd_4\" data-label=\"Home Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-4\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-5 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_5\">Child&#8217;s Home Address<\/label><input name=\"kb_field_5\" id=\"kb_field_323_fb321c-bd_5\" data-label=\"Child's Home Address\" type=\"text\" placeholder=\"Street, City, State, ZIP\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-5\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-6 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_6\">Primary Language<\/label><input name=\"kb_field_6\" id=\"kb_field_323_fb321c-bd_6\" data-label=\"Primary Language\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-6\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-7 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_7\">Identifying Marks<\/label><input name=\"kb_field_7\" id=\"kb_field_323_fb321c-bd_7\" data-label=\"Identifying Marks\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-7\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-8 kb-field-desk-width-33 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_8\">Eye Color<\/label><input name=\"kb_field_8\" id=\"kb_field_323_fb321c-bd_8\" data-label=\"Eye Color\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-8\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-9 kb-field-desk-width-33 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_9\">Hair Color<\/label><input name=\"kb_field_9\" id=\"kb_field_323_fb321c-bd_9\" data-label=\"Hair Color\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-9\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-10 kb-field-desk-width-33 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_10\">Skin Color<\/label><input name=\"kb_field_10\" id=\"kb_field_323_fb321c-bd_10\" data-label=\"Skin Color\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-10\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-11 kb-field-desk-width-33 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_11\">Sex<\/label><select name=\"kb_field_11\" id=\"kb_field_323_fb321c-bd_11\" data-label=\"Sex\" type=\"select\" value=\"\" data-type=\"select\" class=\"kb-field kb-select-style-field kb-select-field kb-field-11\"><option selected value=\"\">Select&#8230;<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><option value=\"Other\">Other<\/option><\/select><\/div><div class=\"kadence-blocks-form-field kb-form-field-12 kb-field-desk-width-33 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_12\">Height<\/label><input name=\"kb_field_12\" id=\"kb_field_323_fb321c-bd_12\" data-label=\"Height\" type=\"text\" placeholder=\"e.g. 4'2&quot;\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-12\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-13 kb-field-desk-width-33 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_13\">Weight<\/label><input name=\"kb_field_13\" id=\"kb_field_323_fb321c-bd_13\" data-label=\"Weight\" type=\"text\" placeholder=\"e.g. 45 lbs\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-13\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-14 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_14\">Parent\/Guardian Name<span class=\"required\">*<\/span><\/label><input name=\"kb_field_14\" id=\"kb_field_323_fb321c-bd_14\" data-label=\"Parent\/Guardian Name\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-14\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-15 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_15\">Relationship to Child<\/label><input name=\"kb_field_15\" id=\"kb_field_323_fb321c-bd_15\" data-label=\"Relationship to Child\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-15\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-16 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_16\">Home Address<\/label><input name=\"kb_field_16\" id=\"kb_field_323_fb321c-bd_16\" data-label=\"Home Address\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-16\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-17 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_17\">Reachable Phone Number<\/label><input name=\"kb_field_17\" id=\"kb_field_323_fb321c-bd_17\" data-label=\"Reachable Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-17\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-18 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_18\">Email Address<\/label><input name=\"kb_field_18\" id=\"kb_field_323_fb321c-bd_18\" data-label=\"Email Address\" type=\"email\" placeholder=\"\" value=\"\" data-type=\"email\" class=\"kb-field kb-text-style-field kb-email-field kb-field-18\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-19 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_19\">Business Name<\/label><input name=\"kb_field_19\" id=\"kb_field_323_fb321c-bd_19\" data-label=\"Business Name\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-19\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-20 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_20\">Business Address<\/label><input name=\"kb_field_20\" id=\"kb_field_323_fb321c-bd_20\" data-label=\"Business Address\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-20\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-21 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_21\">Business Phone Number<\/label><input name=\"kb_field_21\" id=\"kb_field_323_fb321c-bd_21\" data-label=\"Business Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-21\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-22 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_22\">Hours at Work<\/label><input name=\"kb_field_22\" id=\"kb_field_323_fb321c-bd_22\" data-label=\"Hours at Work\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-22\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-23 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_23\">Parent\/Guardian Name (2)<\/label><input name=\"kb_field_23\" id=\"kb_field_323_fb321c-bd_23\" data-label=\"Parent\/Guardian Name (2)\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-23\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-24 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_24\">Relationship to Child<\/label><input name=\"kb_field_24\" id=\"kb_field_323_fb321c-bd_24\" data-label=\"Relationship to Child\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-24\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-25 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_25\">Home Address<\/label><input name=\"kb_field_25\" id=\"kb_field_323_fb321c-bd_25\" data-label=\"Home Address\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-25\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-26 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_26\">Reachable Phone Number<\/label><input name=\"kb_field_26\" id=\"kb_field_323_fb321c-bd_26\" data-label=\"Reachable Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-26\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-27 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_27\">Email Address<\/label><input name=\"kb_field_27\" id=\"kb_field_323_fb321c-bd_27\" data-label=\"Email Address\" type=\"email\" placeholder=\"\" value=\"\" data-type=\"email\" class=\"kb-field kb-text-style-field kb-email-field kb-field-27\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-28 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_28\">Business Name<\/label><input name=\"kb_field_28\" id=\"kb_field_323_fb321c-bd_28\" data-label=\"Business Name\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-28\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-29 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_29\">Business Address<\/label><input name=\"kb_field_29\" id=\"kb_field_323_fb321c-bd_29\" data-label=\"Business Address\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-29\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-30 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_30\">Business Phone Number<\/label><input name=\"kb_field_30\" id=\"kb_field_323_fb321c-bd_30\" data-label=\"Business Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-30\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-31 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_31\">Hours at Work<\/label><input name=\"kb_field_31\" id=\"kb_field_323_fb321c-bd_31\" data-label=\"Hours at Work\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-31\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-32 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_32\">Child&#8217;s Physician<\/label><input name=\"kb_field_32\" id=\"kb_field_323_fb321c-bd_32\" data-label=\"Child's Physician\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-32\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-33 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_33\">Address<\/label><input name=\"kb_field_33\" id=\"kb_field_323_fb321c-bd_33\" data-label=\"Address\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-33\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-34 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_34\">Phone Number<\/label><input name=\"kb_field_34\" id=\"kb_field_323_fb321c-bd_34\" data-label=\"Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-34\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-35 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_35\">Allergies\/Special Diets?<\/label><textarea name=\"kb_field_35\" id=\"kb_field_323_fb321c-bd_35\" data-label=\"Allergies\/Special Diets?\" type=\"textarea\" placeholder=\"\" data-type=\"textarea\" class=\"kb-field kb-text-style-field kb-textarea-field kb-field-35\" rows=\"3\"><\/textarea><\/div><div class=\"kadence-blocks-form-field kb-form-field-36 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_36\">Individual Health Plan for child with a chronic health condition? If yes, please attach.<\/label><textarea name=\"kb_field_36\" id=\"kb_field_323_fb321c-bd_36\" data-label=\"Individual Health Plan for child with a chronic health condition? If yes, please attach.\" type=\"textarea\" placeholder=\"\" data-type=\"textarea\" class=\"kb-field kb-text-style-field kb-textarea-field kb-field-36\" rows=\"3\"><\/textarea><\/div><div class=\"kadence-blocks-form-field kb-form-field-37 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_37\">Copies of any custody agreements, court orders, and restraining orders pertaining to the child? If yes, please attach.<\/label><textarea name=\"kb_field_37\" id=\"kb_field_323_fb321c-bd_37\" data-label=\"Copies of any custody agreements, court orders, and restraining orders pertaining to the child? If yes, please attach.\" type=\"textarea\" placeholder=\"\" data-type=\"textarea\" class=\"kb-field kb-text-style-field kb-textarea-field kb-field-37\" rows=\"3\"><\/textarea><\/div><div class=\"kadence-blocks-form-field kb-form-field-38 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_38\">Special limitations or concerns?<\/label><textarea name=\"kb_field_38\" id=\"kb_field_323_fb321c-bd_38\" data-label=\"Special limitations or concerns?\" type=\"textarea\" placeholder=\"\" data-type=\"textarea\" class=\"kb-field kb-text-style-field kb-textarea-field kb-field-38\" rows=\"4\"><\/textarea><\/div><div class=\"kadence-blocks-form-field kb-form-field-39 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_39\">Current School<\/label><input name=\"kb_field_39\" id=\"kb_field_323_fb321c-bd_39\" data-label=\"Current School\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-39\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-40 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_40\">School Address<\/label><input name=\"kb_field_40\" id=\"kb_field_323_fb321c-bd_40\" data-label=\"School Address\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-40\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-41 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_41\">School Phone Number<\/label><input name=\"kb_field_41\" id=\"kb_field_323_fb321c-bd_41\" data-label=\"School Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-41\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-42 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_42\">Parent\/Guardian Initials (certifies physical exam, immunization, and lead screening documentation is on file at child&#8217;s school)<\/label><input name=\"kb_field_42\" id=\"kb_field_323_fb321c-bd_42\" data-label=\"Parent\/Guardian Initials (certifies physical exam, immunization, and lead screening documentation is on file at child's school)\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-42\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-43 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_43\">Parent\/Guardian Signature<\/label><input name=\"kb_field_43\" id=\"kb_field_323_fb321c-bd_43\" data-label=\"Parent\/Guardian Signature\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-43\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-44 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field_323_fb321c-bd_44\">Date<\/label><input name=\"kb_field_44\" id=\"kb_field_323_fb321c-bd_44\" data-label=\"Date\" type=\"date\" placeholder=\"\" value=\"\" data-type=\"date\" class=\"kb-field kb-text-style-field kb-date-field kb-field-44\"\/><\/div><input type=\"hidden\" name=\"_kb_form_id\" value=\"323_fb321c-bd\"\/><input type=\"hidden\" name=\"_kb_form_post_id\" value=\"323\"\/><input type=\"hidden\" name=\"action\" value=\"kb_process_ajax_submit\"\/><label class=\"kadence-verify-label\">Email<input class=\"kadence-blocks-field verify\" type=\"text\" name=\"_kb_verify_email\" autocomplete=\"new-password\" aria-hidden=\"true\" placeholder=\"Email\" tabindex=\"-1\" data-1p-ignore=\"true\" data-lpignore=\"true\" \/><\/label><div class=\"kadence-blocks-form-field kb-submit-field kb-field-desk-width-100\"><button class=\"kb-forms-submit button kb-button-size-standard kb-button-width-auto\">Send Enrollment Form<\/button><\/div><\/form><\/div>\n<noscript><div class=\"kadence-blocks-form-message kadence-blocks-form-warning\">Activar JavaScript en tu navegador para enviar el formulario<\/div><style>.kadence-form-323_fb321c-bd .kadence-blocks-form-field.kb-submit-field { display: none; }<\/style><\/noscript><\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>The Commonwealth of Massachusetts Department of Early Education and Care Child&#8217;s Enrollment Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"disable","_kad_post_title":"hide","_kad_post_layout":"fullwidth","_kad_post_sidebar_id":"","_kad_post_content_style":"unboxed","_kad_post_vertical_padding":"hide","_kad_post_feature":"hide","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_joinchat":[],"footnotes":""},"class_list":["post-323","page","type-page","status-publish","hentry"],"taxonomy_info":[],"featured_image_src_large":false,"author_info":{"display_name":"admin","author_link":"https:\/\/alegrialearningcenter.com\/index.php\/author\/admin_llqnuybk\/"},"comment_info":0,"_links":{"self":[{"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/pages\/323","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/comments?post=323"}],"version-history":[{"count":25,"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/pages\/323\/revisions"}],"predecessor-version":[{"id":358,"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/pages\/323\/revisions\/358"}],"wp:attachment":[{"href":"https:\/\/alegrialearningcenter.com\/index.php\/wp-json\/wp\/v2\/media?parent=323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}