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76.223.85.201
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URL:
https://www.givepulse.com/survey/take/uhEVJ6hWKMaRNaxjVliO
Submission: On May 18 via api from US — Scanned from DE
Submission: On May 18 via api from US — Scanned from DE
Form analysis
4 forms found in the DOM<form id="reset-form">
<input id="ResetForm_email" class="loginInput" type="text" autocomplete="off" title="Email" name="ResetForm[email]" placeholder="Email" value="">
<div style="margin-top:10px;">
<button class="btn btn-login btn btn-block" id="resetPassword" rel="nofollow" type="submit" name="yt5">Send Reset Link</button>
</div>
</form>
POST
<form id="join-form" class="gp-signin" method="post" style="margin-bottom: 0px;">
<input id="RegisterForm_first_name" class="loginInput" type="text" autocomplete="off" title="First Name" name="RegisterForm[first_name]" required="" placeholder="First Name" value="">
<input id="RegisterForm_last_name" class="loginInput" type="text" autocomplete="off" title="Last Name" name="RegisterForm[last_name]" required="" placeholder="Last Name" value="">
<input id="RegisterForm_zip" class="loginInput" type="text" autocomplete="off" title="Postal Code" name="RegisterForm[zip]" required="" placeholder="Zip or Postal Code" value="">
<input id="RegisterForm_email" class="loginInput" type="text" autocomplete="off" title="Email" name="RegisterForm[email]" required="" placeholder="Email" value="">
<input id="RegisterForm_password" class="loginInput" type="password" autocomplete="off" title="Password" name="RegisterForm[password]" required="" placeholder="Password">
<div class="gandalfMeter progress ">
<div class="bar bar-danger" style="width: 1%;"><span class="password-verdict"></span></div>
</div>
<div class="meta"></div>
<hr>
<input type="checkbox" id="RegisterForm_agreed_to_tos" name="RegisterForm[agreed_to_tos]" required="" value="1" title="Terms of Service agreement" aria-labelledby="tos-hint"> <span id="tos-hint">By checking Agree to Terms of Service, you agree to
our <a href="/terms">Terms</a> and that you have read our <a href="/policies">Data Use Policy</a>.</span>
<hr>
<div class="recaptcha-signup">
<div id="recaptchaDiv">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcTKUMUAAAAAMjVYFzCUfX0qaQB18AIsMcv2kfX&co=aHR0cHM6Ly93d3cuZ2l2ZXB1bHNlLmNvbTo0NDM.&hl=en&v=0aeEuuJmrVqDrEL39Fsg5-UJ&size=normal&cb=g8ip7stbjtpe"
width="304" height="78" role="presentation" name="a-vl6rr9x5kwge" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
<input type="hidden" id="recaptcha_opt_widget_id">
</div>
<div>
<button class="btn btn-join btn btn-block" type="submit" name="yt4">Create Account</button>
</div>
</form>
POST /site/login
<form id="login-form" action="/site/login" class="gp-signin" method="post" style="margin-bottom: 0px;">
<input id="LoginForm_email" class="loginInput" type="text" autocomplete="off" title="Email" name="LoginForm[email]" required="" placeholder="Email" value="">
<input id="LoginForm_password" class="loginInput" type="password" autocomplete="off" title="Password" name="LoginForm[password]" required="" placeholder="Password">
<div style="text-align:right;">
<a data-dismiss="modal" data-toggle="modal" data-target="#forgotPasswordModal" rel="nofollow" href="#">Forgot Password</a>
</div>
<div style="margin-top:10px;">
<button class="btn btn-login btn btn-block" rel="nofollow" type="submit" name="yt3">Log In</button>
</div>
</form>
POST /survey/take/uhEVJ6hWKMaRNaxjVliO
<form class="customfields form-vertical" enctype="multipart/form-data" id="survey-response-update-form" action="/survey/take/uhEVJ6hWKMaRNaxjVliO" method="post">
<div id="survey-body"><input name="SurveyResponse[id]" id="SurveyResponse_id" type="hidden">
<div id="errors" style="display: none"></div>
<div class="cf-section" id="userInfoDiv">
<div class="control-group cf-section-header">
<div class="">
<h3 style="font-size: 20px!important;" id="">Your Information</h3>
<p></p>
</div>
</div>
<div class="control-group" style="margin-top:20px;">
<div id="userInfo">
<label style="font-weight:500;font-size:18px;" for="User_first_name" class="required">First Name <span class="required">*</span></label><input class="span5" name="User[first_name]" id="User_first_name" type="text" maxlength="60" value="">
<p class="help-block"></p><label style="font-weight:500;font-size:18px;" for="User_last_name" class="required">Last Name <span class="required">*</span></label><input class="span5" name="User[last_name]" id="User_last_name" type="text"
maxlength="60" value="">
<p class="help-block"></p><label style="font-weight:500;font-size:18px;" for="User_email" class="required">Email Address <span class="required">*</span></label><input class="span5" name="User[email]" id="User_email" type="text"
maxlength="150" value="">
<p class="help-block"></p><label style="font-weight:500;font-size:18px;" for="User_phone">Phone Number</label><input class="span5" name="User[phone]" id="User_phone" type="text" maxlength="100" value="">
<p class="help-block"></p>
</div>
</div>
</div>
<style type="text/css">
.cf-section {
border-color: #e3e3e3;
background-color: #fff;
border-width: 1px;
border-style: solid;
margin-bottom: 20px;
border-radius: 5px;
}
.cf-section .control-group {
padding: 0 19px;
margin-bottom: 15px;
}
.cf-section .cf-section-header {
background-color: #f8f8f8;
border-bottom: 0px;
padding: 10px 10px 10px 10px;
margin-bottom: 0px !important;
}
.cf-section .control-group textarea {
box-sizing: border-box;
width: 100% !important;
}
</style>
<div class="cf-section">
<div class="control-group cf-section-header" style="" id="cf-header-76644">
<div class="">
<h3 style="font-size: 20px!important;" id="CustomField_CustomFieldValue_76644">Volunteers must be at least 8 years old to participate in activities of the Regional Food Bank (unless stated otherwise on volunteer event information).
Volunteers under the age of 18 must have a signed Volunteer Permission Form in order to participate. Volunteers under the age of 16 must be accompanied by an adult over the age of 21 in order to participate.</h3>
<p class="help-block"></p>
</div>
</div>
<div class="control-group" style="margin-bottom:10px;" id="control-group-76645"><label class="control-label required" for="CustomField_CustomFieldValue_76645">Child's/Minor's Name<span class="required"> *</span> </label>
<div class="controls"><input class="span5" maxlength="255" type="text" value="" name="CustomField[CustomFieldValue][76645]" id="CustomField_CustomFieldValue_76645"></div>
</div>
<div class="control-group" style="margin-bottom:10px;" id="control-group-76646"><label class="control-label required" for="CustomField_CustomFieldValue_76646">Age of Child/Minor<span class="required"> *</span> </label>
<div class="controls"><input class="span5" maxlength="255" type="text" value="" name="CustomField[CustomFieldValue][76646]" id="CustomField_CustomFieldValue_76646"></div>
</div>
<div class="control-group">
<div class="controls">
<div style="display:inline-flex;margin-top:1em;"><input type="hidden" value="0" name="CustomField[CustomFieldValue][76647]"><input style="margin-bottom:9px;margin-right:10px!important;width:18px;height:18px;flex-shrink:0;" type="checkbox"
value="1" name="CustomField[CustomFieldValue][76647]" id="CustomField_CustomFieldValue_76647">
<label class="control-label" style="display:inline-block;width:auto;font-weight:inherit;font-size:18px;margin:-3px 0 0 0;" for="CustomField_CustomFieldValue_76647"> I as the parent of my child give permission for her/him to participate in
a volunteer activity at the Regional Food Bank of Oklahoma. </label>
</div>
</div>
</div>
<div class="control-group">
<div class="controls">
<div style="display:inline-flex;margin-top:1em;"><input type="hidden" value="0" name="CustomField[CustomFieldValue][107611]"><input style="margin-bottom:9px;margin-right:10px!important;width:18px;height:18px;flex-shrink:0;" type="checkbox"
value="1" name="CustomField[CustomFieldValue][107611]" id="CustomField_CustomFieldValue_107611">
<label class="control-label" style="display:inline-block;width:auto;font-weight:inherit;font-size:18px;margin:-3px 0 0 0;" for="CustomField_CustomFieldValue_107611"> I also agree that the Regional Food Bank and its representatives may
take photographs, videos and other images or audio recordings of him/her, and I consent to the Regional Food Bank’s use of the photographs, videos and other images or audio recordings taken or produced. The Regional Food Bank and/or
Feeding America may use those items in fundraising, for marketing and promotional purposes, and in electronic media for an unlimited time period, and I will not be entitled to receive any compensation, payment, royalty or other
remuneration from the Regional Food Bank (to opt out of this media/marketing section of this Volunteer Permission form, please contact Cathy Nestlen at cnestlen@rfbo.org * </label>
</div>
</div>
</div>
<div class="control-group">
<div class="controls">
<div style="display:inline-flex;margin-top:1em;"><input type="hidden" value="0" name="CustomField[CustomFieldValue][76648]"><input style="margin-bottom:9px;margin-right:10px!important;width:18px;height:18px;flex-shrink:0;" type="checkbox"
value="1" name="CustomField[CustomFieldValue][76648]" id="CustomField_CustomFieldValue_76648">
<label class="control-label" style="display:inline-block;width:auto;font-weight:inherit;font-size:18px;margin:-3px 0 0 0;" for="CustomField_CustomFieldValue_76648"> I acknowledge that I have read and understand this Volunteer Permission
Form and am voluntarily executing it. By checking off, I give my permission and agree to allow my child to volunteer his or her work or services for or at the facilities of the Regional Food Bank. Unless approved in writing by a
representative of the Oklahoma Regional Food Bank, no alterations to this permission form are valid, regardless of when such alterations were added. By signing my signature below, I understand I agree to all of the terms and conditions
set forth herein. I understand that I must also sign and agree to all of the terms and conditions in the Regional Food Bank’s Liability Release/Waiver & Indemnity Agreement for my child to be able to volunteer his or her work or
services for or at the facilities of the Regional Food Bank. * </label>
</div>
</div>
</div>
<div class="control-group">
<div class="controls">
<div style="display:inline-flex;margin-top:1em;"><input style="margin-bottom:9px;margin-right:10px!important;width:18px;height:18px;flex-shrink:0;" type="checkbox" value="1" name="CustomField[CustomFieldValue][89837]"
id="CustomField_CustomFieldValue_89837">
<label class="control-label required" style="display:inline-block;width:auto;font-weight:inherit;font-size:18px;margin:-3px 0 0 0;" for="CustomField_CustomFieldValue_89837"> I verify that I am the parent/guardian of the minor mentioned
above. <span class="required">*</span>
</label>
</div>
</div>
</div>
<div class="control-group" style="margin-bottom:10px;" id="control-group-76649"><label class="control-label required" for="CustomField_CustomFieldValue_76649">Parent/Guardian Name<span class="required"> *</span> </label>
<div class="controls"><input class="span5" maxlength="255" type="text" value="" name="CustomField[CustomFieldValue][76649]" id="CustomField_CustomFieldValue_76649"></div>
</div>
<div class="control-group" style="margin-bottom:10px;" id="control-group-76651"><label class="control-label required" for="CustomField_CustomFieldValue_76651">Relation to Youth<span class="required"> *</span> </label>
<div class="controls"><input class="span5" maxlength="255" type="text" value="" name="CustomField[CustomFieldValue][76651]" id="CustomField_CustomFieldValue_76651"></div>
</div>
<div class="control-group" style="margin-bottom:10px;" id="control-group-76652"><label class="control-label required" for="CustomField_CustomFieldValue_76652">Date<span class="required"> *</span> </label>
<div class="controls"><input type="hidden" value="" name="CustomField[CustomFieldValue][76652]" id="CustomField_CustomFieldValue_76652"><input style="width:100px;" autocomplete="off" id="select_CustomField_CustomFieldValue_76652" type="text"
value="" name="select_CustomField[CustomFieldValue][76652]" class="hasDatepicker"></div>
</div>
</div>
<div id="recaptchaDivSurveyGuest">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcTKUMUAAAAAMjVYFzCUfX0qaQB18AIsMcv2kfX&co=aHR0cHM6Ly93d3cuZ2l2ZXB1bHNlLmNvbTo0NDM.&hl=en&v=0aeEuuJmrVqDrEL39Fsg5-UJ&size=normal&cb=22rbsvk1dgo1"
width="304" height="78" role="presentation" name="a-hgmzl4cvq9cv" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div><textarea id="g-recaptcha-response-1" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
<div class="" style="background: #fff;margin-top:20px;">
<button class="btn btn-primary btn-large btn1 btn" style="margin-right: 10px;" id="submitSurveyResponseButton" type="submit" name="yt0">Submit</button>
</div>
</form>
Text Content
RESET PASSWORD Enter the email address associated with your account, and we'll email you a link to reset your password. Setting a password will also claim your account. Send Reset Link -------------------------------------------------------------------------------- Don’t have an account? Sign Up Sign up with Facebook Sign up with Google Single Sign On (SSO) Create Account Clear Cancel or -------------------------------------------------------------------------------- By checking Agree to Terms of Service, you agree to our Terms and that you have read our Data Use Policy. -------------------------------------------------------------------------------- Create Account -------------------------------------------------------------------------------- Already a Member? Log In Log in with Facebook Log in with Google Single Sign On (SSO) Login Clear Cancel or Forgot Password Log In -------------------------------------------------------------------------------- Don’t have an account? Sign Up × ADD PARTNER Please scroll down to view and answer all questions SaveCancel Skip to Main Content * English * Español * Français * Explore * List Event * About * Sign Up * Log In × Regional Food Bank of Oklahoma Parent/Guardian Volunteer Permission Agreement Log InSign Up Already have a GivePulse account? YOUR INFORMATION First Name * Last Name * Email Address * Phone Number VOLUNTEERS MUST BE AT LEAST 8 YEARS OLD TO PARTICIPATE IN ACTIVITIES OF THE REGIONAL FOOD BANK (UNLESS STATED OTHERWISE ON VOLUNTEER EVENT INFORMATION). VOLUNTEERS UNDER THE AGE OF 18 MUST HAVE A SIGNED VOLUNTEER PERMISSION FORM IN ORDER TO PARTICIPATE. VOLUNTEERS UNDER THE AGE OF 16 MUST BE ACCOMPANIED BY AN ADULT OVER THE AGE OF 21 IN ORDER TO PARTICIPATE. Child's/Minor's Name * Age of Child/Minor * I as the parent of my child give permission for her/him to participate in a volunteer activity at the Regional Food Bank of Oklahoma. I also agree that the Regional Food Bank and its representatives may take photographs, videos and other images or audio recordings of him/her, and I consent to the Regional Food Bank’s use of the photographs, videos and other images or audio recordings taken or produced. The Regional Food Bank and/or Feeding America may use those items in fundraising, for marketing and promotional purposes, and in electronic media for an unlimited time period, and I will not be entitled to receive any compensation, payment, royalty or other remuneration from the Regional Food Bank (to opt out of this media/marketing section of this Volunteer Permission form, please contact Cathy Nestlen at cnestlen@rfbo.org * I acknowledge that I have read and understand this Volunteer Permission Form and am voluntarily executing it. By checking off, I give my permission and agree to allow my child to volunteer his or her work or services for or at the facilities of the Regional Food Bank. Unless approved in writing by a representative of the Oklahoma Regional Food Bank, no alterations to this permission form are valid, regardless of when such alterations were added. By signing my signature below, I understand I agree to all of the terms and conditions set forth herein. I understand that I must also sign and agree to all of the terms and conditions in the Regional Food Bank’s Liability Release/Waiver & Indemnity Agreement for my child to be able to volunteer his or her work or services for or at the facilities of the Regional Food Bank. * I verify that I am the parent/guardian of the minor mentioned above. * Parent/Guardian Name * Relation to Youth * Date * Submit Enabling everyone to engage, organize and understand the impact of positive social change. We Code For Volunteers & Groups Volunteer Management Service-Learning Civic Engagement Corporate Social Responsibility Races and Runs Festivals, Conferences, Events Parks & Recreation Animal & Pet Centers Museums, Galleries, Smithsonians Food Rescue, Campus Kitchens & Pantries United Way, HandsOn, Volunteer Centers City, Municipality, Government Our Company About Our Mantra and Mission Our COVID-19 Response GivePulse Careers (We Are Hiring!) Pricing Our Blog GivePulse Gear Privacy Policy Terms & Conditions Our Partners CUEI Elective Classifications Bonner Foundation Community Partnerships Swearer Center Say Hi Support Center Contact Regional Food Bank of Oklahoma Contact GivePulse Facebook twitter instagram linkedin Copyright © 2022 by GivePulse, Inc. | All rights reserved.