{"id":1549,"date":"2018-04-30T13:37:34","date_gmt":"2018-04-30T17:37:34","guid":{"rendered":"https:\/\/health.uconn.edu\/health-disparities\/?page_id=1549"},"modified":"2019-04-05T15:22:23","modified_gmt":"2019-04-05T19:22:23","slug":"2019-vhebmoc-arts-contest-form","status":"publish","type":"page","link":"https:\/\/health.uconn.edu\/health-disparities\/2019-vhebmoc-arts-contest-form\/","title":{"rendered":"2019 Visualizing Health Equity Arts Contest Submission Form"},"content":{"rendered":"<p><a href=\"https:\/\/health.uconn.edu\/health-disparities\/wp-content\/uploads\/sites\/53\/2019\/03\/Art-COntest.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-2525 lazyload\" data-src=\"https:\/\/health.uconn.edu\/health-disparities\/wp-content\/uploads\/sites\/53\/2019\/03\/Art-COntest-1024x536.png\" alt=\"\" width=\"376\" height=\"241\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 376px; --smush-placeholder-aspect-ratio: 376\/241;\" \/><noscript><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-2525\" src=\"https:\/\/health.uconn.edu\/health-disparities\/wp-content\/uploads\/sites\/53\/2019\/03\/Art-COntest-1024x536.png\" alt=\"\" width=\"376\" height=\"241\" \/><\/noscript><\/a><\/p>\n<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_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_14' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>Please read <a href=\"https:\/\/health.uconn.edu\/health-disparities\/2019vhebmoc-arts-contest\">Official Contest Rules<\/a> before completing entry form. <br> <b>Deadline:<\/b> May 30, 2019, 11:59 PM.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/health-disparities\/wp-json\/wp\/v2\/pages\/1549' data-formid='14' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_14_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_19\" ><label class='gfield_label gform-field-label' >Please select your submission category (Select 1 category only)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_19'>\n\t\t\t<li class='gchoice gchoice_14_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Middle School'  id='choice_14_19_0'    \/>\n\t\t\t\t<label for='choice_14_19_0' id='label_14_19_0' class='gform-field-label gform-field-label--type-inline'>Middle School<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='High School'  id='choice_14_19_1'    \/>\n\t\t\t\t<label for='choice_14_19_1' id='label_14_19_1' class='gform-field-label gform-field-label--type-inline'>High School<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='College\/University'  id='choice_14_19_2'    \/>\n\t\t\t\t<label for='choice_14_19_2' id='label_14_19_2' class='gform-field-label gform-field-label--type-inline'>College\/University<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_19_3'>\n\t\t\t\t<input name='input_19' type='radio' value='Community Resident'  id='choice_14_19_3'    \/>\n\t\t\t\t<label for='choice_14_19_3' id='label_14_19_3' class='gform-field-label gform-field-label--type-inline'>Community Resident<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_19_4'>\n\t\t\t\t<input name='input_19' type='radio' value='Group\/Team'  id='choice_14_19_4'    \/>\n\t\t\t\t<label for='choice_14_19_4' id='label_14_19_4' class='gform-field-label gform-field-label--type-inline'>Group\/Team<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_14_19'><b>Community = someone who is currently not enrolled in school.<\/b><\/div><\/li><li id=\"field_14_34\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_34\" ><label class='gfield_label gform-field-label' for='input_14_34'>Group\/Team&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_14_34' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_14_35\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_35\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contact Person Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_14_35'>\n                            \n                            <span id='input_14_35_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.3' id='input_14_35_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_35_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_14_35_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.6' id='input_14_35_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_35_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><div class='gfield_description' id='gfield_description_14_35'>Please provide the name of the person who will be contacted on behalf of the group\/team's artwork. <b>Must be a Connecticut resident<\/b><\/div><\/li><li id=\"field_14_36\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_36\" ><label class='gfield_label gform-field-label' for='input_14_36'>Contact Person Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_36' id='input_14_36' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_38\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_38\" ><label class='gfield_label gform-field-label' for='input_14_38'>Contact Person Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_38' id='input_14_38' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_14_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_14_1'>\n                            \n                            <span id='input_14_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_14_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_14_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_14_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_14_4\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_4\" ><label class='gfield_label gform-field-label' for='input_14_4'>City\/Town<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_14_4' type='text' value='' class='medium'  aria-describedby=\"gfield_description_14_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_14_4'><b>Must be a Connecticut resident<\/b><\/div><\/li><li id=\"field_14_23\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_23\" ><label class='gfield_label gform-field-label' for='input_14_23'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_23' id='input_14_23' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_14_24\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_24\" ><label class='gfield_label gform-field-label' for='input_14_24'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_14_24' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_15\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_15\" ><label class='gfield_label gform-field-label' for='input_14_15'>Which school do you attend?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_14_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_14_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_18\" ><label class='gfield_label gform-field-label' >Are you under the age of 18?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_18'>\n\t\t\t<li class='gchoice gchoice_14_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='Yes'  id='choice_14_18_0'    \/>\n\t\t\t\t<label for='choice_14_18_0' id='label_14_18_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='No'  id='choice_14_18_1'    \/>\n\t\t\t\t<label for='choice_14_18_1' id='label_14_18_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_14_18'><b>Artists under the age of 18 must have permission from a parent or guardian to participate or submission will not be entered into contest.<\/b><br> \n<\/div><\/li><li id=\"field_14_21\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_21\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Parent\/Guardian Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_14_21'>\n                            \n                            <span id='input_14_21_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.3' id='input_14_21_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_21_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_14_21_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.6' id='input_14_21_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_21_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_14_22\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_22\" ><label class='gfield_label gform-field-label' for='input_14_22'>Parent\/Guardian Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_22' id='input_14_22' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_31\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_31\" ><label class='gfield_label gform-field-label' for='input_14_31'>Parent\/Guardian Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_31' id='input_14_31' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_14_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_20\" ><label class='gfield_label gform-field-label' >Parental\/Guardian Consent Form<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_20'>\n\t\t\t<li class='gchoice gchoice_14_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='I agree to the terms'  id='choice_14_20_0'    \/>\n\t\t\t\t<label for='choice_14_20_0' id='label_14_20_0' class='gform-field-label gform-field-label--type-inline'>I agree to the terms<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_14_20'>Please read the below parent permission agreement for child to be entered in the arts contest and select if you agree to the terms.  If parent\/guardian agrees to the term, HDI will follow-up with a phone call for confirmation.<br><br>1. I hereby give my permission for my child permission  to participate in the Health Disparities Institute at UConn Health Visualizing Health Equity Arts Contest for Boys and Men of Color.<br> <br>\n2. I understand my child will need to be present at a live gallery show in June 2019, if selected as a contest winner.  I agree to accompany and supervise my child at this event, or to arrange for an adult chaperone to accompany and supervise my child at this event.<br><br>\n3. I agree that my child may participate in the contest described in the rules and is permitted to accept the prizes awarded, if selected as a contest winner.<br><br>\n4. Health Disparities Institute at UConn Health has my permission to use photographs, brief statement of artwork, or write a news story about my child\u2019s artwork for the purpose of this arts contest only. I agree that the Health Disparities Institute and UConn Health may photograph and\/or video record my child and his\/her guardian or adult chaperone during the gallery show, and use or distribute any picture or video related to gallery show activities in which I, my child, or adult chaperone, is depicted.  I also authorize use of these materials for publication in brochures, on websites, or other University of Connecticut promotional material. They may also be distributed to other gallery show participants, including but not limited to a gallery show group picture of all participants.<br><br>5. I certify and acknowledge that I have read, understood and agree to the terms set forth in the <a href=\"https:\/\/health.uconn.edu\/health-disparities\/vhebmoc-arts-contest\/\">Official Contest Rules<\/a> and that I have read this Parental Permission Form prior to signing it; that I have the full authority to give my consent and release so that my minor child may participate in the Health Disparities Institute at UConn Health Visualizing Health Equity Arts Contest for Boys and Men of Color; and that I consent to provide the information concerning my minor child that is necessary to enter the contest and to receive the prizes to be awarded.\n<\/div><\/li><li id=\"field_14_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_30\" ><label class='gfield_label gform-field-label' >Type of Artwork<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_30'>\n\t\t\t<li class='gchoice gchoice_14_30_0'>\n\t\t\t\t<input name='input_30' type='radio' value='Visual Art (drawings, paintings, photographs, mixed media, collages, and sculptures)'  id='choice_14_30_0'    \/>\n\t\t\t\t<label for='choice_14_30_0' id='label_14_30_0' class='gform-field-label gform-field-label--type-inline'>Visual Art (drawings, paintings, photographs, mixed media, collages, and sculptures)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_30_1'>\n\t\t\t\t<input name='input_30' type='radio' value='Non Visual Art (spoken word)'  id='choice_14_30_1'    \/>\n\t\t\t\t<label for='choice_14_30_1' id='label_14_30_1' class='gform-field-label gform-field-label--type-inline'>Non Visual Art (spoken word)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_37\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_37\" ><label class='gfield_label gform-field-label' for='input_14_37'>Artwork Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_14_37' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_14_17\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_17\" ><label class='gfield_label gform-field-label' for='input_14_17'>Artwork Statement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_14_17' class='textarea medium'  aria-describedby=\"gfield_description_14_17\" maxlength='3000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_14_17'>\"Please submit a statement describing how your artwork visualizes a community, neighborhood, or world of \"hope and opportunities\" and what you would like people to learn after viewing your art.\"  <br><i>500 words maximum or 3,000 characters.<\/i><\/div><\/li><li id=\"field_14_29\" class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_29\" ><label class='gfield_label gform-field-label' for='gform_browse_button_14_29'>File<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_14_29' 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Files&quot;,&quot;extensions&quot;:&quot;jpg,png&quot;}],&quot;max_file_size&quot;:&quot;104857600b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:14,&quot;field_id&quot;:29},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;3&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_14_29&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_14_29' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_14_29' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_14_29 gfield_description_14_29\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_14_29'>Accepted file types: jpg, png, Max. file size: 100 MB, Max. files: 3.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_14_29'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_14_29' class='ginput_preview_list'><\/div><div class='gfield_description' id='gfield_description_14_29'><b>For visual art (JPG or PNG): high resolution files of at least 300 dpi, up to 3 multiple angles or showing close-up detail as appropriate.<\/b> <br><font color=\"red\"><b>ONE VISUAL ART SUBMISSION<\/font><\/b><\/div><\/li><li id=\"field_14_27\" class=\"gfield gfield--type-website gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_27\" ><label class='gfield_label gform-field-label' for='input_14_27'>Website<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_27' id='input_14_27' type='url' value='' class='medium'  aria-describedby=\"gfield_description_14_27\"  placeholder='http:\/\/' aria-required=\"true\" aria-invalid=\"false\"\/>\n                <\/div><div class='gfield_description' id='gfield_description_14_27'><b>For nonvisual art\/spoken word ONLY : Enter a link to your YouTube video. 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Spoken word piece should be no more than 90 seconds.<\/B><\/div><\/li><li id=\"field_14_39\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_14_39\" ><label class='gfield_label gform-field-label' for='input_14_39'>Phone<\/label><div class='ginput_container'><input name='input_39' id='input_14_39' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_14_39'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_14' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_14\"]){return false;}  if( !jQuery(\"#gform_14\")[0].checkValidity || jQuery(\"#gform_14\")[0].checkValidity()){window[\"gf_submitting_14\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_14\"]){return false;} if( !jQuery(\"#gform_14\")[0].checkValidity || jQuery(\"#gform_14\")[0].checkValidity()){window[\"gf_submitting_14\"]=true;}  jQuery(\"#gform_14\").trigger(\"submit\",[true]); 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