{"id":595,"date":"2021-02-13T22:08:52","date_gmt":"2021-02-13T22:08:52","guid":{"rendered":"https:\/\/syracusegrows.org\/?page_id=595"},"modified":"2021-02-13T22:08:52","modified_gmt":"2021-02-13T22:08:52","slug":"member-garden-registration-form","status":"publish","type":"page","link":"https:\/\/syracusegrows.org\/member-garden-registration-form\/","title":{"rendered":"Member Garden Registration Form"},"content":{"rendered":"<div class=\"wpb_row clearfix vc_row-fluid cs-row-container-wrap\"><div class=\"bg-color-left\" style=\"background-color: ;\"><\/div><div class=\"bg-color-right\" style=\"background-color: ;\"><\/div><div class=\"ww-parallax-bg\" style=\"background:#FFF ; opacity :0;\"><\/div><div class=\"container cs-row-container cshero_66114cc0f19d9 stripe-video-content \" ><div class=\"row\" style=\"color:  !important;\">\n\t<div class=\"vc_col-sm-9 wpb_column vc_column_container  \" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t<div class=\"wpb_text_column wpb_content_element \">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n                <div class='gf_browser_chrome gform_wrapper' id='gform_wrapper_2' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/wp-json\/wp\/v2\/pages\/595'>\n                        <div class='gform_heading'>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_11'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Garden Information<\/h2><\/li><li id='field_2_1'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_1' >Garden Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_12'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Garden Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_12' >\n                         <span class='ginput_full address_line_1' id='input_2_12_1_container' >\n                                        <input type='text' name='input_12.1' id='input_2_12_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_12_1' id='input_2_12_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_12_2_container' >\n                                        <input type='text' name='input_12.2' id='input_2_12_2' value=''   \/>\n                                        <label for='input_2_12_2' id='input_2_12_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_12_3_container' >\n                                    <input type='text' name='input_12.3' id='input_2_12_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_12_3' id='input_2_12_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_12_4_container' >\n                                        <select name='input_12.4' id='input_2_12_4'     aria-required=\"true\"><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' selected='selected'>New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_2_12_4' id='input_2_12_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_12_5_container' >\n                                    <input type='text' name='input_12.5' id='input_2_12_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_12_5' id='input_2_12_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_12.6' id='input_2_12_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_13'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Garden Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_13'><li class='gchoice_2_13_1'>\n\t\t\t\t\t\t\t\t<input name='input_13.1' type='checkbox'  value='Shared Harvest'  id='choice_2_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_13_1' id='label_2_13_1'>Shared Harvest<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_13_2'>\n\t\t\t\t\t\t\t\t<input name='input_13.2' type='checkbox'  value='Combo Shared \/ Individual'  id='choice_2_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_13_2' id='label_2_13_2'>Combo Shared \/ Individual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_13_3'>\n\t\t\t\t\t\t\t\t<input name='input_13.3' type='checkbox'  value='School Garden'  id='choice_2_13_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_13_3' id='label_2_13_3'>School Garden<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_13_4'>\n\t\t\t\t\t\t\t\t<input name='input_13.4' type='checkbox'  value='Individual Plots'  id='choice_2_13_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_13_4' id='label_2_13_4'>Individual Plots<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_13_5'>\n\t\t\t\t\t\t\t\t<input name='input_13.5' type='checkbox'  value='Donation Garden'  id='choice_2_13_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_13_5' id='label_2_13_5'>Donation Garden<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_13_6'>\n\t\t\t\t\t\t\t\t<input name='input_13.6' type='checkbox'  value='Market Garden'  id='choice_2_13_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_13_6' id='label_2_13_6'>Market Garden<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_13_7'>\n\t\t\t\t\t\t\t\t<input name='input_13.7' type='checkbox'  value='Other'  id='choice_2_13_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_13_7' id='label_2_13_7'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_15'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_15' >Garden Type: Other<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_2_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_14'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_14' >Garden Description (to appear on the Syracuse Grows website)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_2_14' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_7'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Garden Leader<\/h2><\/li><li id='field_2_8'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Garden Leader Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_8'>\n                            \n                            <span id='input_2_8_3_container' class='name_first' >\n                                                    <input type='text' name='input_8.3' id='input_2_8_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_8_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_8_6_container' class='name_last' >\n                                                    <input type='text' name='input_8.6' id='input_2_8_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_8_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_9'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Garden Leader Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_9' >\n                         <span class='ginput_full address_line_1' id='input_2_9_1_container' >\n                                        <input type='text' name='input_9.1' id='input_2_9_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_9_1' id='input_2_9_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_9_2_container' >\n                                        <input type='text' name='input_9.2' id='input_2_9_2' value=''   \/>\n                                        <label for='input_2_9_2' id='input_2_9_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_9_3_container' >\n                                    <input type='text' name='input_9.3' id='input_2_9_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_9_3' id='input_2_9_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_9_4_container' >\n                                        <select name='input_9.4' id='input_2_9_4'     aria-required=\"true\"><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' selected='selected'>New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_2_9_4' id='input_2_9_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_9_5_container' >\n                                    <input type='text' name='input_9.5' id='input_2_9_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_9_5' id='input_2_9_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_9.6' id='input_2_9_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_32'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_32' >Garden Leader Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_32' id='input_2_32' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_2_10'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_10' >Garden Leader Phone Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_2_10' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_35'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >List this contact information on Syracuse Grows website?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_35'><li class='gchoice_2_35_1'>\n\t\t\t\t\t\t\t\t<input name='input_35.1' type='checkbox'  value='Yes'  id='choice_2_35_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_35_1' id='label_2_35_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_22'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Information to list:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_22'><li class='gchoice_2_22_1'>\n\t\t\t\t\t\t\t\t<input name='input_22.1' type='checkbox'  value='Email' checked='checked' id='choice_2_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_22_1' id='label_2_22_1'>Email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_22_2'>\n\t\t\t\t\t\t\t\t<input name='input_22.2' type='checkbox'  value='Phone' checked='checked' id='choice_2_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_22_2' id='label_2_22_2'>Phone<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_36'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Register a secondary contact?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_36'><li class='gchoice_2_36_1'>\n\t\t\t\t\t\t\t\t<input name='input_36.1' type='checkbox'  value='Yes'  id='choice_2_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_36_1' id='label_2_36_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_16'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Secondary Contact<\/h2><\/li><li id='field_2_17'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Secondary Contact Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_17'>\n                            \n                            <span id='input_2_17_3_container' class='name_first' >\n                                                    <input type='text' name='input_17.3' id='input_2_17_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_17_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_17_6_container' class='name_last' >\n                                                    <input type='text' name='input_17.6' id='input_2_17_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_17_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_18'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Secondary Contact Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_18' >\n                         <span class='ginput_full address_line_1' id='input_2_18_1_container' >\n                                        <input type='text' name='input_18.1' id='input_2_18_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_18_1' id='input_2_18_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_18_2_container' >\n                                        <input type='text' name='input_18.2' id='input_2_18_2' value=''   \/>\n                                        <label for='input_2_18_2' id='input_2_18_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_18_3_container' >\n                                    <input type='text' name='input_18.3' id='input_2_18_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_18_3' id='input_2_18_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_18_4_container' >\n                                        <select name='input_18.4' id='input_2_18_4'     aria-required=\"true\"><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' selected='selected'>New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_2_18_4' id='input_2_18_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_18_5_container' >\n                                    <input type='text' name='input_18.5' id='input_2_18_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_18_5' id='input_2_18_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_18.6' id='input_2_18_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_19'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_19' >Secondary Contact Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_2_19' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_2_20'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_20' >Secondary Contact Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_20' id='input_2_20' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_37'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >List this contact information on Syracuse Grows website?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_37'><li class='gchoice_2_37_1'>\n\t\t\t\t\t\t\t\t<input name='input_37.1' type='checkbox'  value='Yes'  id='choice_2_37_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_37_1' id='label_2_37_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_25'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Information to list:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_25'><li class='gchoice_2_25_1'>\n\t\t\t\t\t\t\t\t<input name='input_25.1' type='checkbox'  value='Email' checked='checked' id='choice_2_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_1' id='label_2_25_1'>Email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_25_2'>\n\t\t\t\t\t\t\t\t<input name='input_25.2' type='checkbox'  value='Phone' checked='checked' id='choice_2_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_2' id='label_2_25_2'>Phone<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_26'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Tell us about your Garden<\/h2><\/li><li id='field_2_27'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_27' >Garden Goals for this year and subsequent years.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_2_27' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_28'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_28' >Provide a summary of the garden&#039;s typical annual schedule (e.g. regular workdays\/hours, annual events, etc.)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_2_28' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_29'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_29' >Approximate amount of land cultivated (e.g. 30 X 30 feet) and\/or number and size of raised beds<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_2_29' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_3' >Approximate number of people involved with the garden<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_4' >What do you grow?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_2_4' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_38'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'><\/h2><\/li><li id='field_2_30'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_30' >Signature<span class='gfield_required'>*<\/span><\/label><div ><div id='input_2_30_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' 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