{"id":1792,"date":"2025-01-27T10:05:40","date_gmt":"2025-01-27T16:05:40","guid":{"rendered":"https:\/\/decatur-parks.org\/?page_id=1792"},"modified":"2025-01-27T10:05:41","modified_gmt":"2025-01-27T16:05:41","slug":"candy-grams","status":"publish","type":"page","link":"https:\/\/decatur-parks.org\/candy-grams\/","title":{"rendered":"Candy Grams"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_10' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Candy Grams 2025<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/wp-json\/wp\/v2\/pages\/1792\/' data-formid='10' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LfSBEQqAAAAAAEODDjkTlGYLA05c0lPATSUcgRU' data-tabindex='0'><input id=\"input_a1ba7c8d4cce1fd2b36c6e7bd47d68d5\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_a1ba7c8d4cce1fd2b36c6e7bd47d68d5\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_1\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_1\" ><label class='gfield_label gform-field-label' for='input_10_1'>Your Name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_10_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_3\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_3\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_10_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_4\" ><label class='gfield_label gform-field-label' for='input_10_4'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_10_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_5\" ><label class='gfield_label gform-field-label' for='input_10_5'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_10_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_6\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_6\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_6'><div class='gchoice gchoice_10_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='Sucker'  id='choice_10_6_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_6_1' id='label_10_6_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_6_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.2' type='checkbox'  value='Chocolate'  id='choice_10_6_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_6_2' id='label_10_6_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_7\" ><label class='gfield_label gform-field-label' for='input_10_7'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_10_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_9\" ><label class='gfield_label gform-field-label' for='input_10_9'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_10_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_10\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_10'><div class='gchoice gchoice_10_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Sucker'  id='choice_10_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_10_1' id='label_10_10_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Chocolate'  id='choice_10_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_10_2' id='label_10_10_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_11\" ><label class='gfield_label gform-field-label' for='input_10_11'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_10_11' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_12\" ><label class='gfield_label gform-field-label' for='input_10_12'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_10_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_13\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_13'><div class='gchoice gchoice_10_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Sucker'  id='choice_10_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_13_1' id='label_10_13_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_13_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.2' type='checkbox'  value='Chocolate'  id='choice_10_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_13_2' id='label_10_13_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_16\" ><label class='gfield_label gform-field-label' for='input_10_16'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_10_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_14\" ><label class='gfield_label gform-field-label' for='input_10_14'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_10_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_15\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_15'><div class='gchoice gchoice_10_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Sucker'  id='choice_10_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_15_1' id='label_10_15_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Chocolate'  id='choice_10_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_15_2' id='label_10_15_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_17\" ><label class='gfield_label gform-field-label' for='input_10_17'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_10_17' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_18\" ><label class='gfield_label gform-field-label' for='input_10_18'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_10_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_19\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_19'><div class='gchoice gchoice_10_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='Sucker'  id='choice_10_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_1' id='label_10_19_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Chocolate'  id='choice_10_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_2' id='label_10_19_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_20\" ><label class='gfield_label gform-field-label' for='input_10_20'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_10_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_21\" ><label class='gfield_label gform-field-label' for='input_10_21'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_10_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_22\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_22'><div class='gchoice gchoice_10_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Sucker'  id='choice_10_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_1' id='label_10_22_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Chocolate'  id='choice_10_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_2' id='label_10_22_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_26\" ><label class='gfield_label gform-field-label' for='input_10_26'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_10_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_27\" ><label class='gfield_label gform-field-label' for='input_10_27'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_10_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_28\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_28'><div class='gchoice gchoice_10_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Sucker'  id='choice_10_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_28_1' id='label_10_28_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Chocolate'  id='choice_10_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_28_2' id='label_10_28_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_23\" ><label class='gfield_label gform-field-label' for='input_10_23'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_10_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_24\" ><label class='gfield_label gform-field-label' for='input_10_24'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_10_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_25\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_25'><div class='gchoice gchoice_10_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Sucker'  id='choice_10_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_25_1' id='label_10_25_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='Chocolate'  id='choice_10_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_25_2' id='label_10_25_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_31\" ><label class='gfield_label gform-field-label' for='input_10_31'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_10_31' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_30\" ><label class='gfield_label gform-field-label' for='input_10_30'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_10_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_29\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_29'><div class='gchoice gchoice_10_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Sucker'  id='choice_10_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_29_1' id='label_10_29_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='Chocolate'  id='choice_10_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_29_2' id='label_10_29_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_32\" ><label class='gfield_label gform-field-label' for='input_10_32'>Employee Name<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_10_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_10_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_33\" ><label class='gfield_label gform-field-label' for='input_10_33'>What facility should we send to?<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_10_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_10_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_34\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of gram?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_34'><div class='gchoice gchoice_10_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Sucker'  id='choice_10_34_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_34_1' id='label_10_34_1' class='gform-field-label gform-field-label--type-inline'>Sucker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='Chocolate'  id='choice_10_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_34_2' id='label_10_34_2' class='gform-field-label gform-field-label--type-inline'>Chocolate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_35\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_35\" ><label class='gfield_label gform-field-label' for='input_10_35'>Additional grams<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_10_35' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_10_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_10_36\" ><label class='gfield_label gform-field-label' for='input_10_36'>Total number of Chocolate<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_10_36' type='text' value='' class='large'      aria-invalid=\"false\"   \/> 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