{"id":1142,"date":"2019-06-13T14:12:36","date_gmt":"2019-06-13T18:12:36","guid":{"rendered":"https:\/\/www1.specialolympicsontario.com\/support\/?p=1142"},"modified":"2019-06-13T14:15:17","modified_gmt":"2019-06-13T18:15:17","slug":"accident-incident","status":"publish","type":"post","link":"https:\/\/www1.specialolympicsontario.com\/support\/accident-incident\/","title":{"rendered":"Accident\/ Incident"},"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_4' style='display:none'><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>It is recommended that you complete this form electronically. You will have an opportunity to review your submission prior to submission at which point it will be transmitted directly to Special Olympics Ontario with a copy to yourself.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/support\/wp-json\/wp\/v2\/posts\/1142#gf_4' data-formid='4' novalidate>\n        <div id='gf_progressbar_wrapper_4' 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'>9<\/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_11' style='width:11%;'><span>11%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_4_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_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_1\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Accident \/ Incident Report<\/h2><div class='gsection_description' id='gfield_description_4_1'>This form should be completed for all accidents, injuries and incidents in which SOO athletes, volunteers or spectators are involved.  Please complete this form to the best of your ability.  \nIf completing this report by hand.  Please print this form and fax it to Special Olympics Ontario at 416 447 6336.\nIt is recommended that you complete this form electronically. You will have an opportunity to review your submission prior to submission at which point it will be forwarded directly to Special Olympics Ontario, a copy will also be sent to your e-mail.<\/div><\/li><li id=\"field_4_4\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nature of Accident \/ Incident Report<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_4'><li class='gchoice gchoice_4_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='Behavioural Incident'  id='choice_4_4_1'   aria-describedby=\"gfield_description_4_4\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_1' id='label_4_4_1' class='gform-field-label gform-field-label--type-inline'>Behavioural Incident<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='Suspected\/ Confirmed Concussion'  id='choice_4_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_2' id='label_4_4_2' class='gform-field-label gform-field-label--type-inline'>Suspected\/ Confirmed Concussion<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='Minor Medical Emergency'  id='choice_4_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_3' id='label_4_4_3' class='gform-field-label gform-field-label--type-inline'>Minor Medical Emergency<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.4' type='checkbox'  value='Major Medical Emergency'  id='choice_4_4_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_4' id='label_4_4_4' class='gform-field-label gform-field-label--type-inline'>Major Medical Emergency<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.5' type='checkbox'  value='Physical Injury'  id='choice_4_4_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_5' id='label_4_4_5' class='gform-field-label gform-field-label--type-inline'>Physical Injury<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.6' type='checkbox'  value='Property \/ Environmental Damage'  id='choice_4_4_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_6' id='label_4_4_6' class='gform-field-label gform-field-label--type-inline'>Property \/ Environmental Damage<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.7' type='checkbox'  value='Theft'  id='choice_4_4_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_7' id='label_4_4_7' class='gform-field-label gform-field-label--type-inline'>Theft<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.8' type='checkbox'  value='Code of Conduct Violation'  id='choice_4_4_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_8' id='label_4_4_8' class='gform-field-label gform-field-label--type-inline'>Code of Conduct Violation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.9' type='checkbox'  value='Improper \/ Inappropriate Conduct'  id='choice_4_4_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_9' id='label_4_4_9' class='gform-field-label gform-field-label--type-inline'>Improper \/ Inappropriate Conduct<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.11' type='checkbox'  value='Spectator Incident'  id='choice_4_4_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_11' id='label_4_4_11' class='gform-field-label gform-field-label--type-inline'>Spectator Incident<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.12' type='checkbox'  value='Assault'  id='choice_4_4_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_12' id='label_4_4_12' class='gform-field-label gform-field-label--type-inline'>Assault<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_4_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.13' type='checkbox'  value='Other'  id='choice_4_4_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_13' id='label_4_4_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_4_4'>Please check all labels that apply to this report \/ accident \/ incident<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_4_83' 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_4_2' class='gform_page' data-js='page-field-id-83' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_5\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">A. REPORT INFORMATION<\/h2><div class='gsection_description' id='gfield_description_4_5'>Information pertaining to the individual completing this report.<\/div><\/li><li id=\"field_4_7\" class=\"gfield gfield--type-name 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 gfield_label_before_complex' >Report Completed by<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_4_7'>\n                            \n                            <span id='input_4_7_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.3' id='input_4_7_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_7_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_7_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.6' id='input_4_7_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_7_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_8\" class=\"gfield gfield--type-phone 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_4_8'>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_8' id='input_4_8' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_9\" 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_4_9'>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_9' id='input_4_9' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_75\" class=\"gfield gfield--type-select 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_4_75'>Position\/Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_4_75' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Head Coach' >Head Coach<\/option><option value='Coach' >Coach<\/option><option value='Team Manager' >Team Manager<\/option><option value='Community Coordinator' >Community Coordinator<\/option><option value='Volunteer' >Volunteer<\/option><option value='Official' >Official<\/option><option value='First Aid Responder' >First Aid Responder<\/option><option value='Parent\/Guardian' >Parent\/Guardian<\/option><option value='Facility\/Program Staff' >Facility\/Program Staff<\/option><option value='Educator' >Educator<\/option><option value='Event Organizer (non- SOO)' >Event Organizer (non- SOO)<\/option><option value='SOO Staff' >SOO Staff<\/option><\/select><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_82' 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_4_82' 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_4_3' class='gform_page' data-js='page-field-id-82' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_11\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">B. ATHLETE \/ VOLUNTEER INFORMATION<\/h2><div class='gsection_description' id='gfield_description_4_11'>Information pertaining to the individual injured or the subject of this incident.<\/div><\/li><li id=\"field_4_12\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Type of Participant<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_12'>\n\t\t\t<li class='gchoice gchoice_4_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Athlete'  id='choice_4_12_0'    \/>\n\t\t\t\t<label for='choice_4_12_0' id='label_4_12_0' class='gform-field-label gform-field-label--type-inline'>Athlete<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Volunteer'  id='choice_4_12_1'    \/>\n\t\t\t\t<label for='choice_4_12_1' id='label_4_12_1' class='gform-field-label gform-field-label--type-inline'>Volunteer<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='Student (in School Program)'  id='choice_4_12_2'    \/>\n\t\t\t\t<label for='choice_4_12_2' id='label_4_12_2' class='gform-field-label gform-field-label--type-inline'>Student (in School Program)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_12_3'>\n\t\t\t\t<input name='input_12' type='radio' value='Educator'  id='choice_4_12_3'    \/>\n\t\t\t\t<label for='choice_4_12_3' id='label_4_12_3' class='gform-field-label gform-field-label--type-inline'>Educator<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_12_4'>\n\t\t\t\t<input name='input_12' type='radio' value='Staff'  id='choice_4_12_4'    \/>\n\t\t\t\t<label for='choice_4_12_4' id='label_4_12_4' class='gform-field-label gform-field-label--type-inline'>Staff<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_12_5'>\n\t\t\t\t<input name='input_12' type='radio' value='Spectator'  id='choice_4_12_5'    \/>\n\t\t\t\t<label for='choice_4_12_5' id='label_4_12_5' class='gform-field-label gform-field-label--type-inline'>Spectator<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_4_12'>Please select the best description for the individual involved in this accident.  Only select Student or Educator if the event or practice was part of a school program.<\/div><\/li><li id=\"field_4_13\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_4_13'>\n                            <span id='input_4_13_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_13.2' id='input_4_13_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Miss' >Miss<\/option><option value='Ms.' >Ms.<\/option><option value='Dr.' >Dr.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option>\n                      <\/select>\n                                                    <label for='input_4_13_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                  <\/span>\n                            <span id='input_4_13_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.3' id='input_4_13_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_13_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_13_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.6' id='input_4_13_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_13_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_4_13_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.8' id='input_4_13_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_13_8' class='gform-field-label gform-field-label--type-sub '>Suffix<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_4_14\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_4_14' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_14_1_container' >\n                                        <input type='text' name='input_14.1' id='input_4_14_1' value=''    aria-required='false'    \/>\n                                        <label for='input_4_14_1' id='input_4_14_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_4_14_2_container' >\n                                        <input type='text' name='input_14.2' id='input_4_14_2' value=''     aria-required='false'   \/>\n                                        <label for='input_4_14_2' id='input_4_14_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_14_3_container' >\n                                    <input type='text' name='input_14.3' id='input_4_14_3' value=''    aria-required='false'    \/>\n                                    <label for='input_4_14_3' id='input_4_14_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_14_4_container' >\n                                        <input type='text' name='input_14.4' id='input_4_14_4' value=''      aria-required='false'    \/>\n                                        <label for='input_4_14_4' id='input_4_14_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_14_5_container' >\n                                    <input type='text' name='input_14.5' id='input_4_14_5' value=''    aria-required='false'    \/>\n                                    <label for='input_4_14_5' id='input_4_14_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_4_14_6_container' >\n                                        <select name='input_14.6' id='input_4_14_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_4_14_6' id='input_4_14_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_15\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_15'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_4_15' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_16\" 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_4_16'>Club Name<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_4_16' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_16\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_4_16'>If applicable the name of the club to which this volunteer \/ athlete is affiliated.<\/div><\/li><li id=\"field_4_17\" class=\"gfield gfield--type-name field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Head Coach Name<\/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_4_17'>\n                            \n                            <span id='input_4_17_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.3' id='input_4_17_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_17_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_17_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.6' id='input_4_17_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_17_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><div class='gfield_description' id='gfield_description_4_17'>If this form is for a coach or athlete please provide the name of the head coach of the program in question.<\/div><\/li><li id=\"field_4_18\" 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_4_18'>Community Name<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_4_18' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_18\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_4_18'>If known please provide the Community in which this athlete \/ volunteer is located.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_84' 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_4_84' 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_4_4' class='gform_page' data-js='page-field-id-84' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_19\" 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\">C. NATURE OF ACCIDENT \/ INCIDENT (INCLUDING LOCATION AND EXTENT)<\/h2><\/li><li id=\"field_4_20\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_20'>Location of Accident \/ Incident<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_4_20' class='textarea medium'  aria-describedby=\"gfield_description_4_20\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_4_20'>Details about the location of the Accident \/ Incident<\/div><\/li><li id=\"field_4_21\" class=\"gfield gfield--type-select field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_21'>District<\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_4_21' class='medium gfield_select'  aria-describedby=\"gfield_description_4_21\"   aria-invalid=\"false\" ><option value='Unknown' >Unknown<\/option><option value='South West' >South West<\/option><option value='South Central' >South Central<\/option><option value='GTA' >GTA<\/option><option value='Eastern' >Eastern<\/option><option value='Central' >Central<\/option><option value='North East' >North East<\/option><option value='North West' >North West<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_4_21'>If known, the SOO Region in which this incident took place.<\/div><\/li><li id=\"field_4_22\" 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_4_22'>Date of Accident \/ Incident<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_4_22' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_22_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_22_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_22' class='gform_hidden' value='https:\/\/www1.specialolympicsontario.com\/support\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_23\" class=\"gfield gfield--type-time field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time of Accident \/ Incident<\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_4_23'>\n                            <input type='number' name='input_23[]' id='input_4_23_1' value=''  min='0' max='24' step='1'  placeholder='HH' aria-required='false'   aria-describedby=\"gfield_description_4_23\"\/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_23_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_23[]' id='input_4_23_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_23_2'>Minutes<\/label>\n                        <\/div>\n                        \n                    <\/div><\/div><div class='gfield_description' id='gfield_description_4_23'>If known the approximate time of the accident.<\/div><\/li><li id=\"field_4_76\" 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_4_76'>Details of Accident\/ Incident<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_76' id='input_4_76' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_85' 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_4_85' 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_4_5' class='gform_page' data-js='page-field-id-85' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_24\" 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\">D. ACCIDENT \/ INCIDENT SUMMARY<\/h2><\/li><li id=\"field_4_25\" 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_4_25'>Briefly describe the circumstances leading to the accident \/ incident:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_4_25' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_26\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Was a coach, volunteer or parent supervising?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_26'>\n\t\t\t<li class='gchoice gchoice_4_26_0'>\n\t\t\t\t<input name='input_26' type='radio' value='Yes'  id='choice_4_26_0'    \/>\n\t\t\t\t<label for='choice_4_26_0' id='label_4_26_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_4_26_1'>\n\t\t\t\t<input name='input_26' type='radio' value='No'  id='choice_4_26_1'    \/>\n\t\t\t\t<label for='choice_4_26_1' id='label_4_26_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_4_26'>Was there supervision at the time of the accident?  If yes please indicate the name of the supervisor below.<\/div><\/li><li id=\"field_4_27\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_27'>If yes, name(s) of those supervising:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_4_27' class='textarea medium'  aria-describedby=\"gfield_description_4_27\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_4_27'>Please include the contact information for individuals supervising (if not included in the contact information section above)<\/div><\/li><li id=\"field_4_28\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Was anyone else involved?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_28'>\n\t\t\t<li class='gchoice gchoice_4_28_0'>\n\t\t\t\t<input name='input_28' type='radio' value='Yes'  id='choice_4_28_0'    \/>\n\t\t\t\t<label for='choice_4_28_0' id='label_4_28_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_4_28_1'>\n\t\t\t\t<input name='input_28' type='radio' value='No'  id='choice_4_28_1'    \/>\n\t\t\t\t<label for='choice_4_28_1' id='label_4_28_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_29\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_29'>If yes, please describe who, and how:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_4_29' class='textarea medium'  aria-describedby=\"gfield_description_4_29\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_4_29'>Please include relevant contact information if appropriate.\n\nPlease note that a separate accident\/incident report may be required if more than one party was INJURED in this incident.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_86' 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_4_86' 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_4_6' class='gform_page' data-js='page-field-id-86' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">E. ACTIONS TAKEN OR TREATMENT<\/h2><div class='gsection_description' id='gfield_description_4_30'>Please indicate the treatment provided with regard to this accident or where relevant follow up or corrective actions taken.<\/div><\/li><li id=\"field_4_77\" 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_4_77'>Actions Taken\/ Treatment<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_4_77' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_31\" 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_4_31'>By whom:<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_4_31' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_31\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_4_31'>Name of the person providing treatment \/ follow up (where possible please provide contact information)<\/div><\/li><li id=\"field_4_32\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Was the athlete\/volunteer sent home?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_32'>\n\t\t\t<li class='gchoice gchoice_4_32_0'>\n\t\t\t\t<input name='input_32' type='radio' value='Yes'  id='choice_4_32_0'    \/>\n\t\t\t\t<label for='choice_4_32_0' id='label_4_32_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_4_32_1'>\n\t\t\t\t<input name='input_32' type='radio' value='No'  id='choice_4_32_1'    \/>\n\t\t\t\t<label for='choice_4_32_1' id='label_4_32_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_33\" 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_4_33'>If yes, how, and with whom?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_4_33' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_34\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Was athlete\/volunteer sent to hospital?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_34'>\n\t\t\t<li class='gchoice gchoice_4_34_0'>\n\t\t\t\t<input name='input_34' type='radio' value='Yes'  id='choice_4_34_0'    \/>\n\t\t\t\t<label for='choice_4_34_0' id='label_4_34_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_4_34_1'>\n\t\t\t\t<input name='input_34' type='radio' value='No'  id='choice_4_34_1'    \/>\n\t\t\t\t<label for='choice_4_34_1' id='label_4_34_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_78\" 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_4_78'>If yes, how, and with whom?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_78' id='input_4_78' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_87' 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_4_87' 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_4_7' class='gform_page' data-js='page-field-id-87' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_36\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">F. CONTACT NOTIFICATIONS<\/h2><div class='gsection_description' id='gfield_description_4_36'>Pertaining to individuals \/ organizations notified as follow up to this accident \/ incident.<\/div><\/li><li id=\"field_4_79\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Was a doctor called?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_79'>\n\t\t\t<li class='gchoice gchoice_4_79_0'>\n\t\t\t\t<input name='input_79' type='radio' value='Yes'  id='choice_4_79_0'    \/>\n\t\t\t\t<label for='choice_4_79_0' id='label_4_79_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_4_79_1'>\n\t\t\t\t<input name='input_79' type='radio' value='No'  id='choice_4_79_1'    \/>\n\t\t\t\t<label for='choice_4_79_1' id='label_4_79_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_79_2'>\n\t\t\t\t<input name='input_79' type='radio' value='Not Required'  id='choice_4_79_2'    \/>\n\t\t\t\t<label for='choice_4_79_2' id='label_4_79_2' class='gform-field-label gform-field-label--type-inline'>Not Required<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_38\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_38'>Name of Doctor<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_4_38' class='textarea medium'  aria-describedby=\"gfield_description_4_38\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_4_38'>If yes please indicate the name of the doctor and their contact information as well as the name of the person who contacted them.<\/div><\/li><li id=\"field_4_39\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_39'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_39' id='input_4_39' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_39_date_format gfield_description_4_39\" aria-invalid=\"false\" \/>\n                            <span id='input_4_39_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_39' class='gform_hidden' value='https:\/\/www1.specialolympicsontario.com\/support\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_4_39'>Date of notification<\/div><\/li><li id=\"field_4_40\" class=\"gfield gfield--type-time field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_4_40'>\n                            <input type='number' name='input_40[]' id='input_4_40_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   aria-describedby=\"gfield_description_4_40\"\/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_40_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_40[]' id='input_4_40_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_40_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_40[]' id='input_4_40_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_4_40_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><div class='gfield_description' id='gfield_description_4_40'>If known, approximate time of notification.<\/div><\/li><li id=\"field_4_41\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Was parent or guardian notified?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_41'>\n\t\t\t<li class='gchoice gchoice_4_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='Yes'  id='choice_4_41_0'    \/>\n\t\t\t\t<label for='choice_4_41_0' id='label_4_41_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_4_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='No'  id='choice_4_41_1'    \/>\n\t\t\t\t<label for='choice_4_41_1' id='label_4_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_41_2'>\n\t\t\t\t<input name='input_41' type='radio' value='Not required'  id='choice_4_41_2'    \/>\n\t\t\t\t<label for='choice_4_41_2' id='label_4_41_2' class='gform-field-label gform-field-label--type-inline'>Not required<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_4_41'>Was Special Olympics Ontario staff present or notified following the incident?<\/div><\/li><li id=\"field_4_80\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_80'>Name of Parent\/ Guardian<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_80' id='input_4_80' class='textarea medium'  aria-describedby=\"gfield_description_4_80\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_4_80'>Please note the name of the parent or guardian contacted as well as the name of the person who contacted them. <\/div><\/li><li id=\"field_4_43\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_43'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_43' id='input_4_43' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_43_date_format gfield_description_4_43\" aria-invalid=\"false\" \/>\n                            <span id='input_4_43_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_43' class='gform_hidden' value='https:\/\/www1.specialolympicsontario.com\/support\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_4_43'>Date of notification<\/div><\/li><li id=\"field_4_44\" class=\"gfield gfield--type-time field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_4_44'>\n                            <input type='number' name='input_44[]' id='input_4_44_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   aria-describedby=\"gfield_description_4_44\"\/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_44_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_44[]' id='input_4_44_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_44_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_44[]' id='input_4_44_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_4_44_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><div class='gfield_description' id='gfield_description_4_44'>Approximate time of notification.<\/div><\/li><li id=\"field_4_68\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Was Special Olympics Ontario notified?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_68'>\n\t\t\t<li class='gchoice gchoice_4_68_0'>\n\t\t\t\t<input name='input_68' type='radio' value='Yes'  id='choice_4_68_0'    \/>\n\t\t\t\t<label for='choice_4_68_0' id='label_4_68_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_4_68_1'>\n\t\t\t\t<input name='input_68' type='radio' value='No'  id='choice_4_68_1'    \/>\n\t\t\t\t<label for='choice_4_68_1' id='label_4_68_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_4_68'>Was Special Olympics Ontario staff present or notified following the incident?<\/div><\/li><li id=\"field_4_81\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_81'>Name of Staff<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_81' id='input_4_81' class='textarea medium'  aria-describedby=\"gfield_description_4_81\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_4_81'>Name of SOO Staff notified and please indicate who notified the staff member. <\/div><\/li><li id=\"field_4_70\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_70'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_70' id='input_4_70' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_70_date_format gfield_description_4_70\" aria-invalid=\"false\" \/>\n                            <span id='input_4_70_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_70' class='gform_hidden' value='https:\/\/www1.specialolympicsontario.com\/support\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_4_70'>Date of notification<\/div><\/li><li id=\"field_4_71\" class=\"gfield gfield--type-time field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_4_71'>\n                            <input type='number' name='input_71[]' id='input_4_71_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   aria-describedby=\"gfield_description_4_71\"\/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_71_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_71[]' id='input_4_71_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_71_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_71[]' id='input_4_71_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_4_71_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><div class='gfield_description' id='gfield_description_4_71'>Approximate time of notification.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_88' 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_4_88' 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_4_8' class='gform_page' data-js='page-field-id-88' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_45\" 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\">G. OTHER<\/h2><\/li><li id=\"field_4_46\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_46'>List witnesses to accident \/ incident:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_46' id='input_4_46' class='textarea medium'  aria-describedby=\"gfield_description_4_46\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_4_46'>If there were additional witnesses to this accident \/ incident please include their names and contact information here.<\/div><\/li><li id=\"field_4_47\" 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_4_47'>Please add any further information which you consider important:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_4_47' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_48\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_48'>If you have any supporting documentation, attachments or files that are relevant to this report please upload them into the spaces below.<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_48' id='input_4_48' type='file' class='medium' aria-describedby=\"gfield_upload_rules_4_48 gfield_description_4_48\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_48'>Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_48'><\/div> <\/div><div class='gfield_description' id='gfield_description_4_48'>Upload File 1<\/div><\/li><li id=\"field_4_50\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_50'>File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_50' id='input_4_50' type='file' class='medium' aria-describedby=\"gfield_upload_rules_4_50 gfield_description_4_50\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_50'>Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_50'><\/div> <\/div><div class='gfield_description' id='gfield_description_4_50'>Upload File 2<\/div><\/li><li id=\"field_4_49\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_49'>File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_49' id='input_4_49' type='file' class='medium' aria-describedby=\"gfield_upload_rules_4_49 gfield_description_4_49\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_49'>Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_49'><\/div> <\/div><div class='gfield_description' id='gfield_description_4_49'>Upload File 3<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_89' 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_4_89' 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_4_9' class='gform_page' data-js='page-field-id-89' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_51\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">H. RELEASE<\/h2><div class='gsection_description' id='gfield_description_4_51'>* I understand that the information contained in this report may be deemed confidential.  As a participating Volunteer, I may be dealing with confidential information and I agree to keep such information in the strictest confidence.  <br\/><br\/>\n\n* I agree to abide by the Special Olympics Canada Inc. and Special Olympics Ontario Inc. rules, policies and procedures and Code of Conduct.  \n<br\/><br\/>\n* I affirm that I have read the above and that the information I have given is true and complete.\n<br\/><br\/>\nType your name here to verify your understanding of the above statements<\/div><\/li><li id=\"field_4_52\" 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_4_52'>Type your name here to verify your understanding of the above statements<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_4_52' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_4' 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='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='GRXGuEH1JU1FvzBv\/ncyw2ZPlGBLhzQEyuaC1q8MbjeKTt3VJ9HU0viyRVHjtv2bbgfho21q0zBxXRaQ5au53H9YFpUFDFNwf4l64c1iFf7UrM0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsImVlYzAyYjJmYWVlYjVmOTdhMzNiYjYzZTczNjU4YTU4Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_4' value='' \/>\n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https:\/\/www1.specialolympicsontario.com\/support\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_4').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_4').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_4').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_4').offset().top - mt); 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