{"id":931,"date":"2021-08-09T14:38:10","date_gmt":"2021-08-09T14:38:10","guid":{"rendered":"https:\/\/www.starsfromcare.be\/submit\/"},"modified":"2022-11-09T17:15:35","modified_gmt":"2022-11-09T17:15:35","slug":"submit","status":"publish","type":"page","link":"https:\/\/www.starsfromcare.be\/en\/submit\/","title":{"rendered":"REGISTER YOUR STAR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"931\" class=\"elementor elementor-931 elementor-97\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3350698 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3350698\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5259fc7\" data-id=\"5259fc7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-06753ac elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"06753ac\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-d57e210\" data-id=\"d57e210\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6f5c7b7 elementor-widget elementor-widget-text-editor\" data-id=\"6f5c7b7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Register your <strong>star<\/strong><\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2900110 elementor-widget elementor-widget-text-editor\" data-id=\"2900110\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If your partner, relative, colleague, friend or acquaintance has died from an illness or unfortunate accident as a result of doing their job, don&#8217;t hesitate to sign them up so we can create a digital memorial site.<\/p><p>They have invested much of their lives in caring, helping and supporting others. They have always been there for others, making the world a little nicer.<\/p><p>They deserve our eternal respect and should never be forgotten!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-db76947 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"db76947\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dfccba1\" data-id=\"dfccba1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4f7bbe9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4f7bbe9\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-e79ed0e\" data-id=\"e79ed0e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8f77c51 eael-contact-form-7-button-full-width elementor-widget elementor-widget-eael-contact-form-7\" data-id=\"8f77c51\" data-element_type=\"widget\" data-widget_type=\"eael-contact-form-7.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"eael-contact-form-7-wrapper\">\n                <div class=\"eael-contact-form eael-contact-form-7 eael-contact-form-8f77c51 labels-hide placeholder-show eael-contact-form-align-default\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f929-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"929\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/931#wpcf7-f929-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"929\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f929-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h4>DATA LAMENTED CARE WORKER\n<\/h4>\n<div class=\"column one-second\">\n\t<h6 style=\"margin-bottom: 5px;\">Name\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-lname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-lname\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Firstname\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-fname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-fname\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Place of residence\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-place\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-place\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Date of Birth\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-670\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Geboortedatum\" value=\"\" type=\"date\" name=\"date-670\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Date of Death\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-671\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Datum overlijden\" value=\"\" type=\"date\" name=\"date-671\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Employer\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-werkgever\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-werkgever\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Job\/function\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-job\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-job\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Cause of death\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-oorzaak\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-oorzaak\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"column one-second\">\n\t<h6 style=\"margin-bottom: 5px;\">Personal story\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"28\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"...\" name=\"your-message\"><\/textarea><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Upload picture (only jpg, png, pdf or jpeg)\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-604\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.png,.pdf,.jpeg\" aria-invalid=\"false\" type=\"file\" name=\"file-604\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"column one\">\n\t<h4>SUBMITTER DETAILS\n\t<\/h4>\n<\/div>\n<div class=\"column one-second\">\n\t<h6 style=\"margin-bottom: 5px;\">Name of submitter\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-lnameindiener\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-lnameindiener\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Firstname of submitter\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-fnameindiener\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-fnameindiener\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Relationship to lamented healthcare worker\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-relatie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-relatie\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"column one-second\">\n\t<h6 style=\"margin-bottom: 5px;\">E-mail address\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t<\/p>\n\t<h6 style=\"margin-bottom: 5px;\">Phone\n\t<\/h6>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"...\" value=\"\" type=\"text\" name=\"your-tel\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"column one\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n            <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Register your star If your partner, relative, colleague, friend or acquaintance has died from an illness or unfortunate accident as a result of doing their job,<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-931","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/pages\/931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/comments?post=931"}],"version-history":[{"count":5,"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/pages\/931\/revisions"}],"predecessor-version":[{"id":937,"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/pages\/931\/revisions\/937"}],"wp:attachment":[{"href":"https:\/\/www.starsfromcare.be\/en\/wp-json\/wp\/v2\/media?parent=931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}