{"id":2550,"date":"2025-05-20T15:20:01","date_gmt":"2025-05-20T15:20:01","guid":{"rendered":"https:\/\/shelbykyhistory.org\/?page_id=2550"},"modified":"2025-05-20T15:20:01","modified_gmt":"2025-05-20T15:20:01","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/shelbykyhistory.org\/index.php\/membership-form\/","title":{"rendered":"Membership Form"},"content":{"rendered":"\n<div class=\"wp-block-group main-content\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Membership Form<\/h2>\n\n\n\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2549-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2549\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/2550#wpcf7-f2549-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2549\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2549-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2549,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<input type=\"hidden\" name=\"redirect_nonce\" value=\"cf9654557f\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_name\" value=\"document-pdf\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_reference\" value=\"cfd74664\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_date\" value=\"04302026\" \/>\n<\/div>\n<p><label> First Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label><br \/>\n<label> Last Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label><br \/>\n<label> Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"address\"><\/textarea><\/span> <\/label><br \/>\n<label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone-number\" \/><\/span> <\/label><br \/>\n<label> Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email1\" \/><\/span> <\/label>\n<\/p>\n<p>If you would like to include a second email for spouse, significant other, etc. please do so.\n<\/p>\n<p><label> 2nd Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email2\" \/><\/span> <\/label>\n<\/p>\n<p>Please choose your support level from the options listed below. Payment can be made by cash or check.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"support-level\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"support-level\" value=\"Squire Boone - $2,000 (Business logo on website, social media &amp; all printed publications)\" \/><span class=\"wpcf7-list-item-label\">Squire Boone - $2,000 (Business logo on website, social media &amp; all printed publications)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"support-level\" value=\"Whitney M. Young, Jr. - $1,000 (Name listed on website, social media, printed publications)\" \/><span class=\"wpcf7-list-item-label\">Whitney M. Young, Jr. - $1,000 (Name listed on website, social media, printed publications)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"support-level\" value=\"Daisy Saffell - $500 (Name listed on website &amp; social media)\" \/><span class=\"wpcf7-list-item-label\">Daisy Saffell - $500 (Name listed on website &amp; social media)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"support-level\" value=\"Abraham Rothchild - $250 (Name listed on website &amp; social media)\" \/><span class=\"wpcf7-list-item-label\">Abraham Rothchild - $250 (Name listed on website &amp; social media)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"support-level\" value=\"Julia Tevis - $100 (Name listed on website)\" \/><span class=\"wpcf7-list-item-label\">Julia Tevis - $100 (Name listed on website)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"support-level\" value=\"Thomas Baxter - $75\" \/><span class=\"wpcf7-list-item-label\">Thomas Baxter - $75<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"support-level\" value=\"Edwin Hubble - $50\" \/><span class=\"wpcf7-list-item-label\">Edwin Hubble - $50<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"support-level\" value=\"The Old Sexton, Mr. Moesser - $25\" \/><span class=\"wpcf7-list-item-label\">The Old Sexton, Mr. Moesser - $25<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"support-level\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>After clicking submit, please print out the form and attach your payment. Either mail the form or drop it off at the address below.<br \/>\n<label><br \/>\nMail to: SCHS, P.O. Box 444, Shelbyville, KY 40066-0444<br \/>\nDrop off: 627 Main Street, Shelbyville, KY 40065<\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Membership Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","footnotes":""},"folder":[],"class_list":["post-2550","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/pages\/2550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/comments?post=2550"}],"version-history":[{"count":2,"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/pages\/2550\/revisions"}],"predecessor-version":[{"id":2709,"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/pages\/2550\/revisions\/2709"}],"wp:attachment":[{"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/media?parent=2550"}],"wp:term":[{"taxonomy":"folder","embeddable":true,"href":"https:\/\/shelbykyhistory.org\/index.php\/wp-json\/wp\/v2\/folder?post=2550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}