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{"id":3327,"date":"2022-04-06T10:08:14","date_gmt":"2022-04-06T17:08:14","guid":{"rendered":"https:\/\/www.assistanceleague.org\/laguna-beach\/?page_id=3327"},"modified":"2025-06-15T16:06:35","modified_gmt":"2025-06-15T23:06:35","slug":"membership-application","status":"publish","type":"page","link":"https:\/\/www.assistanceleague.org\/laguna-beach\/membership-application\/","title":{"rendered":"Membership Application"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_custom_heading text=&#8221;Membership Application Form&#8221; font_container=&#8221;tag:h1|text_align:center|color:%23003399&#8243; use_theme_fonts=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243;]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_12' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/laguna-beach\/wp-json\/wp\/v2\/pages\/3327' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_12_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Membership Category: Choose One<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_12_36'>Voting Members are actively engaged in carrying our our philanthropic programs as well as the fund raising these programs require.\n\nProfessional Members shall be employed or carry academic units or have a child under age 18.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_36'>\n\t\t\t<div class='gchoice gchoice_12_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Voting Member - $95 ($75 dues + $20 one-time orientation fee)'  id='choice_12_36_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_36\"   \/>\n\t\t\t\t\t<label for='choice_12_36_0' id='label_12_36_0' class='gform-field-label gform-field-label--type-inline'>Voting Member - $95 ($75 dues + $20 one-time orientation fee)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Professional Member - $95 ($85 dues + $10 one-time orientation fee)'  id='choice_12_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_36_1' id='label_12_36_1' class='gform-field-label gform-field-label--type-inline'>Professional Member - $95 ($85 dues + $10 one-time orientation fee)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_23\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_12_23'>\n                            \n                            <span id='input_12_23_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.3' id='input_12_23_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_23_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_23_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.6' id='input_12_23_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_23_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_24\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_12_24' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_24_1_container' >\n                                        <input type='text' name='input_24.1' id='input_12_24_1' value=''    aria-required='true'    \/>\n                                        <label for='input_12_24_1' id='input_12_24_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_24_3_container' >\n                                    <input type='text' name='input_24.3' id='input_12_24_3' value=''    aria-required='true'    \/>\n                                    <label for='input_12_24_3' id='input_12_24_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_24.4' id='input_12_24_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_12_24_5_container' >\n                                    <input type='text' name='input_24.5' id='input_12_24_5' value=''    aria-required='true'    \/>\n                                    <label for='input_12_24_5' id='input_12_24_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_24.6' id='input_12_24_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_12_29\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_29'>Primary Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_12_29' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_28\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_28'>Secondary Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_28' id='input_12_28' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_30\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_12_30_container'>\n                                <span id='input_12_30_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_30' id='input_12_30' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_12_30' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_12_30_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_30_2' id='input_12_30_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_12_30_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_12_97\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_97'>Emergency Contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_12_97'>Name and Phone Number<\/div><div class='ginput_container ginput_container_text'><input name='input_97' id='input_12_97' type='text' value='' class='large'  aria-describedby=\"gfield_description_12_97\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_37\" class=\"gfield gfield--type-select gfield--width-full gf_list_2col gf_list_inline field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_37'>How did you hear about Assistance League of Laguna Beach (ALLB)?<\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_12_37' class='large gfield_select'     aria-invalid=\"false\" ><option value='Website' >Website<\/option><option value='Social Media' >Social Media<\/option><option value='Other Print Media' >Other Print Media<\/option><option value='Thrift Shop' >Thrift Shop<\/option><option value='Friend' >Friend<\/option><option value='Other Assistance League Chapter' >Other Assistance League Chapter<\/option><option value='ALLB Member' >ALLB Member<\/option><\/select><\/div><\/div><div id=\"field_12_32\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_32'>If you were referred by an ALLB Member, please indicate the member&#039;s name.<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_12_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_2col gf_liist_inline field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Talents or Interests<\/legend><div class='gfield_description' id='gfield_description_12_38'>Do you have any special talents or interests you are interested in sharing with ALLB?  Select one or more.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_38'><div class='gchoice gchoice_12_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='public relations, marketing or advertising'  id='choice_12_38_1'   aria-describedby=\"gfield_description_12_38\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_1' id='label_12_38_1' class='gform-field-label gform-field-label--type-inline'>public relations, marketing or advertising<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='retail sales or management'  id='choice_12_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_2' id='label_12_38_2' class='gform-field-label gform-field-label--type-inline'>retail sales or management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='building maintenance'  id='choice_12_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_3' id='label_12_38_3' class='gform-field-label gform-field-label--type-inline'>building maintenance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='finance, accounting or banking'  id='choice_12_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_4' id='label_12_38_4' class='gform-field-label gform-field-label--type-inline'>finance, accounting or banking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='computer skills or computer programing'  id='choice_12_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_5' id='label_12_38_5' class='gform-field-label gform-field-label--type-inline'>computer skills or computer programing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.6' type='checkbox'  value='public speaking'  id='choice_12_38_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_6' id='label_12_38_6' class='gform-field-label gform-field-label--type-inline'>public speaking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.7' type='checkbox'  value='purchasing'  id='choice_12_38_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_7' id='label_12_38_7' class='gform-field-label gform-field-label--type-inline'>purchasing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.8' type='checkbox'  value='leadership or project management'  id='choice_12_38_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_8' id='label_12_38_8' class='gform-field-label gform-field-label--type-inline'>leadership or project management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.9' type='checkbox'  value='grant writing'  id='choice_12_38_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_9' id='label_12_38_9' class='gform-field-label gform-field-label--type-inline'>grant writing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_38_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.11' type='checkbox'  value='document creation, editing or graphic design'  id='choice_12_38_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_38_11' id='label_12_38_11' class='gform-field-label gform-field-label--type-inline'>document creation, editing or graphic design<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_60\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Photo and Name Release<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_12_60' tabindex='0'>Assistance League of Laguna Beach has my permission to include my name as a member of Assistance League in its printed materials such as chapter newsletters, press releases, or other printed\/electronic materials.  Assistance League of Laguna Beach also has my permission to use any photographs or video images of me taken in connection with Assistance League activities in its printed or electronic materials and on the website.  <\/div><div class='ginput_container ginput_container_consent'><input name='input_60.1' id='input_12_60_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_12_60\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_12_60_1' >I agree<\/label><input type='hidden' name='input_60.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_60.3' value='7' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_12_53\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Insurance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_12_53' tabindex='0'>I agree that I shall maintain a valid drivers\u2019 license and proof of personal automobile insurance for using my own vehicle <br \/>\nfor Assistance League of Laguna Beach business.  Upon request, I shall provide copies of my license and proof of insurance to the chapter office. I shall not hold Assistance League liable for any claims that may result from accidents occurring while I am using my own vehicle for Assistance League business. I understand that there are inherent risks involved while participating in any Assistance League activity or event, I hereby accept and assume all of these risks, and all other risks, associated with my decision to participate in any Assistance League activity or event. I hereby freely and voluntarily accept for myself alone all risks of injury, illness or death. <\/div><div class='ginput_container ginput_container_consent'><input name='input_53.1' id='input_12_53_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_12_53\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_12_53_1' >I agree<\/label><input type='hidden' name='input_53.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_53.3' value='7' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_12_54\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Background Check<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_12_54' tabindex='0'>I understand that I will be contacted to complete a background check.  This is required because of the interaction with minors\/children during Assistance League activities.<\/div><div class='ginput_container ginput_container_consent'><input name='input_54.1' id='input_12_54_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_12_54\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_12_54_1' >I agree<\/label><input type='hidden' name='input_54.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_54.3' value='7' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_12_43\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_43'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_12_43'>Your date of birth - month\/day\/year - is required for the background check.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_43' id='input_12_43' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_12_43_date_format gfield_description_12_43\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_43_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_43' class='gform_hidden' value='https:\/\/www.assistanceleague.org\/laguna-beach\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_12_55\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Volunteer Agreement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_12_55' tabindex='0'>I agree to fulfill the participation and financial requirements for the membership category I selected above.<\/div><div class='ginput_container ginput_container_consent'><input name='input_55.1' id='input_12_55_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_12_55\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_12_55_1' >I agree<\/label><input type='hidden' name='input_55.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_55.3' value='7' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_12_99\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Pay Dues and One-Time Orientation Fee - $95<\/h3><div class='gsection_description' id='gfield_description_12_99'>Voting Member - $95 ($85 dues + $20 one-time orientation fee), Professional Member - $95 ($85 dues + $10 one-time orientation fee)<\/div><\/div><fieldset id=\"field_12_98\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How Do You Want to Pay your Dues and Orientation Fee: Choose One<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_12_98'>You may opt to (1) pay your membership dues via PayPal or Credit Card or (2) you may mail ALLB a check for your dues payment or (3) you may pay your membership dues with Zelle.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_98'>\n\t\t\t<div class='gchoice gchoice_12_98_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='Pay via PayPal or Credit Card'  id='choice_12_98_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_98\"   \/>\n\t\t\t\t\t<label for='choice_12_98_0' id='label_12_98_0' class='gform-field-label gform-field-label--type-inline'>Pay via PayPal or Credit Card<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_98_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='Send a Zelle payment to assistanceleaguelagunabeach@gmail.com'  id='choice_12_98_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_98_1' id='label_12_98_1' class='gform-field-label gform-field-label--type-inline'>Send a Zelle payment to assistanceleaguelagunabeach@gmail.com<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_98_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='Send a check to ALLB, 547 Catalina St., Laguna Beach, 92651'  id='choice_12_98_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_98_2' id='label_12_98_2' class='gform-field-label gform-field-label--type-inline'>Send a check to ALLB, 547 Catalina St., Laguna Beach, 92651<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_70\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_12_70 gfield_product_12_70 gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_12_70_1'>Dues - Voting Membership (Full Year)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_70.1' value='Dues - Voting Membership (Full Year)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_12_70' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_12_70' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_70.2' id='ginput_base_price_12_70' value='$75.00' aria-label='Dues - Voting Membership (Full Year) Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_70.3' value='1' class='ginput_quantity_12_70 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_12_80\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_12_80 gfield_product_12_80 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_12_80_1'>Voting Membership Orientation Fee<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_12_80'>Voting Member One-Time Orientation Fee<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_80.1' value='Voting Membership Orientation Fee' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_12_80' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_12_80' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_80.2' id='ginput_base_price_12_80' value='$20.00' aria-label='Voting Membership Orientation Fee Price' aria-describedby=\"gfield_description_12_80\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_80.3' value='1' class='ginput_quantity_12_80 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_12_75\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_12_75 gfield_product_12_75 gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_12_75_1'>Dues - Professional Membership (Full Year)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_75.1' value='Dues - Professional Membership (Full Year)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_12_75' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_12_75' class='gform-field-label gform-field-label--type-sub-large 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