{"id":1637,"date":"2022-05-10T13:48:39","date_gmt":"2022-05-10T18:48:39","guid":{"rendered":"https:\/\/wp.stolaf.edu\/sss\/?page_id=1637"},"modified":"2023-06-07T08:37:08","modified_gmt":"2023-06-07T13:37:08","slug":"participant-consent-form-summer-bridge","status":"publish","type":"page","link":"https:\/\/wp.stolaf.edu\/sss\/participant-consent-form-summer-bridge\/","title":{"rendered":"Participant Consent Form (Summer Bridge)"},"content":{"rendered":"<div data-modular-content-collection><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 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_14' ><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/sss\/wp-json\/wp\/v2\/pages\/1637' data-formid='14' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_14_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name 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                                       <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_14_3\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-email\"  data-field-class=\"gf-email\" ><label class='gfield_label gform-field-label' for='input_14_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_14_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_14_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><legend class='gfield_label gform-field-label' >I understand that St. Olaf College and the SSS Summer Bridge Program have no obligation to provide health, accident, disability or hospitalization insurance for me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_5'>\n\t\t\t<div class='gchoice gchoice_14_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Yes'  id='choice_14_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_5_0' id='label_14_5_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='No'  id='choice_14_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_5_1' id='label_14_5_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><legend class='gfield_label gform-field-label' >I hereby release and discharge the Student Support Services Program and St. Olaf College, its regents, officers, employees, agents, successors and assigns from any and all claims and liabilities arising out of my participation in the Student Support Services Program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container 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gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><legend class='gfield_label gform-field-label' >I agree without limitation to indemnify, defend and hold harmless the Student Support Services Program, St. Olaf College, its regents, officers, employees, successors and assigns from any and all claims and liabilities asserted by or on behalf of myself arising out of my participation in the Student Support Services Summer Bridge Program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_7'>\n\t\t\t<div class='gchoice gchoice_14_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Yes'  id='choice_14_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_7_0' id='label_14_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='No'  id='choice_14_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_7_1' id='label_14_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><legend class='gfield_label gform-field-label' >This waiver will be governed by the laws of the State of Minnesota.  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