{"id":1787,"date":"2024-08-19T02:04:53","date_gmt":"2024-08-19T02:04:53","guid":{"rendered":"https:\/\/vmtc.us\/?page_id=1787"},"modified":"2025-02-05T04:32:20","modified_gmt":"2025-02-05T04:32:20","slug":"prayer-session-request-form-date","status":"publish","type":"page","link":"https:\/\/www.vmtc.net\/en\/prayer-session-request-form-date\/","title":{"rendered":"Prayer Room Request Form"},"content":{"rendered":"<style id=\"wpforms-css-vars-1782\">\n\t\t\t\t#wpforms-1782 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-1782\"><form id=\"wpforms-form-1782\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1782\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/1787\" data-token=\"1438155995076f60aa2445a6d51ad91e\" data-token-time=\"1777398035\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\">\t\t<div id=\"wpforms-1782-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-1782-field_1\" >to provide Schedule<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-1782-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-1782-field_26-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"26\"><div id=\"wpforms-1782-field_26\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-1782-field_26-error\"><h2 style=\"text-align: center\">VMTC Prayer Session&nbsp; Request Form<\/h2>\n<p style=\"text-align: center\">\u201cBear one another\u2019s burdens, and in this way you will fulfill the law of Christ.\u201d \u2014Galatians 6:2<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1782-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><fieldset><legend class=\"wpforms-field-label\">Person Requesting Prayer <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1782-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" aria-errormessage=\"wpforms-1782-field_0-error\" required><label for=\"wpforms-1782-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1782-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" aria-errormessage=\"wpforms-1782-field_0-last-error\" required><label for=\"wpforms-1782-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1782-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_18\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1782-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-1782-field_18-error\" required><\/div><div id=\"wpforms-1782-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_19\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1782-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-1782-field_19-error\" required><\/div><div id=\"wpforms-1782-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_5\">Please select the prayer minister <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1782-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"First Available\"  class=\"choice-1 depth-1\"  >First Available<\/option><option value=\"Matthew Maderios\"  class=\"choice-2 depth-1\"  >Matthew Maderios<\/option><option value=\"Chris Dunn\"  class=\"choice-3 depth-1\"  >Chris Dunn<\/option><option value=\"Drew Mitchel\"  class=\"choice-4 depth-1\"  >Drew Mitchel<\/option><option value=\"Chris Cook\"  class=\"choice-5 depth-1\"  >Chris Cook<\/option><option value=\"Gina Cook\"  class=\"choice-17 depth-1\"  >Gina Cook<\/option><option value=\"Wyatt Cook\"  class=\"choice-8 depth-1\"  >Wyatt Cook<\/option><option value=\"Garett Cook\"  class=\"choice-6 depth-1\"  >Garett Cook<\/option><option value=\"Daniel Cook\"  class=\"choice-7 depth-1\"  >Daniel Cook<\/option><option value=\"Carlos Figueroa\"  class=\"choice-9 depth-1\"  >Carlos Figueroa<\/option><option value=\"Ricky Burger\"  class=\"choice-10 depth-1\"  >Ricky Burger<\/option><option value=\"Rachel Sullivan\"  class=\"choice-11 depth-1\"  >Rachel Sullivan<\/option><\/select><\/div><div id=\"wpforms-1782-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">Location <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1782-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1782-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Lighthouse Church 1090 California Street, Redding CA 96003\" aria-errormessage=\"wpforms-1782-field_20_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1782-field_20_1\">Lighthouse Church 1090 California Street, Redding CA 96003<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1782-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Lighthouse Worship Center 28740 Inwood Road, Shingletown, CA 96088\" aria-errormessage=\"wpforms-1782-field_20_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1782-field_20_2\">Lighthouse Worship Center 28740 Inwood Road, Shingletown, CA 96088<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1782-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Home Visit\" aria-errormessage=\"wpforms-1782-field_20_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1782-field_20_3\">Home Visit<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1782-field_20_4\" name=\"wpforms[fields][20][]\" value=\"Off Site Location\" aria-errormessage=\"wpforms-1782-field_20_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1782-field_20_4\">Off Site Location<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1782-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_2\">How can we pray for you <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-1782-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-1782-field_2-error\" required><\/textarea><\/div><div id=\"wpforms-1782-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_16\">Is there anything else you&#039;d like to share with us?:  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-1782-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-1782-field_16-error\" required><\/textarea><\/div><div id=\"wpforms-1782-field_7-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"7\"><h3 id=\"wpforms-1782-field_7\" aria-errormessage=\"wpforms-1782-field_7-error\">Please provide a date range to schedule the conference and suggest times that you are generally available.<\/h3><\/div><div id=\"wpforms-1782-field_8-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"8\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-1782-field_9-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_9\">Schedule prayer session between...<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1782-field_9\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][9][date]\" aria-errormessage=\"wpforms-1782-field_9-error\" ><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-1782-field_14-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_14-time\">Time<\/label><input type=\"text\" id=\"wpforms-1782-field_14-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-medium\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" name=\"wpforms[fields][14][time]\" aria-errormessage=\"wpforms-1782-field_14-time-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-1782-field_10-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_10\">and...<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1782-field_10\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][10][date]\" aria-errormessage=\"wpforms-1782-field_10-error\" ><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-1782-field_15-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_15-time\">and...  <\/label><input type=\"text\" id=\"wpforms-1782-field_15-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-medium\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" name=\"wpforms[fields][15][time]\" aria-errormessage=\"wpforms-1782-field_15-time-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1782-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1782-field_13\">Other: please specify <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1782-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-1782-field_13-error\" 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