{"id":63,"date":"2020-09-23T19:13:13","date_gmt":"2020-09-23T19:13:13","guid":{"rendered":"https:\/\/thelumiesfoundation.org\/?page_id=63"},"modified":"2023-08-21T14:32:08","modified_gmt":"2023-08-21T14:32:08","slug":"refer-a-child","status":"publish","type":"page","link":"https:\/\/thelumiesfoundation.org\/index.php\/refer-a-child\/","title":{"rendered":"Refer A Child"},"content":{"rendered":"<div class=\"brz-root__container brz-reset-all\">\n<section data-uid=\"gmbqqjocwbgbifyjohrfiyazvzuddjtqlcjj\" id=\"gmbqqjocwbgbifyjohrfiyazvzuddjtqlcjj\" name=\"gmbqqjocwbgbifyjohrfiyazvzuddjtqlcjj\" class=\"brz-section brz-css-jbyqo\">\n<div class=\"brz-section__content brz-section--boxed brz-css-qkkau brz-css-tmmld\" data-custom-id=\"lpqracmbfskvfsltzwwxoknustzuwdfgcbro\">\n<div class=\"brz-bg overflow-hidden !z-auto absolute top-0 left-0 w-full h-full\">\n<div class=\"brz-bg-color absolute top-0 left-0 w-full h-full\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-kmsrx brz-css-djmtt\">\n<div class=\"brz-css-kjfas brz-wrapper\">\n<div data-form-version=\"2\" class=\"brz-forms2 brz-css-sngel\" data-custom-id=\"npewfpdoplytsafoyauqojuhqgngfbtmkaji\">\n<form class=\"brz-form brz-d-xs-flex brz-flex-xs-wrap\" action=\"https:\/\/thelumiesfoundation.org\/wp-admin\/admin-ajax.php?action=brizy_submit_form\" novalidate data-form-id=\"npewfpdoplytsafoyauqojuhqgngfbtmkaji\" data-project-id=\"9732515dd8864f6416c72ba947428543\" data-success data-error data-redirect>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"onygmhusdfllthngohpgdnjrvqprtwzxacvw\">Child&#x27;s Name:<\/label><input type=\"text\" id=\"onygmhusdfllthngohpgdnjrvqprtwzxacvw\" name=\"cmnuyqtkhqapxwkbvubijkqryiufjvcgkwgn\" placeholder data-type=\"Text\" data-label=\"Child&#x27;s Name:\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"uycavaplmojfbhioeszozvgiqboitpufhkho\">Age:<\/label><input type=\"text\" id=\"uycavaplmojfbhioeszozvgiqboitpufhkho\" name=\"jkwsgzsoalfxkzkzeerdpsboouoodtnnrdgn\" placeholder data-type=\"Text\" data-label=\"Age:\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"djjqgiijavttgvmfecokfjvdzpdbiznxprmg\">Child&#x27;s sibling(s) and age(s):<\/label><input type=\"text\" id=\"djjqgiijavttgvmfecokfjvdzpdbiznxprmg\" name=\"qpoezruxduzkuesldoyvcctedthewxvuhcyw\" placeholder data-type=\"Text\" data-label=\"Child&#x27;s sibling(s) and age(s):\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"ffckwwxkndagxwsdntzeuxuzttkeozkzfalg\">Parent\/Guardian Name(s):<\/label><input type=\"text\" id=\"ffckwwxkndagxwsdntzeuxuzttkeozkzfalg\" name=\"robgmrarhxqhipabzsswennzwhlfabpftohi\" placeholder data-type=\"Text\" data-label=\"Parent\/Guardian Name(s):\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"dyjbvzmguwobasvocsufidffxppgdpoiiiqu\">Parent\/Guardian Phone Number(s):<\/label><input type=\"text\" id=\"dyjbvzmguwobasvocsufidffxppgdpoiiiqu\" name=\"qcfgcogniwyolwvksfzwxrsupclpfevzpiah\" placeholder data-type=\"Text\" data-label=\"Parent\/Guardian Phone Number(s):\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"hpasjbbsjfedznjvnlpfdjhrpmunzpollksp\">Parent\/Guardian Email:<\/label><input type=\"text\" id=\"hpasjbbsjfedznjvnlpfdjhrpmunzpollksp\" name=\"cdufjmfakwqmbtrrlnadcdckdfrrpplxrazw\" placeholder data-type=\"Text\" data-label=\"Parent\/Guardian Email:\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"nchxdzvdhsbutnlvulmrgdkjmoawdklrdisw\">Address:<\/label><input type=\"text\" id=\"nchxdzvdhsbutnlvulmrgdkjmoawdklrdisw\" name=\"mvonzlwgccelmmlcfzfhuuchlkafkgkzjblf\" placeholder data-type=\"Text\" data-label=\"Address:\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"kwaukbrlubldcmatoqttixrzfjbrijcedwrz\">Type of Celebration: (i.e. birthday, end of chemotherapy)<\/label><input type=\"text\" id=\"kwaukbrlubldcmatoqttixrzfjbrijcedwrz\" name=\"bfbcsvvilrhqvlmjazfgzjpybfekfrsgxlyf\" placeholder data-type=\"Text\" data-label=\"Type of Celebration: (i.e. birthday, end of chemotherapy)\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2__item brz-css-pgggj brz-css-evpfq brz-css-nmiws\"><label class=\"brz-label brz-forms2__field-label\" for=\"yjlggwljlcmszblwddkimpkamkgzotwbezko\">Date for celebration:<\/label><input type=\"text\" id=\"yjlggwljlcmszblwddkimpkamkgzotwbezko\" name=\"vucmbrezwtvlwyyfbdtbcdypqcvwaltozpvs\" placeholder data-type=\"Text\" data-label=\"Date for celebration:\" data-placeholder class=\"brz-input brz-forms2__field brz-forms2__field-text\"><\/div>\n<div class=\"brz-forms2 brz-forms2__item brz-forms2__item-button\" data-custom-id=\"npewfpdoplytsafoyauqojuhqgngfbtmkaji\"><button class=\"brz-btn brz-btn-submit brz-css-qiqyl brz-css-jephv\" data-custom-id=\"gqxdarpbmctdzjbrpbwsdfgpkzsjpdpopkim\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" viewbox=\"0 0 24 24\" xml:space=\"preserve\" class=\"brz-icon-svg align-[initial] brz-css-ahasj\" data-type=\"glyph\" data-name=\"tail-right\"><g class=\"nc-icon-wrapper\" fill=\"currentColor\"><path fill=\"currentColor\" d=\"M22.707,11.293L15,3.586L13.586,5l6,6H2c-0.553,0-1,0.448-1,1s0.447,1,1,1h17.586l-6,6L15,20.414 l7.707-7.707C23.098,12.316,23.098,11.684,22.707,11.293z\"\/><\/g><\/svg><span class=\"brz-span brz-text__editor\">SUBMIT<\/span><\/button><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" viewbox=\"0 0 24 24\" xml:space=\"preserve\" class=\"brz-icon-svg align-[initial] brz-form-spinner brz-invisible brz-ed-animated--spin\" data-type=\"glyph\" data-name=\"circle-02\"><g class=\"nc-icon-wrapper\" fill=\"currentColor\"><g class=\"nc-loop_circle-02-24\" transform=\"rotate(360 12 12)\"> <path opacity=\"0.4\" fill=\"currentColor\" d=\"M12,24C5.3833008,24,0,18.6166992,0,12S5.3833008,0,12,0s12,5.3833008,12,12 S18.6166992,24,12,24z M12,2C6.4858398,2,2,6.4858398,2,12s4.4858398,10,10,10s10-4.4858398,10-10S17.5141602,2,12,2z\"\/> <path data-color=\"color-2\" fill=\"currentColor\" d=\"M24,12h-2c0-5.5141602-4.4858398-10-10-10V0C18.6166992,0,24,5.3833008,24,12z\"\/> <\/g> <script>!function(){function t(t){this.element=t,this.animationId,this.start=null,this.init()}if(!window.requestAnimationFrame){var i=null;window.requestAnimationFrame=function(t,n){var e=(new Date).getTime();i||(i=e);var a=Math.max(0,16-(e-i)),o=window.setTimeout(function(){t(e+a)},a);return i=e+a,o}}t.prototype.init=function(){var t=this;this.animationId=window.requestAnimationFrame(t.triggerAnimation.bind(t))},t.prototype.reset=function(){var t=this;window.cancelAnimationFrame(t.animationId)},t.prototype.triggerAnimation=function(t){var i=this;this.start||(this.start=t);var n=t-this.start;504>n||(this.start=this.start+504),this.element.setAttribute(\"transform\",\"rotate(\"+Math.min(n\/1.4,360)+\" 12 12)\");if(document.documentElement.contains(this.element))window.requestAnimationFrame(i.triggerAnimation.bind(i))};var n=document.getElementsByClassName(\"nc-loop_circle-02-24\"),e=[];if(n)for(var a=0;n.length>a;a++)!function(i){e.push(new t(n[i]))}(a);document.addEventListener(\"visibilitychange\",function(){\"hidden\"==document.visibilityState?e.forEach(function(t){t.reset()}):e.forEach(function(t){t.init()})})}();<\/script><\/g><\/svg><\/div>\n<\/form>\n<\/div>\n<\/div>\n<div class=\"brz-css-kjfas brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-yklsu\" data-custom-id=\"jalnrmwtpxergccrtexbatzraxwmlhvwxkqr\">\n<div>\n<p class=\"brz-tp-lg-paragraph brz-css-gayka\" data-generated-css=\"brz-css-deriw\" data-uniq-id=\"oyyto\">*Currently, we only provide celebrations in Colorado.  Thank you for your understanding!<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section data-uid=\"dphhuurvrphkkecxwscextqrkygqkqxfnpgy\" id=\"dphhuurvrphkkecxwscextqrkygqkqxfnpgy\" name=\"dphhuurvrphkkecxwscextqrkygqkqxfnpgy\" class=\"brz-section brz-css-jbyqo\">\n<div class=\"brz-section__content brz-section--boxed brz-css-qkkau brz-css-tjtih\" data-custom-id=\"mxkulrqqxmvmhlwdlyctkqqxryorypbsdtjo\">\n<div class=\"brz-container brz-css-kmsrx\"><\/div>\n<\/div>\n<\/section>\n<section data-uid=\"durhosybimxcflkzipxtchvnzyvuwbucgtjc\" id=\"durhosybimxcflkzipxtchvnzyvuwbucgtjc\" name=\"durhosybimxcflkzipxtchvnzyvuwbucgtjc\" class=\"brz-section brz-css-jbyqo\">\n<div class=\"brz-section__content brz-section--boxed brz-css-qkkau\" data-custom-id=\"qhtwvkbyknnxcsktsflxopqdjxgnaccesyft\">\n<div class=\"brz-container brz-css-kmsrx\"><\/div>\n<\/div>\n<\/section>\n<section data-uid=\"qlylocuqsssiqzwlutpcpttbnlownnjwwond\" id=\"qlylocuqsssiqzwlutpcpttbnlownnjwwond\" name=\"qlylocuqsssiqzwlutpcpttbnlownnjwwond\" class=\"brz-section brz-css-jbyqo\">\n<div class=\"brz-section__content brz-section--boxed brz-css-qkkau\" data-custom-id=\"pyxrayyisumyboceucwhvstqlhrvkzaqbmuv\">\n<div class=\"brz-container brz-css-kmsrx\"><\/div>\n<\/div>\n<\/section>\n<\/div>\n<p>    <!-- version:1692628328 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Child&#x27;s Name: Age: Child&#x27;s sibling(s) and age(s): Parent\/Guardian Name(s): Parent\/Guardian Phone Number(s): Parent\/Guardian Email: Address: Type of Celebration: (i.e. birthday, end of chemotherapy) Date for celebration: SUBMIT *Currently, we only provide celebrations in Colorado. Thank you for your understanding!<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"brizy-blank-template.php","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/pages\/63"}],"collection":[{"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/comments?post=63"}],"version-history":[{"count":30,"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/pages\/63\/revisions"}],"predecessor-version":[{"id":533,"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/pages\/63\/revisions\/533"}],"wp:attachment":[{"href":"https:\/\/thelumiesfoundation.org\/index.php\/wp-json\/wp\/v2\/media?parent=63"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}