{"id":274,"date":"2022-11-02T17:04:50","date_gmt":"2022-11-02T17:04:50","guid":{"rendered":"https:\/\/serenityatheart.com\/?page_id=274"},"modified":"2023-03-27T17:12:04","modified_gmt":"2023-03-27T17:12:04","slug":"resources-form","status":"publish","type":"page","link":"https:\/\/serenityatheart.com\/es\/resources-form\/","title":{"rendered":"Resources-form"},"content":{"rendered":"<section data-vc-full-width=\"true\" data-vc-full-width-init=\"false\" class=\"vc_section pt-122 pb-122\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_left\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper   vc_box_border_grey\"><img loading=\"lazy\" decoding=\"async\" width=\"330\" height=\"87\" src=\"https:\/\/serenityatheart.com\/wp-content\/uploads\/2022\/06\/Header-Logo.png\" class=\"vc_single_image-img attachment-full\" alt=\"Header Logo\" title=\"Header Logo\" srcset=\"https:\/\/serenityatheart.com\/wp-content\/uploads\/2022\/06\/Header-Logo.png 330w, https:\/\/serenityatheart.com\/wp-content\/uploads\/2022\/06\/Header-Logo-300x79.png 300w, https:\/\/serenityatheart.com\/wp-content\/uploads\/2022\/06\/Header-Logo-260x69.png 260w, https:\/\/serenityatheart.com\/wp-content\/uploads\/2022\/06\/Header-Logo-50x13.png 50w, https:\/\/serenityatheart.com\/wp-content\/uploads\/2022\/06\/Header-Logo-150x40.png 150w\" sizes=\"auto, (max-width: 330px) 100vw, 330px\" \/><\/div>\n\t\t<\/figure>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  mt-35\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Para ayudarlo con cualquier servicio que pueda necesitar, complete este formulario.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_row wpb_row vc_inner vc_row-fluid mt-60\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-192\"><form id=\"wpforms-form-192\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"192\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/274\" data-token=\"02dc8f1349af1ac3da774dd843b7a88d\" data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/274\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-192-field_1-container\" class=\"wpforms-field wpforms-field-name wpforms-two-thirds wpforms-first\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_1\">Name\/Nombre: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-192-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-192-field_4-container\" class=\"wpforms-field wpforms-field-text wpforms-two-thirds wpforms-first\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_4\">Address\/Direcci\u00f3n: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-192-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-192-field_5-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_5\">City\/Ciudad: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-192-field_5\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-192-field_8-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_8\">Zip Code (required) \/ C\u00f3digo Postal (requerido) : <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-192-field_8\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-192-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_10\">Phone Number\/N\u00famero de tel\u00e9fono : <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-192-field_10\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-192-field_9-container\" class=\"wpforms-field wpforms-field-email wpforms-one-third\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_9\">Email\/Correo electr\u00f3nico: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-192-field_9\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][9]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-192-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_27\">Age \/ Edad<\/label><input type=\"text\" id=\"wpforms-192-field_27\" class=\"wpforms-field-large\" name=\"wpforms[fields][27]\" ><\/div><div id=\"wpforms-192-field_28-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_28\">Do you have insurance? \/ Tiene usted seguro ?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-192-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_28_1\" name=\"wpforms[fields][28]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_28_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_28_2\" name=\"wpforms[fields][28]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_28_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-192-field_29-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_29\">What kind of Insurance do you have ? \/ \u00bfQu\u00e9 tipo de seguro tienes?<\/label><input type=\"text\" id=\"wpforms-192-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" ><\/div><div id=\"wpforms-192-field_6-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_6\">Would you like to be placed on the mailing list? \/ \u00bfLe gustar\u00eda ser colocado en la lista de correo? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-192-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_6_1\" name=\"wpforms[fields][6]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_6_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_6_2\" name=\"wpforms[fields][6]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_6_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-192-field_11-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_11\">Would you like to receive a monthly email newsletter? \/ \u00bfLe gustar\u00eda recibir un bolet\u00edn mensual por correo electr\u00f3nico?<\/label><ul id=\"wpforms-192-field_11\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_11_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-192-field_13-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-inline\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_13\">Are you a veteran or active in the US Military? \/\u00bfEs usted un veterano o est\u00e1 activo en las Fuerzas Armadas de los EE. UU.?<\/label><ul id=\"wpforms-192-field_13\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_13_1\" name=\"wpforms[fields][13]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_13_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_13_2\" name=\"wpforms[fields][13]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_13_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-192-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_15\">How many children live with you? \/ \u00bfCu\u00e1ntos ni\u00f1os viven con usted?<\/label><input type=\"text\" id=\"wpforms-192-field_15\" class=\"wpforms-field-large\" name=\"wpforms[fields][15]\" ><\/div><div id=\"wpforms-192-field_16-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_16\">How did you hear about Serenity? \/ \u00bfC\u00f3mo se enter\u00f3 de Serenity?<\/label><ul id=\"wpforms-192-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_16_1\" name=\"wpforms[fields][16]\" value=\"Street Outreach Program\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_16_1\">Street Outreach Program<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_16_2\" name=\"wpforms[fields][16]\" value=\"Friend\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_16_2\">Friend<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_16_3\" name=\"wpforms[fields][16]\" value=\"Relative\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_16_3\">Relative<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_16_4\" name=\"wpforms[fields][16]\" value=\"Social Media\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_16_4\">Social Media<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_16_5\" name=\"wpforms[fields][16]\" value=\"A Center ? \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_16_5\">A Center ? <\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_16_6\" name=\"wpforms[fields][16]\" value=\"Promotional Event\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_16_6\">Promotional Event<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_16_7\" name=\"wpforms[fields][16]\" value=\"Other\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_16_7\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-192-field_17-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"17\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_17\">If so, which one? \/ Si es as\u00ed, Cu\u00e1l?<\/label><input type=\"text\" id=\"wpforms-192-field_17\" class=\"wpforms-field-large\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-192-field_18-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-192-field_18\">Single Line Text<\/label><input type=\"text\" id=\"wpforms-192-field_18\" class=\"wpforms-field-large\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-192-field_20-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_20\">Please check off all the services you need assistance with.\/Marque todos los servicios con los que necesita ayuda.<\/label><ul id=\"wpforms-192-field_20\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_1\" name=\"wpforms[fields][20][]\" value=\"AHCCCS (Renewal \/ New App) \/ AHCCCS (Renovaci\u00f3n \/ Nueva aplicaci\u00f3n)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_1\">AHCCCS (Renewal \/ New App) \/ AHCCCS (Renovaci\u00f3n \/ Nueva aplicaci\u00f3n)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Behaviral Health Services \/ Servicios de salud conductual\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_2\">Behaviral Health Services \/ Servicios de salud conductual<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Bible Study \/ Estudio B\u00edblico\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_3\">Bible Study \/ Estudio B\u00edblico<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_4\" name=\"wpforms[fields][20][]\" value=\"Building a Resume \/ Construyendo un curr\u00edculum\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_4\">Building a Resume \/ Construyendo un curr\u00edculum<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_5\" name=\"wpforms[fields][20][]\" value=\"Child Care \/ Cuidado de los ni\u00f1os\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_5\">Child Care \/ Cuidado de los ni\u00f1os<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_6\" name=\"wpforms[fields][20][]\" value=\"Citizenship Classes \/ Clases de ciudadan\u00eda\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_6\">Citizenship Classes \/ Clases de ciudadan\u00eda<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_7\" name=\"wpforms[fields][20][]\" value=\"Dental Care \/ Cuidado dental\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_7\">Dental Care \/ Cuidado dental<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_8\" name=\"wpforms[fields][20][]\" value=\"Disabilities \/ discapacidades\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_8\">Disabilities \/ discapacidades<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_9\" name=\"wpforms[fields][20][]\" value=\"Domestic Violence \/ Violencia dom\u00e9stica\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_9\">Domestic Violence \/ Violencia dom\u00e9stica<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_10\" name=\"wpforms[fields][20][]\" value=\"English Classes \/ Clases de ingl\u00e9s\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_10\">English Classes \/ Clases de ingl\u00e9s<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_11\" name=\"wpforms[fields][20][]\" value=\"Financial Aid \/ Ayuda financiera\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_11\">Financial Aid \/ Ayuda financiera<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_12\" name=\"wpforms[fields][20][]\" value=\"Food Stamps \/ Cupones de alimentos\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_12\">Food Stamps \/ Cupones de alimentos<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_13\" name=\"wpforms[fields][20][]\" value=\"Free Food Programs \/ Programas de comida gratis\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_13\">Free Food Programs \/ Programas de comida gratis<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_14\" name=\"wpforms[fields][20][]\" value=\"First Time Home Buyers Assistance \/ Asistencia para compradores de vivienda por primera vez\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_14\">First Time Home Buyers Assistance \/ Asistencia para compradores de vivienda por primera vez<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_15\" name=\"wpforms[fields][20][]\" value=\"GED\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_15\">GED<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_16\" name=\"wpforms[fields][20][]\" value=\"Health Care \/ Cuidado de la salud\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_16\">Health Care \/ Cuidado de la salud<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_17\" name=\"wpforms[fields][20][]\" value=\"Housing \/ Shelter \/\/ Vivienda \/ Refugio\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_17\">Housing \/ Shelter \/\/ Vivienda \/ Refugio<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_18\" name=\"wpforms[fields][20][]\" value=\"Job Search \/ B\u00fasqueda de trabajo\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_18\">Job Search \/ B\u00fasqueda de trabajo<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_19\" name=\"wpforms[fields][20][]\" value=\"Legal Services \/ Servicios Legales\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_19\">Legal Services \/ Servicios Legales<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_20\" name=\"wpforms[fields][20][]\" value=\"Madicare \/ Medicare\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_20\">Madicare \/ Medicare<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_21\" name=\"wpforms[fields][20][]\" value=\"Parent Suppoort \/ Apoyo de los padres\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_21\">Parent Suppoort \/ Apoyo de los padres<\/label><\/li><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_22\" name=\"wpforms[fields][20][]\" value=\"Rental \/ Utility Assistance \/\/ Asistencia de alquiler \/ servicios p\u00fablicos\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_22\">Rental \/ Utility Assistance \/\/ Asistencia de alquiler \/ servicios p\u00fablicos<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_23\" name=\"wpforms[fields][20][]\" value=\"Registering for College \/ Registrarse para la universidad\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_23\">Registering for College \/ Registrarse para la universidad<\/label><\/li><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_24\" name=\"wpforms[fields][20][]\" value=\"Substance Abuse \/ Abuso de sustancias\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_24\">Substance Abuse \/ Abuso de sustancias<\/label><\/li><li class=\"choice-25 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_25\" name=\"wpforms[fields][20][]\" value=\"Teenage Pregnancy Support Services \/ Servicios de Apoyo al Embarazo Adolescente\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_25\">Teenage Pregnancy Support Services \/ Servicios de Apoyo al Embarazo Adolescente<\/label><\/li><li class=\"choice-27 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_27\" name=\"wpforms[fields][20][]\" value=\"WIC\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_27\">WIC<\/label><\/li><li class=\"choice-28 depth-1\"><input type=\"checkbox\" id=\"wpforms-192-field_20_28\" name=\"wpforms[fields][20][]\" value=\"Explain if Other \/ Explique si Otro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_20_28\">Explain if Other \/ Explique si Otro<\/label><\/li><\/ul><\/div><div id=\"wpforms-192-field_21-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-192-field_21\">Single Line Text<\/label><input type=\"text\" id=\"wpforms-192-field_21\" class=\"wpforms-field-large\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-192-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_22\">Important!  Where or how would you like a response once your form is received? \/ \u00a1Importante! \u00bfD\u00f3nde o c\u00f3mo le gustar\u00eda una respuesta una vez que se reciba su formulario?<\/label><ul id=\"wpforms-192-field_22\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_22_1\" name=\"wpforms[fields][22]\" value=\"Phone\/Tel\u00e9fono\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_22_1\">Phone\/Tel\u00e9fono<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_22_2\" name=\"wpforms[fields][22]\" value=\"Email\/Correo electr\u00f3nico\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_22_2\">Email\/Correo electr\u00f3nico<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-192-field_22_3\" name=\"wpforms[fields][22]\" value=\"Mail\/Correo\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-192-field_22_3\">Mail\/Correo<\/label><\/li><\/ul><\/div><div id=\"wpforms-192-field_23-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"23\"><div id=\"wpforms-192-field_23\"><p>The goal is to improve lives in all areas of those who need assistance and wish to level up. Please print and sign your name below to allow me to research for the information and forms that you will need in the process to meet your needs.<\/p>\r\n\r\n<p>El Objectivo es mejorar la vida en todas las areas de aquellos que necesitan asistencia y desean subir de nivel. Imprima y firme su nombre para permitirme a investigar por la informaci\u00f3n y formularios que necesitar\u00e1 en el proceso para satisfacer sus necesidades.<\/p><\/div><\/div><div id=\"wpforms-192-field_24-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_24\">Print your name\/Imprime tu nombre:<\/label><input type=\"text\" id=\"wpforms-192-field_24\" class=\"wpforms-field-large\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-192-field_26-container\" class=\"wpforms-field wpforms-field-signature wpforms-one-half\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-192-field_26\">Sign your name\/Firma con tu nombre:<\/label><div class=\"wpforms-signature-wrap wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-192-field_26-signature\" data-color=\"#000000\"><\/canvas><button class=\"wpforms-signature-clear\" title=\"Clear Signature\">Clear Signature<\/button><\/div><input type=\"text\" id=\"wpforms-192-field_26\" class=\"wpforms-signature-input wpforms-screen-reader-element\" name=\"wpforms[fields][26]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"192\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-192\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\/Entregar\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit\/Entregar<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/serenityatheart.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div>  <!-- .wpforms-container --><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><div class=\"vc_row-full-width vc_clearfix\"><\/div>","protected":false},"excerpt":{"rendered":"To assist you with any services that you may need, please fill out this form and submit. 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