{"id":508,"date":"2021-08-05T14:57:04","date_gmt":"2021-08-05T14:57:04","guid":{"rendered":"https:\/\/impactacademyschool.org\/?page_id=508"},"modified":"2026-03-10T12:14:08","modified_gmt":"2026-03-10T16:14:08","slug":"registration","status":"publish","type":"page","link":"https:\/\/impactacademyschool.org\/index.php\/registration\/","title":{"rendered":"Pre-Registration"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-776\"><form id=\"wpforms-form-776\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"776\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/508?wpforms_form_id=776\" data-token=\"0bfa395857d0f91e2791a2cabc64ab24\" data-token-time=\"1775601037\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-776-field_48-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_48\">Location <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-776-field_48\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][48]\" required=\"required\"><option value=\"Seffner\"  class=\"choice-1 depth-1\"  >Seffner<\/option><\/select><div class=\"wpforms-field-description\">We are not accepting new students at our South Tampa Campus at this time. <\/div><\/div><div id=\"wpforms-776-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Interested in: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_3\" class=\"wpforms-field-required\"><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_3_6\" name=\"wpforms[fields][3][]\" value=\"ABA Therapy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_3_6\">ABA Therapy<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_3_8\" name=\"wpforms[fields][3][]\" value=\"Speech\/Language Therapy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_3_8\">Speech\/Language Therapy<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_3_7\" name=\"wpforms[fields][3][]\" value=\"Occupational Therapy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_3_7\">Occupational Therapy<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_3_5\" name=\"wpforms[fields][3][]\" value=\"Before\/After Care\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_3_5\">Before\/After Care<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_3_9\" name=\"wpforms[fields][3][]\" value=\"Transportation Services (Seffner Location Only\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_3_9\">Transportation Services (Seffner Location Only<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Choose all that apply.\n<\/div><\/div><div id=\"wpforms-776-field_6-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_6\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-776-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-776-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Student Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-776-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-776-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-776-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-776-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-776-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_26\">Parent Name(s) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/div><div id=\"wpforms-776-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_39\">Parent Occupation(s) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" required><\/div><div id=\"wpforms-776-field_2-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-776-field_2\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][2][address1]\" required><label for=\"wpforms-776-field_2\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-776-field_2-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][2][address2]\" ><label for=\"wpforms-776-field_2-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-776-field_2-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][2][city]\" required><label for=\"wpforms-776-field_2-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-776-field_2-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][2][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-776-field_2-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-776-field_2-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][2][postal]\" required><label for=\"wpforms-776-field_2-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-776-field_4-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"4\"><label class=\"wpforms-field-label\">DOB <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][4][date][m]\" id=\"wpforms-776-field_4-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][4][date][d]\" id=\"wpforms-776-field_4-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][4][date][y]\" id=\"wpforms-776-field_4-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/div><div id=\"wpforms-776-field_5-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_5\">Diagnosis(es) <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-776-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/textarea><\/div><div id=\"wpforms-776-field_7-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_7\">Primary Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-776-field_7\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][7]\" aria-label=\"Primary Phone\" required><\/div><div id=\"wpforms-776-field_8-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_8\">Secondary Phone<\/label><input type=\"tel\" id=\"wpforms-776-field_8\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][8]\" aria-label=\"Secondary Phone\" ><\/div><div id=\"wpforms-776-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_9\">Current School <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-776-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Dismissed from previous school(s)? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_11_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_10-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_10\">Reason for Changing School\/Dismissal <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-776-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/textarea><\/div><div id=\"wpforms-776-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Does student have: (Please check all that apply) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_12_1\" name=\"wpforms[fields][12][]\" value=\"IEP\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_12_1\">IEP<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_12_2\" name=\"wpforms[fields][12][]\" value=\"504 Plan\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_12_2\">504 Plan<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_17-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_17\">Please upload IEP\/Behavior Plan <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"17\"\n\t\tdata-form-id=\"776\"\n\t\tdata-input-name=\"wpforms_776_17\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"2097152\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"2097152\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-776-field_17\"\n\t\tname=\"wpforms_776_17\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-776-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_14\">Scholarship Information <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" required><div class=\"wpforms-field-description\">Please give the full name of the scholarship.<\/div><\/div><div id=\"wpforms-776-field_40-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_40\">Date scholarship application was submitted: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-776-field_40\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][40][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-776-field_42-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"42\"><label class=\"wpforms-field-label\">Has the scholarship been approved? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_42\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_42_1\" name=\"wpforms[fields][42]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_42_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_42_2\" name=\"wpforms[fields][42]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_42_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_47\">Award ID? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_47\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][47]\" required><div class=\"wpforms-field-description\">Please go into your EMA account to your dashboard under \"My Student\" to find your child's Award ID.<\/div><\/div><div id=\"wpforms-776-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_15\">Scholarship Award Amount <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><div class=\"wpforms-field-description\">Please enter \"unknown\" if scholarship award amount has not yet been issued.<\/div><\/div><div id=\"wpforms-776-field_16-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_16\">Scholarship Award Letter<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"16\"\n\t\tdata-form-id=\"776\"\n\t\tdata-input-name=\"wpforms_776_16\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"2097152\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"2097152\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-776-field_16\"\n\t\tname=\"wpforms_776_16\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-776-field_46-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Matrix Score? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_46_1\" name=\"wpforms[fields][46][]\" value=\"251\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_46_1\">251<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_46_2\" name=\"wpforms[fields][46][]\" value=\"252\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_46_2\">252<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_46_3\" name=\"wpforms[fields][46][]\" value=\"253\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_46_3\">253<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_46_5\" name=\"wpforms[fields][46][]\" value=\"254\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_46_5\">254<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_46_4\" name=\"wpforms[fields][46][]\" value=\"255\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_46_4\">255<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-776-field_46_6\" name=\"wpforms[fields][46][]\" value=\"I don&#039;t have a Matrix Score yet\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_46_6\">I don't have a Matrix Score yet<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please go into your EMA account to your dashboard under \"My Student\" to find your child's Matrix Score. <\/div><\/div><div id=\"wpforms-776-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_18\">Medical Insurance Company <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/div><div id=\"wpforms-776-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_19\">Policy Number<\/label><input type=\"text\" id=\"wpforms-776-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-776-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_22\">ABA Therapy Company <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-776-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-776-field_21-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Previously required 1\/1? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_21_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_32-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"32\"><label class=\"wpforms-field-label\">Is your child potty-trained? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_32_1\" name=\"wpforms[fields][32]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_32_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_32_2\" name=\"wpforms[fields][32]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_32_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_33-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"33\"><label class=\"wpforms-field-label\">Does your child have a history of seizures? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_33_1\" name=\"wpforms[fields][33]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_33_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_33_2\" name=\"wpforms[fields][33]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_33_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_24\">Date of last seizure, if applicable.<\/label><input type=\"text\" id=\"wpforms-776-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-776-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Does your child have pica? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_34_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_34_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_35-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"35\"><label class=\"wpforms-field-label\">Is your child an elopement risk? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_35_1\" name=\"wpforms[fields][35]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_35_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_35_2\" name=\"wpforms[fields][35]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_35_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_36-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"36\"><label class=\"wpforms-field-label\">Does your child have allergies? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_36_1\" name=\"wpforms[fields][36]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_36_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_36_2\" name=\"wpforms[fields][36]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_36_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_25-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_25\">Allergies:<\/label><textarea id=\"wpforms-776-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" ><\/textarea><\/div><div id=\"wpforms-776-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"37\"><label class=\"wpforms-field-label\">Does your child exhibit disruptive behavior? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_37\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_37_1\" name=\"wpforms[fields][37]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_37_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_37_2\" name=\"wpforms[fields][37]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_37_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_38-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"38\"><label class=\"wpforms-field-label\">Does your child take medicine during school hours? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-776-field_38\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_38_1\" name=\"wpforms[fields][38]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_38_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-776-field_38_2\" name=\"wpforms[fields][38]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-776-field_38_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-776-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_23\">List of current medications, if any.<\/label><input type=\"text\" id=\"wpforms-776-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><\/div><div id=\"wpforms-776-field_29-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_29\">Dietary Restrictions?<\/label><textarea id=\"wpforms-776-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" ><\/textarea><\/div><div id=\"wpforms-776-field_30-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_30\">Additional Information?<\/label><textarea id=\"wpforms-776-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><\/textarea><\/div><div id=\"wpforms-776-field_44-container\" class=\"wpforms-field wpforms-field-richtext wpforms-field-medium\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-776-field_44\">Rich Text<\/label><div id=\"wp-wpforms-776-field_44-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/impactacademyschool.org\/wp-includes\/css\/dashicons.min.css?ver=6.9.4' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/impactacademyschool.org\/wp-includes\/css\/editor.min.css?ver=6.9.4' media='all' \/>\n<div id=\"wp-wpforms-776-field_44-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"wpforms-776-field_44-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"wpforms-776-field_44\">Visual<\/button>\n<button type=\"button\" id=\"wpforms-776-field_44-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"wpforms-776-field_44\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-wpforms-776-field_44-editor-container\" class=\"wp-editor-container\"><div id=\"qt_wpforms-776-field_44_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" style=\"height: 120px\" autocomplete=\"off\" cols=\"40\" name=\"wpforms[fields][44]\" id=\"wpforms-776-field_44\"><\/textarea><\/div>\n<\/div>\n\n<div class=\"wpforms-field-description\">Thank you for your interest in Impact Academy. . If your child's funding has already been approved, you will be contacted in 24-48 hours to schedule a tour of our school. If not, the Pre-Registration Form will be kept on file. Please contact us for a school tour for the upcoming year upon scholarship approval.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"776\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/pages\/508\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-776\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/impactacademyschool.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"full-width","neve_meta_container":"","neve_meta_enable_content_width":"on","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"class_list":["post-508","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/pages\/508","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/comments?post=508"}],"version-history":[{"count":3,"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/pages\/508\/revisions"}],"predecessor-version":[{"id":824,"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/pages\/508\/revisions\/824"}],"wp:attachment":[{"href":"https:\/\/impactacademyschool.org\/index.php\/wp-json\/wp\/v2\/media?parent=508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}