{"id":291,"date":"2017-09-13T17:30:47","date_gmt":"2017-09-13T17:30:47","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/wic-retailers\/?page_id=291"},"modified":"2017-09-13T17:30:47","modified_gmt":"2017-09-13T17:30:47","slug":"nutrition-education-material-request-form","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/wic-retailers\/nutrition-education-material-request-form\/","title":{"rendered":"Nutrition Education Material Request Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' ><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/wic-retailers\/wp-json\/wp\/v2\/pages\/291#gf_3' data-formid='3' novalidate>\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_3' class='gform_fields left_label form_sublabel_below description_below validation_below'><li id=\"field_3_31\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"font-size:17px;color:red\">Please complete the contact information and enter the quantity of items requested.  Be sure to click the \u201csubmit button\u201d on page 3 to ensure that your request is received.<\/li><li id=\"field_3_34\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Contact Information<\/h2><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_20'>Request Date:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_20' id='input_3_20' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='04\/16\/2026' aria-describedby=\"input_3_20_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_3_20_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_20' class='gform_hidden' value='https:\/\/www.vdh.virginia.gov\/content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_98\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><hr \/><\/li><li id=\"field_3_55\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_55'>Health District:<\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_3_55' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Health District' >Health District<\/option><option value='Alexandria' >Alexandria<\/option><option value='Alleghany' >Alleghany<\/option><option value='Arlington' >Arlington<\/option><option value='Central Shenandoah' >Central Shenandoah<\/option><option value='Central VA' >Central VA<\/option><option value='Chesapeake' >Chesapeake<\/option><option value='Chesterfield' >Chesterfield<\/option><option value='Chickahominy' >Chickahominy<\/option><option value='Crater' >Crater<\/option><option value='Cumberland Plateau' >Cumberland Plateau<\/option><option value='Eastern Shore' >Eastern Shore<\/option><option value='Fairfax' >Fairfax<\/option><option value='Hampton' >Hampton<\/option><option value='Henrico' >Henrico<\/option><option value='Lenowisco' >Lenowisco<\/option><option value='Lord Fairfax' >Lord Fairfax<\/option><option value='Loudon' >Loudon<\/option><option value='Mount Rogers' >Mount Rogers<\/option><option value='New River' >New River<\/option><option value='Norfolk' >Norfolk<\/option><option value='Peninsula' >Peninsula<\/option><option value='Piedmont' >Piedmont<\/option><option value='Pittsylvania\/Danville' >Pittsylvania\/Danville<\/option><option value='Portsmouth' >Portsmouth<\/option><option value='Prince William' >Prince William<\/option><option value='Rappahannock Area' >Rappahannock Area<\/option><option value='Rappahannock-Rapidan' >Rappahannock-Rapidan<\/option><option value='Richmond City' >Richmond City<\/option><option value='Roanoke City' >Roanoke City<\/option><option value='Southside' >Southside<\/option><option value='Thomas Jefferson' >Thomas Jefferson<\/option><option value='Three Rivers' >Three Rivers<\/option><option value='Virginia Beach' >Virginia Beach<\/option><option value='West Piedmont' >West Piedmont<\/option><option value='Western Tidewater' >Western Tidewater<\/option><\/select><\/div><\/li><li id=\"field_3_97\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><hr \/><\/li><li id=\"field_3_95\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_95'>Are You Authorized to Request Nutrition Education Materials for the Identified Health District?<\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_3_95' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_3_96\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><hr \/><\/li><li id=\"field_3_58\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_58'>Where will the Requested Materials be Used?<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_3_58' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_58\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_58'>(entire district\/specific office(s))<\/div><\/li><li id=\"field_3_99\" class=\"gfield gfield--type-html gfield_html field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><hr \/><\/li><li id=\"field_3_16\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_16'>Ship to Attention of<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_3_16' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Office Name\/Location<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_3_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_35\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_35'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_3_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_36\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_36'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_3_36' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_38\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_38'>Zip Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_3_38' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_33\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_33'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_3_33' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_3_19' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_53\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Materials Requested<\/h2><\/li><li id=\"field_3_54\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Requested quantities should be based on current case load needs for each age\/stage.  Typically quantities of older ages are not needed in the same quantities as younger ages.  Quantities exceeding a 6 month supply will not be processed.<\/p>\n\n<p style=\"font-size:17px;color:red\">See Attached Item Listing:  item number listed in a separate column from item name, order quantity description included, English\/Spanish fillable boxes<\/p>\n<hr><\/li><li id=\"field_3_24\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_24'>Comment<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_3_24' class='textarea medium'   maxlength='100'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_59\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Contact Jillian Weyant, Nutrition Education Liaison, with questions or concerns about Virginia WIC Nutrition Education Materials.<\/strong><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                         <input type='button' id='gform_next_button_3_71' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-71' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_2' class='gform_fields left_label form_sublabel_below description_below validation_below'><li id=\"field_3_40\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_40'>MISC-122 E\/S - Drug and Alcohol Abuse \u2013 Brochure<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_3_40' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_40\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_40'>(order in quantities of 50) <\/div><\/li><li id=\"field_3_61\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_61'>POST-19 - Drug and Alcohol Abuse \u2013Poster<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_3_61' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_61\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_61'>(order individually)<\/div><\/li><li id=\"field_3_41\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_41'>ICCN-61 E\/S - Infant Feeding Guide<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_3_41' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_41\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_41'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_42\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_42'>POST-21 - Tips for a Healthy Pregnancy - English<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_3_42' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_42\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_42'>(order in quantities of 25)<\/div><\/li><li id=\"field_3_62\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_62'>POST-21-S - Tips for a Healthy Pregnancy - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_3_62' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_62\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_62'>(order in quantities of 25)<\/div><\/li><li id=\"field_3_43\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_43'>POST-20 -        Taking Care of You and Baby<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_3_43' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_43\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_43'>(order in quantities of 25)<\/div><\/li><li id=\"field_3_63\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_63'>POST-20-S - Taking Care of You and Baby - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_3_63' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_63\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_63'>(order in quantities of 25)<\/div><\/li><li id=\"field_3_44\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_44'>ICCN-062 - Eat, Grow, Live 0-6 Months - English<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_3_44' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_44\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_44'>(order in quantities of 50) <\/div><\/li><li id=\"field_3_64\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_64'>ICCN-062-S - Eat, Grow, Live 0-6 Months - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_3_64' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_64\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_64'>(order in quantities of 50) <\/div><\/li><li id=\"field_3_46\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_46'>ICCN-063 - Eat, Grow, Live 6-12 Months - English<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_3_46' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_46\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_46'>(order in quantities of 50) <\/div><\/li><li id=\"field_3_65\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_65'>ICCN-063-S - Eat, Grow, Live 6-12 Months - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_3_65' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_65\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_65'>(order in quantities of 50) <\/div><\/li><li id=\"field_3_45\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_45'>CN-054 - Eat, Grow, Live 1-1 \u00bd Years<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_3_45' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_45\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_45'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_47\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_47'>CN-055 - Eat, Grow, Live 1 \u00bd-2 Years<\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_3_47' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_47\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_47'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_48\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_48'>CN-056 - Eat, Grow, Live 2-2 \u00bd Years<\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_3_48' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_48\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_48'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_66\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_66'>CN-057 - Eat, Grow, Live 2 \u00bd-3 Years<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_3_66' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_66\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_66'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_67\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_67'>CN-058 - Eat, Grow, Live 3-3 \u00bd- Years<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_3_67' type='text' value='Out of Stock' class='small'  aria-describedby=\"gfield_description_3_67\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_67'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_68\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_68'>CN-059 - Eat, Grow, Live 3 \u00bd-4- Years<\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_3_68' type='text' value='Out of Stock' class='small'  aria-describedby=\"gfield_description_3_68\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_68'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_69\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_69'>CN-060 - Eat, Grow, Live 4-4 \u00bd- Years<\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_3_69' type='text' value='Out of Stock' class='small'  aria-describedby=\"gfield_description_3_69\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_69'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_70\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_70'>CN-061 - Eat, Grow, Live 4 \u00bd-5- Years<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_3_70' type='text' value='Out of Stock' class='small'  aria-describedby=\"gfield_description_3_70\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_70'>(order in quantities of 50)<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <input type='button' id='gform_previous_button_3_72' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3_72' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' data-js='page-field-id-72' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_3' class='gform_fields left_label form_sublabel_below description_below validation_below'><li id=\"field_3_73\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_73'>WIC-096- Your Amazing Baby 0-3 Month Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_3_73' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_73\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_73'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_74\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_74'>WIC-096S- Your Amazing Baby 0-3 Month Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_3_74' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_74\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_74'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_75\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_75'>WIC-097- Your Amazing Baby 4-6 Month Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_3_75' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_75\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_75'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_76\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_76'>WIC-097S- Your Amazing Baby 4-6 Month Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_3_76' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_76\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_76'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_77\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_77'>WIC-098- Your Amazing Baby 7-12 Month Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_3_77' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_77\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_77'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_78\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_78'>WIC-098S- Your Amazing Baby 7-12 Month Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_3_78' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_78\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_78'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_80\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_80'>WIC-099- Your Amazing Toddler 1 Year - 18 Month Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_3_80' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_80\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_80'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_79\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_79'>WIC-099S- Your Amazing Toddler 1 Year - 18 Month Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_3_79' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_79\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_79'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_82\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_82'>WIC-0100- Your Amazing Toddler 19 Months - 2-Year Old Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_3_82' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_82\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_82'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_81\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_81'>WIC-0100S- Your Amazing Toddler 19 Months - 2-Year Old Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_3_81' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_81\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_81'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_84\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_84'>WIC-0101- Your Amazing Toddler 2 Year Old Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_3_84' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_84\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_84'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_83\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_83'>WIC-0101S- Your Amazing Toddler 2 Year Old Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_3_83' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_83\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_83'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_86\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_86'>WIC-0102- Your Amazing Toddler 3 Year Old Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_3_86' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_86\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_86'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_85\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_85'>WIC-0102S- Your Amazing Toddler 3 Year Old Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_3_85' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_85\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_85'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_88\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_88'>WIC-0103- Your Amazing Toddler 4 Year Old Milestones - English<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_3_88' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_88\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_88'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_87\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_87'>WIC-0103S- Your Amazing Toddler 4 Year Old Milestones - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_3_87' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_87\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_87'>(order in quantities of 100)<\/div><\/li><li id=\"field_3_89\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_89'>MISC-128 Next Steps to Health for You and Your Family - English<\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_3_89' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_89\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_89'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_90\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_90'>MISC-128S Next Steps to Health for You and Your Family - Spanish<\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_3_90' type='text' value='' class='small'  aria-describedby=\"gfield_description_3_90\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_90'>(order in quantities of 50)<\/div><\/li><li id=\"field_3_91\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_91'>MISC-128S Next Steps to Health for You and Your Family - 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