{"id":865,"date":"2020-12-13T15:24:51","date_gmt":"2020-12-13T15:24:51","guid":{"rendered":"https:\/\/daviduzcategui.com.ve\/wpdu\/?page_id=865"},"modified":"2021-01-05T01:32:47","modified_gmt":"2021-01-05T01:32:47","slug":"formulario-1","status":"publish","type":"page","link":"https:\/\/daviduzcategui.com.ve\/wpdu\/formulario-1\/","title":{"rendered":"Inscr\u00edbete"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f864-o1\" lang=\"es-ES\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wpdu\/wp-json\/wp\/v2\/pages\/865#wpcf7-f864-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"864\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.6.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/>\n<input 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value=\"{&quot;form_id&quot;:864,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;grupo-libertador&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;municipio_susc&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Libertador&quot;}]},{&quot;then_field&quot;:&quot;grupo-el-hatillo&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;municipio_susc&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;El 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Castillo&quot;}]},{&quot;then_field&quot;:&quot;grupo-plaza&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;municipio_susc&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Plaza&quot;}]},{&quot;then_field&quot;:&quot;grupo-rojas&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;municipio_susc&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Rojas&quot;}]},{&quot;then_field&quot;:&quot;grupo-urdaneta&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;municipio_susc&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Urdaneta&quot;}]},{&quot;then_field&quot;:&quot;grupo-zamora&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;municipio_susc&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Zamora&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-5.4&quot;:true,&quot;notice_dismissed_update-cf7-5.4.1&quot;:true,&quot;notice_dismissed_rollback-cf7-5.4.1&quot;:true,&quot;notice_dismissed_rollback-cf7-5.4.2&quot;:true,&quot;notice_dismissed_update-cf7-5.6&quot;:true,&quot;notice_dismissed_update-cf7-5.6.1&quot;:true,&quot;notice_dismissed_update-cf7-5.6.2&quot;:true,&quot;notice_dismissed_update-cf7-5.6.3&quot;:true,&quot;notice_dismissed_update-cf7-5.6.4&quot;:true,&quot;notice_dismissed_update-cf7-5.7.2&quot;:true,&quot;notice_dismissed_update-cf7-5.7.3&quot;:true,&quot;notice_dismissed_update-cf7-5.7.4&quot;:true,&quot;notice_dismissed_update-cf7-5.7.6&quot;:true,&quot;notice_dismissed_update-cf7-5.7.7&quot;:true,&quot;notice_dismissed_update-cf7-5.8&quot;:true,&quot;notice_dismissed_update-cf7-5.8.2&quot;:true,&quot;notice_dismissed_update-cf7-5.8.5&quot;:true,&quot;notice_dismissed_update-cf7-5.8.7&quot;:true,&quot;notice_dismissed_update-cf7-5.9.4&quot;:true,&quot;notice_dismissed_update-cf7-6.0&quot;:true,&quot;notice_dismissed_update-cf7-6.0.6&quot;:true,&quot;notice_dismissed_update-cf7-6.1&quot;:true,&quot;notice_dismissed_update-cf7-6.1.1&quot;:true,&quot;notice_dismissed_update-cf7-6.1.2&quot;:true,&quot;notice_dismissed_update-cf7-6.1.3&quot;:true,&quot;notice_dismissed_update-cf7-6.1.4&quot;:true,&quot;notice_dismissed_update-cf7-6.1.5&quot;:true}}\" \/>\n<\/div>\n<div class= \"formulario\">\n<div id= \"nombre_campos\" class=\"input-cf7\">\n<label> Nombre <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap nombe_susc\"><input type=\"text\" name=\"nombe_susc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nombre\" \/><\/span>\n<\/div>\n<div id= \"apellido_campos\" class=\"input-cf7\">\n<label> Apellido <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap apellido_susc\"><input type=\"text\" name=\"apellido_susc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Apellido\" \/><\/span>\n<\/div>\n<div id= \"sexo_campos\" class=\"input-cf7\">\n<label> Sexo <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap sexo_susc\"><select name=\"sexo_susc\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Hombre\">Hombre<\/option><option value=\"Mujer\">Mujer<\/option><\/select><\/span>\n<\/div>\n<div id= \"fecha_campos\" class=\"input-cf7\">\n<label> Fecha de nac. <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap fecha_susc\"><input type=\"date\" name=\"fecha_susc\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"dd\/mm\/aaaa\" \/><\/span>\n<\/div>\n<div id= \"ci_campos\" class=\"input-cf7\">\n<\/label>C\u00e9dula<\/label><\/p>\n<div id=\"interior_cedula\">\n<span class=\"wpcf7-form-control-wrap ci_susc\"><select name=\"ci_susc\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"ci_select\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"V\">V<\/option><option value=\"E\">E<\/option><option value=\"J\">J<\/option><option value=\"C\">C<\/option><option value=\"G\">G<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap ci_numero_susc\"><input type=\"text\" name=\"ci_numero_susc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"ci_numero\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"10111555\" \/><\/span>\n<\/div>\n<\/div>\n<div id= \"email_campos\" class=\"input-cf7\">\n<label> E-mail <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap email_susc\"><input type=\"email\" name=\"email_susc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"abc@gmail.com\" \/><\/span>\n<\/div>\n<div id= \"telf_campos\" class=\"input-cf7\">\n<label> T\u00e9lefono <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap telf_susc\"><input type=\"tel\" name=\"telf_susc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"04241550000\" \/><\/span>\n<\/div>\n<div id= \"dir_campos\" class=\"input-cf7\">\n<label> Direcci\u00f3n <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap dir_susc\"><input type=\"text\" name=\"dir_susc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Calle, avenida, nombre de la vivienda, urbanizaci\u00f3n\" \/><\/span>\n<\/div>\n<div id= \"municipio_campos\" class=\"input-cf7\">\n<label> Municipio <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap municipio_susc\"><select name=\"municipio_susc\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Baruta\">Baruta<\/option><option value=\"Acevedo\">Acevedo<\/option><option value=\"Andr\u00e9s Bello\">Andr\u00e9s Bello<\/option><option value=\"Bri\u00f3n\">Bri\u00f3n<\/option><option value=\"Bol\u00edvar\">Bol\u00edvar<\/option><option value=\"Buroz\">Buroz<\/option><option value=\"Carrizal\">Carrizal<\/option><option value=\"Chacao\">Chacao<\/option><option value=\"El Hatillo\">El Hatillo<\/option><option value=\"Guaicaipuro\">Guaicaipuro<\/option><option value=\"Gual\">Gual<\/option><option value=\"Independencia\">Independencia<\/option><option value=\"Lander\">Lander<\/option><option value=\"Libertador\">Libertador<\/option><option value=\"Los Salias\">Los Salias<\/option><option value=\"P\u00e1ez\">P\u00e1ez<\/option><option value=\"Paz Castillo\">Paz Castillo<\/option><option value=\"Plaza\">Plaza<\/option><option value=\"Rojas\">Rojas<\/option><option value=\"Sucre\">Sucre<\/option><option value=\"Urdaneta\">Urdaneta<\/option><option value=\"Zamora\">Zamora<\/option><option value=\"Otro\">Otro<\/option><\/select><\/span>\n<\/div>\n<div id= \"parroquia_campos\" 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class=\"wpcf7-list-item-label\">Voluntario<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_solidaria\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_solidaria[]\" value=\"Miranda Solidaria\" \/><span class=\"wpcf7-list-item-label\">Miranda Solidaria<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_cuidemos\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_cuidemos[]\" value=\"Cuidemos a Miranda\" \/><span class=\"wpcf7-list-item-label\">Cuidemos a Miranda<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_emprende\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_emprende[]\" value=\"Emprende Miranda\" \/><span class=\"wpcf7-list-item-label\">Emprende Miranda<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_dar_vida\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_dar_vida[]\" value=\"Dar Vida a Miranda (Losartan)\" \/><span class=\"wpcf7-list-item-label\">Dar Vida a Miranda (Losartan)<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_desde_mi_ventana\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_desde_mi_ventana[]\" value=\"Desde mi Ventana (Conciertos al aire libre)\" \/><span class=\"wpcf7-list-item-label\">Desde mi Ventana (Conciertos al aire libre)<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_mascotas\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_mascotas[]\" value=\"Mascotas Miranda\" \/><span class=\"wpcf7-list-item-label\">Mascotas Miranda<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_jornada_de_salud\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_jornada_de_salud[]\" value=\"Jornada de Salud\" \/><span class=\"wpcf7-list-item-label\">Jornada de Salud<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_deportiva\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"programas_deportiva[]\" value=\"Miranda Deportiva\" \/><span class=\"wpcf7-list-item-label\">Miranda Deportiva<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap programas_la_voz\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span 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