{"id":2178,"date":"2020-12-18T18:39:13","date_gmt":"2020-12-18T10:39:13","guid":{"rendered":"https:\/\/spot.com.hk\/?page_id=2178"},"modified":"2020-12-18T18:39:15","modified_gmt":"2020-12-18T10:39:15","slug":"consent-form","status":"publish","type":"page","link":"https:\/\/spot.com.hk\/zh_cn\/about\/forms\/consent-form\/","title":{"rendered":"\u540c\u610f\u6388\u6743\u4e66"},"content":{"rendered":"\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/zh_cn\/wp-json\/wp\/v2\/pages\/2178' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_6_19\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_19'>Name<\/label><div class='gfield_description' id='gfield_description_6_19'>\u8fd9\u4e2a\u5b57\u6bb5\u662f\u7528\u4e8e\u9a8c\u8bc1\u76ee\u7684\uff0c\u5e94\u8be5\u4fdd\u6301\u4e0d\u53d8\u3002<\/div><div class='ginput_container'><input name='input_19' id='input_6_19' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_6_2\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Please read carefully.<\/li><li id=\"field_6_12\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Your details<\/h2><\/li><li id=\"field_6_13\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Parent or guardian name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_6_13'>\n                            <span id='input_6_13_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_13.2' id='input_6_13_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Dr.' >Dr.<\/option><option value='Miss' >Miss<\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Ms.' >Ms.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option>\n                      <\/select>\n                                                    <label for='input_6_13_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u524d\u7f00<\/label>\n                                                  <\/span>\n                            <span id='input_6_13_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.3' id='input_6_13_3' value=''   aria-required='true'   placeholder='First'  \/>\n                                                    <label for='input_6_13_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u7b2c\u4e00\u9875<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_13_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.6' id='input_6_13_6' value=''   aria-required='true'   placeholder='Surname'  \/>\n                                                    <label for='input_6_13_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u540e\u4e00\u9875<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_6_15\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_15'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_6_15' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_14\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Child&#039;s Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_6_14'>\n                            \n                            <span id='input_6_14_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.3' id='input_6_14_3' value=''   aria-required='true'   placeholder='First'  \/>\n                                                    <label for='input_6_14_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u7b2c\u4e00\u9875<\/label>\n                                                <\/span>\n                            <span id='input_6_14_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.4' id='input_6_14_4' value=''   aria-required='false'   placeholder='Middle'  \/>\n                                                    <label for='input_6_14_4' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u5c45\u4e2d<\/label>\n                                                <\/span>\n                            <span id='input_6_14_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.6' id='input_6_14_6' value=''   aria-required='true'   placeholder='Surname'  \/>\n                                                    <label for='input_6_14_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u540e\u4e00\u9875<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_6_16\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_16'>Child&#039;s Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_16' id='input_6_16' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy-mm-dd' aria-describedby=\"input_6_16_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_16_date_format' class='screen-reader-text'>YYYY dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_16' class='gform_hidden' value='https:\/\/spot.com.hk\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_1\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I hereby consent to my child receiving therapy intervention at SPOT as deemed appropriate by the therapist team.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_1'>\n\t\t\t<li class='gchoice gchoice_6_1_0'>\n\t\t\t\t<input name='input_1' type='radio' value='Yes'  id='choice_6_1_0'    \/>\n\t\t\t\t<label for='choice_6_1_0' id='label_6_1_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_3\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I acknowledge and agree to the cancellation policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_3'><strong> including that I must provide 24\nhours notice to the therapist or provide a doctors note if a cancellation needs to be made,\notherwise I will be charged in full for the appointment (please find the <a href=\"http:\/\/www.spot.com.hk\/cancellation-policy\" target=\"_new\">full cancellation\npolicy on our website<\/a>).<\/strong><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_3'>\n\t\t\t<li class='gchoice gchoice_6_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='Yes'  id='choice_6_3_0'    \/>\n\t\t\t\t<label for='choice_6_3_0' id='label_6_3_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_4\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I understand that SPOT therapists participate in regular confidential clinical supervision in order to support best practice and continuing professional development. I understand that my child\/family case may be presented in supervision within the bounds of confidentially.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_4'>\n\t\t\t<li class='gchoice gchoice_6_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_6_4_0'    \/>\n\t\t\t\t<label for='choice_6_4_0' id='label_6_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_6\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >\n\n<strong>SPOT Centre Ltd uses suspended equipment for moving, climbing and balancing in order to provide children with beneficial therapeutic experiences. SPOT therapists always exercise the utmost care in order to minimise risk. As with any indoor playground setting, there is always a risk with using playground and gym equipment despite the use of cushions, padding, mats and adult supervision. An important part of risk minimisation is ensuring that you always inform your child\u2019s therapist of any change in health, medication or home situation especially those that may impact reaction time and motor control. <\/strong><\/li><li id=\"field_6_5\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I have fully read the above statements and understand the inherent risks involved during play and activities using the SPOT equipment and give permission for my child to participate.  I hereby release SPOT Centre Ltd owners and employees from any liability, claims, demands and causes of action, nor or in the future, resulting from soreness or injury however caused, occurring during or after my child\u2019s reasonable and appropriate participation in therapy.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_5'>\n\t\t\t<li class='gchoice gchoice_6_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Yes'  id='choice_6_5_0'    \/>\n\t\t\t\t<label for='choice_6_5_0' id='label_6_5_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_7\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I would like to receive the monthly e-newsletter from SPOT about parent courses, child groups and general SPOT updates.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_7'>\n\t\t\t<li class='gchoice gchoice_6_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Yes'  id='choice_6_7_0'    \/>\n\t\t\t\t<label for='choice_6_7_0' id='label_6_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='No'  id='choice_6_7_1'    \/>\n\t\t\t\t<label for='choice_6_7_1' id='label_6_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_8\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I authorise SPOT therapists to photograph\/video my child for the sole purpose of keeping clinical records.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_8'>\n\t\t\t<li class='gchoice gchoice_6_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Yes'  id='choice_6_8_0'    \/>\n\t\t\t\t<label for='choice_6_8_0' id='label_6_8_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='No'  id='choice_6_8_1'    \/>\n\t\t\t\t<label for='choice_6_8_1' id='label_6_8_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_9\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I authorise SPOT therapists to liaise with other professionals who are also involved in my child&#039;s therapy and learning. (Please list below)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_9'>\n\t\t\t<li class='gchoice gchoice_6_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Yes'  id='choice_6_9_0'    \/>\n\t\t\t\t<label for='choice_6_9_0' id='label_6_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='No'  id='choice_6_9_1'    \/>\n\t\t\t\t<label for='choice_6_9_1' id='label_6_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_10\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Other Therapists<\/h2><\/li><li id=\"field_6_11\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please note name(s) and contact details of other therapist(s) and educator(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_11_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_11_col_2' class='gfield_list_col_even' \/><col id='gfield_list_11_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name<\/th><th scope=\"col\">Contact Information<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_11_cell1' data-label='Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_11[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_11_cell2' data-label='Contact Information'><input aria-invalid='false' aria-required=\"true\"  aria-label='Contact Information, Row 1' data-aria-label-template='Contact Information, Row {0}' type='text' name='input_11[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='\u6dfb\u52a0\u53e6\u4e00\u884c' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/spot.com.hk\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='\u6dfb\u52a0\u65b0\u884c' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='\u5220\u9664\u8fd9\u4e00\u884c' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/spot.com.hk\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='\u5220\u9664\u8fd9\u4e00\u884c' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Signature<\/h2><\/li><li id=\"field_6_17\" class=\"gfield gfield--type-signature gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_17'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_17'>Please 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