{"id":93,"date":"2014-10-02T21:54:51","date_gmt":"2014-10-02T21:54:51","guid":{"rendered":"http:\/\/ucfs.l\/?page_id=93"},"modified":"2016-04-14T18:44:22","modified_gmt":"2016-04-14T18:44:22","slug":"contact","status":"publish","type":"page","link":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/contact","title":{"rendered":"Contact"},"content":{"rendered":"<p>If you or\u00a0a loved one is interested in contacting Ross Adult Day Center\u00a0for additional information, or scheduling a tour, please fill out our\u00a0form.\u00a0Thank you for your interest, someone will get back to you.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f176-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"176\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ross-adult-day-center\/wp-json\/wp\/v2\/pages\/93#wpcf7-f176-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"176\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f176-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label> Name <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n<\/p>\n<p><label> Relationship to potential participant<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"relationship\"><option value=\"Self\">Self<\/option><option value=\"Family Member\">Family Member<\/option><option value=\"Friend\">Friend<\/option><option value=\"Provider\">Provider<\/option><option value=\"Nursing Home\">Nursing Home<\/option><option value=\"Hospital\">Hospital<\/option><option value=\"Case Manager\">Case Manager<\/option><\/select><\/span>\n<\/p>\n<p><label> Name of the potential participant (optional) <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"client_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"client_name\" \/><\/span>\n<\/p>\n<p><label> Age of potential participant (optional) <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"client_age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"client_age\" \/><\/span>\n<\/p>\n<p><label> Town of residence <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"town-residence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"town-residence\" \/><\/span>\n<\/p>\n<p><label> How did you hear about the Center? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"how_did_you_hear\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"how_did_you_hear\"><\/textarea><\/span>\n<\/p>\n<p><label>Please provide your phone or email and we will contact you.<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone\" \/><\/span>\n<\/p>\n<p>[recaptcha]\n<\/p>\n<div class=\"submit\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/ucfseldercare.org\/ross-adult-day-center\/contact\" data-layout=\"button\" data-action=\"like\" data-show-faces=\"false\" data-size=\"small\" data-width=\"450\" data-share=\"\" ><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n","protected":false},"excerpt":{"rendered":"<p>If you or\u00a0a loved one is interested in contacting Ross Adult Day Center\u00a0for additional information, or scheduling a tour, please fill out our\u00a0form.\u00a0Thank you for your interest, someone will get back to you.<\/p>\n","protected":false},"author":1,"featured_media":605,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"blank.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-93","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/pages\/93","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/comments?post=93"}],"version-history":[{"count":26,"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/pages\/93\/revisions"}],"predecessor-version":[{"id":958,"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/pages\/93\/revisions\/958"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/media\/605"}],"wp:attachment":[{"href":"https:\/\/ucfseldercare.org\/ross-adult-day-center\/wp-json\/wp\/v2\/media?parent=93"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}