{"id":3826,"date":"2026-06-29T15:23:26","date_gmt":"2026-06-29T15:23:26","guid":{"rendered":"https:\/\/theaceproject.ca\/?page_id=3826"},"modified":"2026-06-29T15:23:27","modified_gmt":"2026-06-29T15:23:27","slug":"the-ace-learning-summit-and-awards-registration","status":"publish","type":"page","link":"https:\/\/theaceproject.ca\/fr\/the-ace-learning-summit-and-awards-registration\/","title":{"rendered":"Inscription au Sommet et aux Prix ACE Learning"},"content":{"rendered":"<script>\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 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">ACE Awards<\/h2>\n                            <p class='gform_description'>October 22, 2026\r\n10-4 pm AST<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_20'  action='\/fr\/wp-json\/wp\/v2\/pages\/3826' data-formid='20' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_20' class='gform_fields top_label form_sublabel_above description_above validation_above'><div id=\"field_20_22\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_22'><span class='gform-field-label__text'>Comments<\/span><\/label><div class='gfield_description' id='gfield_description_20_22'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_22' id='input_20_22' type='text' value='' autocomplete='new-password'\/><\/div><\/div><fieldset id=\"field_20_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><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_20_1'>\n                            \n                            <span id='input_20_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_20_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_20_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_20_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_20_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_20_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_20_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_20_3_container'>\n                                <span id='input_20_3_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_20_3' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                    <input class='' type='email' name='input_3' id='input_20_3' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_20_3_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_20_3_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_3_2' id='input_20_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_20_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you attending as a community member or as a member of an organization?\u00a0<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_19'>\n\t\t\t<div class='gchoice gchoice_20_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Community Member'  id='choice_20_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_19_0' id='label_20_19_0' class='gform-field-label gform-field-label--type-inline'>Community Member<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Organization'  id='choice_20_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_19_1' id='label_20_19_1' class='gform-field-label gform-field-label--type-inline'>Organization<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_20'><span class='gform-field-label__text'>What organization\/company are you representing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_20_20' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_20_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you attending in-person or online?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_18'>\n\t\t\t<div class='gchoice gchoice_20_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='In-person'  id='choice_20_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_0' id='label_20_18_0' class='gform-field-label gform-field-label--type-inline'>In-person<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Online'  id='choice_20_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_1' id='label_20_18_1' class='gform-field-label gform-field-label--type-inline'>Online<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_6'><span class='gform-field-label__text'>What province are you located in?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_20_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Other, Outside of Atlantic Canada' >Other, Outside of Atlantic Canada<\/option><\/select><\/div><\/div><div id=\"field_20_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_21'><span class='gform-field-label__text'>Where are you located?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_20_21'>You can list the Province\/Territory\/State\/Country<\/div><div class='ginput_container ginput_container_text'><input name='input_21' id='input_20_21' type='text' value='' class='large'  aria-describedby=\"gfield_description_20_21\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_7'><span class='gform-field-label__text'>Do you identify as someone with lived experience? (someone Deaf, neurodivergent, and\/or a person with a disability)?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_20_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Prefer not to answer' >Prefer not to answer<\/option><\/select><\/div><\/div><fieldset id=\"field_20_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>What is your gender identity? What gender would you identify yourself as? Check all that apply.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_20_8'><div class='gchoice gchoice_20_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Woman'  id='choice_20_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_1' id='label_20_8_1' class='gform-field-label gform-field-label--type-inline'>Woman<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Man'  id='choice_20_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_2' id='label_20_8_2' class='gform-field-label gform-field-label--type-inline'>Man<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Two-Spirit'  id='choice_20_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_3' id='label_20_8_3' class='gform-field-label gform-field-label--type-inline'>Two-Spirit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Cisgender'  id='choice_20_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_4' id='label_20_8_4' class='gform-field-label gform-field-label--type-inline'>Cisgender<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Non-binary'  id='choice_20_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_5' id='label_20_8_5' class='gform-field-label gform-field-label--type-inline'>Non-binary<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.6' type='checkbox'  value='Transgender\/Trans'  id='choice_20_8_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_6' id='label_20_8_6' class='gform-field-label gform-field-label--type-inline'>Transgender\/Trans<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.7' type='checkbox'  value='Genderqueer'  id='choice_20_8_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_7' id='label_20_8_7' class='gform-field-label gform-field-label--type-inline'>Genderqueer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.8' type='checkbox'  value='Non-conforming'  id='choice_20_8_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_8' id='label_20_8_8' class='gform-field-label gform-field-label--type-inline'>Non-conforming<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.9' type='checkbox'  value='Prefer not to say'  id='choice_20_8_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_9' id='label_20_8_9' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>What is your racial origin\/lineage? What race would you identify yourself as? Check all that apply.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_20_9'><div class='gchoice gchoice_20_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='Black (African, African Canadian, Afro-Carribean descent)'  id='choice_20_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_1' id='label_20_9_1' class='gform-field-label gform-field-label--type-inline'>Black (African, African Canadian, Afro-Carribean descent)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='East Asian (Chinese, Japanese, Korean, Taiwanese descent)'  id='choice_20_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_2' id='label_20_9_2' class='gform-field-label gform-field-label--type-inline'>East Asian (Chinese, Japanese, Korean, Taiwanese descent)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='Indigenous (First Nations, Inuk\/Inuit, Metis descent)'  id='choice_20_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_3' id='label_20_9_3' class='gform-field-label gform-field-label--type-inline'>Indigenous (First Nations, Inuk\/Inuit, Metis descent)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='Latin American (Hispanic or Latin American descent)'  id='choice_20_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_4' id='label_20_9_4' class='gform-field-label gform-field-label--type-inline'>Latin American (Hispanic or Latin American descent)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='Middle Eastern (Arab, Persian, West Asian descent (e.g. Afghan, Egyptian, Iranian, Kurdish, Lebanese, Turkish)'  id='choice_20_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_5' id='label_20_9_5' class='gform-field-label gform-field-label--type-inline'>Middle Eastern (Arab, Persian, West Asian descent (e.g. Afghan, Egyptian, Iranian, Kurdish, Lebanese, Turkish)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='South Asian (South Asian descent (e.g. Bangladeshi, Indian, Indo-Caribbean, Pakistani, Sri Lankan)'  id='choice_20_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_6' id='label_20_9_6' class='gform-field-label gform-field-label--type-inline'>South Asian (South Asian descent (e.g. Bangladeshi, Indian, Indo-Caribbean, Pakistani, Sri Lankan)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='Southeast Asian (Cambodian, Filipino, Indonesian, Thai, Vietnamese, or other Southeast Asian descent)'  id='choice_20_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_7' id='label_20_9_7' class='gform-field-label gform-field-label--type-inline'>Southeast Asian (Cambodian, Filipino, Indonesian, Thai, Vietnamese, or other Southeast Asian descent)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.8' type='checkbox'  value='White (European descent)'  id='choice_20_9_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_8' id='label_20_9_8' class='gform-field-label gform-field-label--type-inline'>White (European descent)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.9' type='checkbox'  value='Prefer not to answer'  id='choice_20_9_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_9' id='label_20_9_9' class='gform-field-label gform-field-label--type-inline'>Prefer not to answer<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_13'><span class='gform-field-label__text'>Do you have any accessibility needs for this event?<\/span><\/label><div class='gfield_description' id='gfield_description_20_13'>We are including the following accessibility features at the event:\n\n\nAuto generated captions, materials sent in advance, quiet room (calm sensory space), gender neutral washrooms, fidget toys, directional signage.\n\n\nAmerican Sign Language (ASL) interpreters and\/or CART (Communication Access Realtime Translation) will be made available when requested at least two weeks in advance.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_20_13' class='textarea large'  aria-describedby=\"gfield_description_20_13\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_20_14\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_14'><span class='gform-field-label__text'>Is there anything we can do to make this a safer space?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_20_14' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_20_15\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_15'><span class='gform-field-label__text'>Please let us know if you have any dietary requirements.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_20_15' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_20_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Where did you hear about us?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_20_17'><div class='gchoice gchoice_20_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Instagram'  id='choice_20_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_17_1' id='label_20_17_1' class='gform-field-label gform-field-label--type-inline'>Instagram<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='LinkedIn'  id='choice_20_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_17_2' id='label_20_17_2' class='gform-field-label gform-field-label--type-inline'>LinkedIn<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Newsletter'  id='choice_20_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_17_3' id='label_20_17_3' class='gform-field-label gform-field-label--type-inline'>Newsletter<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_17_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Friends\/family'  id='choice_20_17_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_17_4' id='label_20_17_4' class='gform-field-label gform-field-label--type-inline'>Friends\/family<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_17_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.5' type='checkbox'  value='Workplace\/colleagues'  id='choice_20_17_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_17_5' id='label_20_17_5' class='gform-field-label gform-field-label--type-inline'>Workplace\/colleagues<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_20' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> <input type='hidden' class='gform_hidden' name='gform_submission_speeds' value='{&quot;pages&quot;:[]}' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_20' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_20' id='gform_theme_20' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_20' id='gform_style_settings_20' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' 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