{"id":7841,"date":"2018-12-14T07:14:56","date_gmt":"2018-12-14T15:14:56","guid":{"rendered":"http:\/\/pmtest.passy-muir.com\/?page_id=7841"},"modified":"2023-02-07T07:24:30","modified_gmt":"2023-02-07T15:24:30","slug":"toby-kids-form","status":"publish","type":"page","link":"http:\/\/142.11.238.239\/es\/toby-kids-form\/","title":{"rendered":"Formulario de Solicitud de Toby Kids"},"content":{"rendered":"<div class=\"l2-header-con no-banner\">\n<div class=\"l2-header-icon\">\n\t\t<img decoding=\"async\"  src=\"\/wp-content\/uploads\/2016\/08\/Toby_2.jpg\" alt=\"toby\" \/>\n\t<\/div>\n<div class=\"l2-header-text\">\n\t\t\t\tFormulario de Solicitud de Toby Kids\n                         <\/div>\n<\/p><\/div>\n<div style=\"clear:both\"><\/div>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-9891\"><form id=\"wpforms-form-9891\" class=\"wpforms-validate wpforms-form\" data-formid=\"9891\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/7841?wpforms_form_id=9891\" data-token=\"7da0306113b83e2e240d979b85eea404\" data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/7841?wpforms_form_id=9891\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-9891-field_3-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_3\">\u00bfEl destinatario es un usuario de la V\u00e1lvula Passy Muir? * <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-9891-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-9891-field_3_1\" name=\"wpforms[fields][3][]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_3_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-9891-field_3_2\" name=\"wpforms[fields][3][]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_3_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-9891-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_0\">Primer nombre del destinatario <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-9891-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-9891-field_0\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-9891-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-9891-field_0-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-9891-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_4\">Nombre de la persona que completa el formulario. <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-9891-field_4\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][4][first]\" required><label for=\"wpforms-9891-field_4\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-9891-field_4-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][4][last]\" required><label for=\"wpforms-9891-field_4-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-9891-field_5-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-trigger\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_5\">Relaci\u00f3n con el destinatario. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-9891-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-9891-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_1\">Correo electr\u00f3nico <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-9891-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-9891-field_13-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"13\"><div id=\"wpforms-9891-field_13\"><p>\r\n<em>Unfortunately, due to customs regulations, we are unable to ship Toby Tracheasaurus internationally.<\/em>\r\n<\/p><\/div><\/div><div id=\"wpforms-9891-field_6-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_6\">Direcci\u00f3n <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-9891-field_6\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][6][address1]\" required><label for=\"wpforms-9891-field_6\" class=\"wpforms-field-sublabel after\">Direcci\u00f3n (l\u00ednea 1)<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-9891-field_6-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][6][address2]\" ><label for=\"wpforms-9891-field_6-address2\" class=\"wpforms-field-sublabel after\">Direcci\u00f3n 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-9891-field_6-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][6][city]\" required><label for=\"wpforms-9891-field_6-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-9891-field_6-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][6][state]\" required><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >Distrito de Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawai<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Luisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >M\u00edchigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Misisip\u00ed<\/option><option value=\"MO\" >Misuri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >Nuevo Hampshire<\/option><option value=\"NJ\" >Nueva Jersey<\/option><option value=\"NM\" >Nuevo M\u00e9xico<\/option><option value=\"NY\" >Nueva York<\/option><option value=\"NC\" >Carolina del norte<\/option><option value=\"ND\" >Dakota del norte<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oreg\u00f3n<\/option><option value=\"PA\" >Pensilvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >Carolina del Sur<\/option><option value=\"SD\" >Dakota del Sur<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >Virginia Occidental<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-9891-field_6-state\" class=\"wpforms-field-sublabel after\">Estado<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-9891-field_6-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][6][postal]\" required><label for=\"wpforms-9891-field_6-postal\" class=\"wpforms-field-sublabel after\">C\u00f3digo Postal<\/label><\/div><\/div><\/div><div id=\"wpforms-9891-field_7-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_7\">Tel\u00e9fono <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-9891-field_7\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-9891-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_8\">V\u00e1lvulas <span class=\"pm_ws\">Passy Muir<\/span> usadas <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-9891-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-9891-field_8_1\" name=\"wpforms[fields][8][]\" value=\"PMV 2001 (purple)\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_8_1\">PMV 2001 (purple)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-9891-field_8_2\" name=\"wpforms[fields][8][]\" value=\"PMV 2000 (clear)\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_8_2\">PMV 2000 (clear)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-9891-field_8_3\" name=\"wpforms[fields][8][]\" value=\"PMV 007 (aqua)\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_8_3\">PMV 007 (aqua)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-9891-field_8_4\" name=\"wpforms[fields][8][]\" value=\"PMV 005 (white)\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_8_4\">PMV 005 (white)<\/label><\/li><\/ul><\/div><div id=\"wpforms-9891-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_9\">\u00bfC\u00f3mo se enter\u00f3 del programa Toby Tracheasaurus? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-9891-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/textarea><\/div><div id=\"wpforms-9891-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_10\">\u00bfIncluir mi imagen en los medios producidos por <span class=\"pm_ws\">Passy Muir?<\/span> <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-9891-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-9891-field_10_1\" name=\"wpforms[fields][10]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_10_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-9891-field_10_2\" name=\"wpforms[fields][10]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_10_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-9891-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_11\">Incluir mi nombre en los medios producidos por <span class=\"pm_ws\">Passy Muir<\/span>  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-9891-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-9891-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_11_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-9891-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_11_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-9891-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_2\">Comentario o mensaje<\/label><textarea id=\"wpforms-9891-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><\/div><div id=\"wpforms-9891-field_12-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_12\">Para recibir su kit de Toby Tracheasaurus, suba una foto del usuario que lleve puesta su v\u00e1lvula <span class=\"pm_ws\">Passy Muir<\/span>. <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"12\"\n\t\tdata-form-id=\"9891\"\n\t\tdata-input-name=\"wpforms_9891_12\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,ico,heic,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,svg\"\n\t\tdata-max-size=\"2097152\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"2097152\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Haz clic o arrastra un archivo a este \u00e1rea para subirlo.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-9891-field_12\"\n\t\tname=\"wpforms_9891_12\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-9891-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-9891-field_16\">I affirm that I am 18 or older. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-9891-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-9891-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9891-field_16_1\">S\u00ed<\/label><\/li><\/ul><div class=\"wpforms-field-description\">In order to request a Toby Tracheasaurus Plush Toy using this form, you must be 18 or older.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-9891-field-hp\" class=\"wpforms-field-label\">Message<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-9891-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"9891\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"7\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-9891\" class=\"wpforms-submit toby_submit_button\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div>  <!-- .wpforms-container -->\n<p><!---[wpforms id=\"7720\" title=\"false\" description=\"false\"]\n---><\/p>","protected":false},"excerpt":{"rendered":"Formulario de Solicitud de Toby Kids","protected":false},"author":7,"featured_media":5144,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yst_prominent_words":[836,832,834,837,833,829,828,87,65,835,86,72,62,51,831,830,417,258,1357],"_links":{"self":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/pages\/7841"}],"collection":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/comments?post=7841"}],"version-history":[{"count":5,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/pages\/7841\/revisions"}],"predecessor-version":[{"id":18418,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/pages\/7841\/revisions\/18418"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/media\/5144"}],"wp:attachment":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/media?parent=7841"}],"wp:term":[{"taxonomy":"yst_prominent_words","embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/yst_prominent_words?post=7841"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}