{"id":3101,"date":"2025-08-07T23:12:26","date_gmt":"2025-08-07T23:12:26","guid":{"rendered":"https:\/\/hospiceyukon.net\/?page_id=3101"},"modified":"2025-08-07T23:12:26","modified_gmt":"2025-08-07T23:12:26","slug":"groupwaiver","status":"publish","type":"page","link":"https:\/\/hospiceyukon.net\/fr\/groupwaiver\/","title":{"rendered":"Group Participation waiver"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Group Participation Waiver<\/strong><\/p>\n<p>A Hospice Yukon group is intended to provide gentle grief support.\u00a0<\/p>\n<p>If you are increasing your activity level or will be doing physical activity your body is unaccustomed to, please seek the guidance of a medical professional before joining this group.<strong>\u00a0<\/strong><\/p>\n<p>I authorize Hospice Yukon staff and volunteers to provide first aid treatment to me and\/or contact Emergency Medical Services if in their reasonable discretion they determine such services are needed.<\/p>\n<p>I acknowledge that any activity involves risk.\u00a0 I freely assume those risks as a requirement of my participation in activities facilitated by Hospice Yukon.<\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-3100 forminator-design--basic  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-3100\" data-uid=\"69e9f3861705a\"><\/div>\n<form\n\t\t\t\tid=\"forminator-module-3100\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-3100 forminator-design--basic  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"3100\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"basic\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69e9f3861705a\" action=\"\"\n\t\t\t><\/p>\n<div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div>\n<div class=\"forminator-row\">\n<div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-text-1_69e9f3861705a\" id=\"forminator-field-text-1_69e9f3861705a-label\" class=\"forminator-label\">Name of Hospice Yukon Group <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-1_69e9f3861705a-description\" class=\"forminator-description\"><span data-limit=\"40\" data-type=\"characters\">0 \/ 40<\/span><\/span><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69e9f3861705a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"40\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69e9f3861705a\" id=\"forminator-field-date-1-picker_69e9f3861705a-label\" class=\"forminator-label\">Date Group Begins<\/label><\/p>\n<div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"\" id=\"forminator-field-date-1-picker_69e9f3861705a\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\">\n<div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\">\n<div class=\"forminator-col forminator-col-md-6\">\n<div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69e9f3861705a\" id=\"forminator-field-first-name-1_69e9f3861705a-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69e9f3861705a\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div>\n<\/div>\n<div class=\"forminator-col forminator-col-md-6\">\n<div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69e9f3861705a\" id=\"forminator-field-last-name-1_69e9f3861705a-label\" class=\"forminator-label\">Last Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69e9f3861705a\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12\">\n<div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\">\n<div class=\"forminator-col forminator-col-md-6\">\n<div class=\"forminator-field\"><label for=\"forminator-field-first-name-2_69e9f3861705a\" id=\"forminator-field-first-name-2_69e9f3861705a-label\" class=\"forminator-label\">Emergency Contact First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2-first-name\" placeholder=\"\" id=\"forminator-field-first-name-2_69e9f3861705a\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div>\n<\/div>\n<div class=\"forminator-col forminator-col-md-6\">\n<div class=\"forminator-field\"><label for=\"forminator-field-last-name-2_69e9f3861705a\" id=\"forminator-field-last-name-2_69e9f3861705a-label\" class=\"forminator-label\">Emergency Contact Last Name<\/label><input type=\"text\" name=\"name-2-last-name\" placeholder=\"\" id=\"forminator-field-last-name-2_69e9f3861705a\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e9f3861705a\" id=\"forminator-field-phone-1_69e9f3861705a-label\" class=\"forminator-label\">Emergency Contact Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_69e9f3861705a\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69e9f3861705a\" id=\"forminator-field-consent-1_69e9f3861705a-label\" class=\"forminator-label\">Waiver acknowledgement <span class=\"forminator-required\">*<\/span><\/label><\/p>\n<div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69e9f3861705a__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69e9f3861705a\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69e9f3861705a-label\" aria-describedby=\"forminator-field-consent-1_69e9f3861705a__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><\/p>\n<div id=\"forminator-field-consent-1_69e9f3861705a__description\" class=\"forminator-checkbox__label forminator-consent__label\">\n<strong>I have read this form and understand the content.&nbsp; <\/strong>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><\/p>\n<div class=\"forminator-row forminator-row-last\">\n<div class=\"forminator-col\">\n<div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send waiver to Hospice Yukon<\/button><\/div>\n<\/div>\n<\/div>\n<p><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"da79b5f636\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/3101\" \/><input type=\"hidden\" name=\"form_id\" value=\"3100\"><input type=\"hidden\" name=\"page_id\" value=\"3101\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/hospiceyukon.net\/fr\/groupwaiver\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"Group Participation Waiver A Hospice Yukon group is intended to provide gentle grief support.\u00a0 If you are increasing your activity level or will be doing physical activity your body is unaccustomed to, please seek the guidance of a medical professional before joining this group.\u00a0 I authorize Hospice Yukon staff and volunteers to provide first aid [...]","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3101","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/pages\/3101","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/comments?post=3101"}],"version-history":[{"count":1,"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/pages\/3101\/revisions"}],"predecessor-version":[{"id":3103,"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/pages\/3101\/revisions\/3103"}],"wp:attachment":[{"href":"https:\/\/hospiceyukon.net\/fr\/wp-json\/wp\/v2\/media?parent=3101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}