{"id":7999,"date":"2021-01-04T00:54:17","date_gmt":"2021-01-04T00:54:17","guid":{"rendered":"http:\/\/ggc.splashclients.com\/?page_id=7999"},"modified":"2021-01-04T01:31:25","modified_gmt":"2021-01-04T01:31:25","slug":"share-your-story","status":"publish","type":"page","link":"https:\/\/ggc.org\/foundation\/share-your-story","title":{"rendered":"Share Your Story"},"content":{"rendered":"\n<p>By sharing your story you can provide encouragement and support to those going through similar situations. Your experiences will also help those wanting to learn more about our Center to better understand the true impact of genetic disorders, and of GGC, on families and individuals.<\/p>\n\n\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_7_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_foundation-shareyourstory\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"7\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_7\" id=\"frm_hide_fields_7\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"foundation-shareyourstory\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_7\" name=\"frm_submit_entry_7\" value=\"78b456051a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/7999\" \/> <div class=\"row form-default form-shareyourstory\">\r\n        <div class=\"col-md-4 col-sm-6\">\r\n            <div class=\"form-item\">\r\n                <div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n                    <label for=\"field_15q6k\" id=\"field_15q6k_label\" class=\"frm_primary_label\">First Name\r\n                        <span class=\"frm_required\">*<\/span>\r\n                    <\/label>\r\n                    <input type=\"text\" id=\"field_15q6k\" name=\"item_meta[53]\" value=\"\"  placeholder=\"First Name*\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n                    \r\n                    \r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\n <div class=\"col-md-4 col-sm-6\">\r\n            <div class=\"form-item\">\r\n                <div id=\"frm_field_54_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n                    <label for=\"field_gmed1\" id=\"field_gmed1_label\" class=\"frm_primary_label\">Last Name\r\n                        <span class=\"frm_required\">*<\/span>\r\n                    <\/label>\r\n                    <input type=\"text\" id=\"field_gmed1\" name=\"item_meta[54]\" value=\"\"  placeholder=\"Last Name*\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n                    \r\n                    \r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\n <div class=\"col-md-4 col-sm-6\">\r\n            <div class=\"form-item\">\r\n                <span class=\"selectbox\">\r\n                    <select name=\"CAT_Custom_576267\" onchange=\"$('.txtIamA input').val(this.value);\">\r\n                        <option value=\"\">I am a...<\/option>\r\n                        <option value=\"patient\">Patient<\/option>\r\n                        <option value=\"Healhcare Professional\">Healthcare Professional<\/option>\r\n                        <option value=\"Student\">Student<\/option>\r\n                        <option value=\"Educator\">Educator<\/option>\r\n                    <\/select>\r\n                    <div id=\"frm_field_55_container\" class=\"frm_form_field form-field hide hidden none txtIamA  frm_top_container\">\r\n                        <label for=\"field_mq1dl\" id=\"field_mq1dl_label\" class=\"frm_primary_label\">I am a....\r\n                            <span class=\"frm_required\"><\/span>\r\n                        <\/label>\r\n                        <input type=\"text\" id=\"field_mq1dl\" name=\"item_meta[55]\" value=\"\"  placeholder=\"I am a....\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n                        \r\n                        \r\n                    <\/div>\r\n                <\/span>\r\n            <\/div>\r\n        <\/div>\r\n\n<div class=\"col-md-4 col-sm-6\">\r\n            <div class=\"form-item\">\r\n                <div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n                    <label for=\"field_k9l4s\" id=\"field_k9l4s_label\" class=\"frm_primary_label\">Email Address\r\n                        <span class=\"frm_required\">*<\/span>\r\n                    <\/label>\r\n                    <input type=\"email\" id=\"field_k9l4s\" name=\"item_meta[56]\" value=\"\"  placeholder=\"Email Address\" data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n                    \r\n                    \r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\n<div class=\"col-md-4 col-sm-6\">\r\n    <div class=\"form-item\">\r\n        <div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n            <label for=\"field_fo9e6\" id=\"field_fo9e6_label\" class=\"frm_primary_label\">Phone Number\r\n                <span class=\"frm_required\">*<\/span>\r\n            <\/label>\r\n            <input type=\"text\" id=\"field_fo9e6\" name=\"item_meta[57]\" value=\"\"  placeholder=\"Phone Number\" data-reqmsg=\"Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n            \r\n            \r\n        <\/div>\r\n    <\/div>\r\n<\/div>\r\n\r\n<div class=\"col-md-4 col-sm-6\">\r\n    <div class=\"form-item\">\r\n        <p class=\"note\">\r\n            <span>Email Address &amp; Phone Number will not be posted or shared<\/span>\r\n        <\/p>\r\n    <\/div>\r\n<\/div>\n<div class=\"col-xs-12\">\r\n            <div class=\"form-item\">\r\n                <div id=\"frm_field_58_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n                    <label for=\"field_lqj6e\" id=\"field_lqj6e_label\" class=\"frm_primary_label\">Your Story \/ Comments\r\n                        <span class=\"frm_required\"><\/span>\r\n                    <\/label>\r\n                    <textarea name=\"item_meta[58]\" id=\"field_lqj6e\" rows=\"5\"  placeholder=\"Your Story \/ Comments\" data-invmsg=\"Your Story \/ Comments is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n                    \r\n                    \r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\n<div class=\"col-xs-12\">\r\n    <div class=\"form-item cb-tos\">\r\n<p class='font-16'>\r\nPhoto Upload (Multiple Files can be uploaded at the same time.)\r\n<\/p>\r\n<br>\r\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_bdro8\" id=\"field_bdro8_label\" class=\"frm_primary_label\">File Upload\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[63][]\"  value=\"\" data-frmfile=\"63\" \/>\n\n<div class=\"frm_dropzone frm_multi_upload frm_clearfix\" id=\"file63_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file63[]\" id=\"field_bdro8\"\n\t\t\t data-frmfile=\"63\" multiple=\"multiple\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"File Upload. Drop a file here or click to upload. Maximum file size: 104.86MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"File Upload. Choose File. Maximum file size: 104.86MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 104.86MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\r\n<\/div>\r\n<\/div>\n<div class=\"col-xs-12\">\r\n    <div class=\"form-item cb-tos\">\r\n        <span class=\"checkbox\">\r\n            <input id=\"acknowledge\" type=\"checkbox\" checked=\"checked\" name=\"CAT_Custom_576352\" onclick=\"$('.chkAcknowledgement input[type=checkbox]').click();\">\r\n            <label for=\"acknowledge\">\r\n                <p>By submitting this form, I hereby acknowledge that I have legal authority to share this information and photograph. I give my consent to that any information I have submitted, including my name and photographs may be used for purposes of publication, display or broadcast (print, web, digital display and all other forms of media) and are the property of the Greenwood Genetic Center. I relinquish any present or future claim for reimbursement for said photographs or for said testimonials by me. I understand this authorization remains valid unless and until the patient or his or her legal representative withdraws or restricts the authorization by contacting the Greenwood Genetic Center.<\/p>\r\n                <p>I hereby release the Greenwood Genetic Center, its affiliates, employees, representatives and agents from any and all claims, demands, costs and liability that may arise from the use of these quotes or photographs as described above.<\/p>\r\n            <\/label>\r\n            <div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio hide hidden none chkAcknowledgement\">\r\n                <div id=\"field_9qz45_label\" class=\"frm_primary_label\">Acknowledgement\r\n                    <span class=\"frm_required\">*<\/span>\r\n                <\/div>\r\n                <div class=\"frm_opt_container\" aria-labelledby=\"field_9qz45_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_61-0\"><label for=\"field_9qz45-0\"><input type=\"checkbox\" name=\"item_meta[61][]\" id=\"field_9qz45-0\" value=\"Checked\" checked=\"checked\"  data-frmval=\"[&quot;Checked&quot;]\" data-reqmsg=\"Acknowledgement cannot be blank.\" data-invmsg=\"Acknowledgement is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Checked<\/label><\/div>\n<\/div>\r\n                <div class=\"frm_description\" id=\"frm_desc_field_9qz45\"><p>By submitting this form, I hereby acknowledge that I have legal authority to share this information and photograph. I give my consent to that any information I have submitted, including my name and photographs may be used for purposes of publication, display or broadcast (print, web, digital display and all other forms of media) and are the property of the Greenwood Genetic Center. I relinquish any present or future claim for reimbursement for said photographs or for said testimonials by me. I understand this authorization remains valid unless and until the patient or his or her legal representative withdraws or restricts the authorization by contacting the Greenwood Genetic Center.<\/p>\r\n\r\n<p>I hereby release the Greenwood Genetic Center, its affiliates, employees, representatives and agents from any and all claims, demands, costs and liability that may arise from the use of these quotes or photographs as described above.<\/p><\/div>\r\n                \r\n            <\/div>\r\n        <\/span>\r\n    <\/div>\r\n<\/div>\r\n\r\n\r\n\r\n\r\n\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__655227ef96475\">\n\t\t\t\t<label for=\"frm_email_7\"  style=\"display:none;\">\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_7\" type=\"text\" class=\"frm_verify\" name=\"frm__655227ef96475\" value=\"\" autocomplete=\"false\"  style=\"display:none;\" \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"cLBgJLZlRdulcf94t2T70iK9pd2NgJaJOKmLAw0uX5A=\" \/>        <div class=\"col-xs-12\">\r\n            <div class=\"form-item form-action\">\r\n                <div class=\"btn-submit\">\r\n                    <input type=\"submit\" value=\"submit\" \/>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\n<\/fieldset>\n<\/div>\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"4\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>By sharing your story you can provide encouragement and support to those going through similar situations. Your experiences will also help those wanting to learn more about our Center to better understand the true impact of genetic disorders, and of GGC, on families and individuals.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":7765,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-foundation-touching-lives.php","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"footnotes":""},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Share Your Story - Greenwood Genetic Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ggc.org\/foundation\/share-your-story\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Share Your Story - Greenwood Genetic Center\" \/>\n<meta property=\"og:description\" content=\"By sharing your story you can provide encouragement and support to those going through similar situations. 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