act.communitychangeaction.org
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https://act.communitychangeaction.org/a/dwoci
Submission: On April 14 via api from BE — Scanned from DE
Submission: On April 14 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
POST v1
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<div class="at-markup FastAction" id="NVSignupForm1862300-FastAction">
<div class="fastaction-block">
<div class="fastAction clearfix">
<p>
<span class="fa-cta">
<a href="#fastaction-login" class="profile-link" aria-label="FastAction">
<img class="profile-link-fa-image" src="//d1aqhv4sn5kxtx.cloudfront.net/actiontag/assets/images/fast-action.svg">
</a>
<span><a href="https://fastaction.ngpvan.com##whats-this" class="circle" id="fastaction-whatsthis" data-popup="true" data-popup-width="515" data-popup-height="540" target="_blank">?</a></span>
</span>
<span class="fa-lead"> Take future action with a single click.<br>
<a href="#fastaction-login" class="call-modal" id="fastaction-widget-login">Log in</a> or <a href="#fastaction-signup" class="call-modal" id="fastaction-widget-signup">Sign up</a> for <i>Fast</i><b>Action</b>
</span>
</p>
</div>
</div>
</div>
<div data-name="undefined" data-subview="submit_view" data-subview-index="2"></div>
<fieldset class="at-fieldset ContactInformation" id="NVSignupForm1862300-ContactInformation">
<legend class="at-legend">Contact Information</legend>
<div class="at-fields">
<div class="at-row FirstName LastName"><label class="at-text FirstName" id="NVSignupForm1862300-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
title="First Name (required)" name="FirstName" value="" maxlength="20" placeholder="First Name ">
</label><label class="at-text LastName" id="NVSignupForm1862300-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
value="" maxlength="25" placeholder="Last Name ">
</label></div>
<div class="at-row at-row-solo AddressLine1"><label class="at-text AddressLine1" id="NVSignupForm1862300-ContactInformation-AddressLine1">Street Address<input type="text" autocomplete="address-line1" x-autocompletetype="address-line1"
required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99" placeholder="Street Address ">
</label></div>
<div class="at-row PostalCode City StateProvince"><label class="at-text PostalCode" id="NVSignupForm1862300-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code" x-autocompletetype="postal-code"
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</label><label class="at-text City" id="NVSignupForm1862300-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)" name="City" value="" maxlength="25"
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<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
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<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
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<option value="NC">NC</option>
<option value="ND">ND</option>
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<option value="NV">NV</option>
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<option value="TX">TX</option>
<option value="UT">UT</option>
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<option value="VT">VT</option>
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<option value="WI">WI</option>
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<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
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<div class="at-row EmailAddress MobilePhone"><label class="at-text EmailAddress" id="NVSignupForm1862300-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
name="EmailAddress" value="" maxlength="100" placeholder="Email ">
</label><label class="at-text MobilePhone" id="NVSignupForm1862300-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small>
<div class="intl-tel-input iti iti--allow-dropdown">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-0__item-us-preferred">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
</div>
</div><input type="tel" class="intl-phone-MobilePhone" name="MobilePhone" title="Mobile Phone" data-intl-tel-input-id="0">
</div>
</label></div>
<div class="at-row at-row-solo at-row-full SmsSubscribeMobilePhone"><label class="at-check SmsSubscribeMobilePhone" id="NVSignupForm1862300-ContactInformation-SmsSubscribeMobilePhone"><input type="checkbox" name="SmsSubscribeMobilePhone">
<span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1862300-ContactInformation-SmsSubscribeMobilePhone-label">Sign me up for SMS messages.</span></span>
</label></div>
<div class="at-row at-row-solo at-row-full SmsLegalDisclaimer at-indented">
<div class="at-markup SmsLegalDisclaimer at-legal" id="NVSignupForm1862300-ContactInformation-SmsLegalDisclaimer">
<p>By providing your email or cell phone number, you agree that you may be contacted in the future by Community Change Action, Community Change, or other organizations with which we share this information. Do NOT provide your mobile number
if you do not agree. Text STOP to cancel future texts from that sender. Text HELP for help. 4 msgs/month. Msg & data rates may
apply. <a data-token-index="1" href="https://act.communitychangeaction.org/a/terms-and-conditions" rel="noopener noreferrer" tabindex="0">Terms of Submission</a>. <a data-token-index="3" href="https://communitychangeaction.org/privacy-policy/" rel="noopener noreferrer" tabindex="0">Privacy Policy</a>.
</p>
</div>
</div>
<div class="at-row at-row-solo YesSignMeUpForUpdatesForBinder"><input id="YesSignMeUpForUpdatesForBinder_Value" type="hidden" name="YesSignMeUpForUpdatesForBinder.Value" value="true"></div>
<div class="at-row at-row-solo at-row-full UpdateMyProfile at-mode-person-only">
<div class="at-markup UpdateMyProfile at-mode-person-only" id="NVSignupForm1862300-ContactInformation-UpdateMyProfile">
<div class="updateMyProfileSection" style=""><label style="display:inline;"><input type="checkbox" name="updateMyProfile" checked="checked"><span><span class="text">Remember me so that I can use <i>Fast</i><b>Action</b> next
time.</span></span></label></div>
</div>
</div>
<div class="at-row "><label class="at-text PersonalUrl" id="NVSignupForm1862300-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
</label></div>
<div class="at-row ">
<div class="at-markup TrackingPixel" id="NVSignupForm1862300-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
src="https://secure.everyaction.com/v1/Track/NhIzA3F4iU-RLdDI9TUtGQ2?formSessionId=c078e071-9933-49d0-8a2c-1d34da903bab&bName=chrome&dType=desktop&formVersion=4/11/2024 5:21:03 PM|4/26/2023 7:59:57 PM&fUrl=aHR0cHM6Ly9hY3QuY29tbXVuaXR5Y2hhbmdlYWN0aW9uLm9yZy9hL2R3b2Np&fRef="
style="display:none"></div>
</div>
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<fieldset class="at-fieldset AdditionalInformation" id="NVSignupForm1862300-AdditionalInformation">
<legend class="at-legend">Let us know about you:</legend>
<div class="at-fields">
<div class="at-row at-row-full CustomFormFieldQuestion_2135538550875891">
<div id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891"><label name="CustomFormFieldQuestion_2135538550875891" class="checkbox-list-label"> Check any boxes that apply to
you: <small>(Optional)</small><br>
<small class="checkbox-list-required-text" name="CustomFormFieldQuestion_2135538550875891-small" style="display: none"><b>Check any boxes that apply to you: is required.</b></small>
</label>
</div>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_8056844512185065_MappedActivistCodeQuestion_4899300">
<label class="at-check CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_8056844512185065_MappedActivistCodeQuestion_4899300"
id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_8056844512185065_MappedActivistCodeQuestion_4899300"><input type="checkbox"
name="CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_8056844512185065_MappedActivistCodeQuestion_4899300" aria-describedby="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_8056844512185065_MappedActivistCodeQuestion_4899300-label">You are a child care supporter but are not a parent or
worker</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_2201540369491373">
<label class="at-check CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_2201540369491373" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_2201540369491373"><input
type="checkbox" name="CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_2201540369491373" aria-describedby="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_2201540369491373-label">You are a parent of a young
child</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_1548699796811079">
<label class="at-check CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_1548699796811079" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_1548699796811079"><input
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class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_1548699796811079-label">You are a child care
provider</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6327519875248007">
<label class="at-check CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6327519875248007" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6327519875248007"><input
type="checkbox" name="CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6327519875248007" aria-describedby="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6327519875248007-label">You are interested in participating
in Day Without Child Care</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6662549286915217">
<label class="at-check CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6662549286915217" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6662549286915217"><input
type="checkbox" name="CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6662549286915217" aria-describedby="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_2135538550875891_CustomFormFieldQuestion_6662549286915217-label">You are interested in receiving
online action opportunities around childcare</span></span>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_152252235265615_MappedParagraphQuestion_290934431329209">
<label class="at-area CustomFormFieldQuestion_152252235265615_MappedParagraphQuestion_290934431329209" id="NVSignupForm1862300-AdditionalInformation-CustomFormFieldQuestion_152252235265615_MappedParagraphQuestion_290934431329209">What is
your story? Why have you chosen to join the child care movement? <small>(Optional)</small><textarea false="" title="What is your story? Why have you chosen to join the child care movement?"
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</label>
</div>
</div>
</fieldset>
<div class="at-form-submit clearfix">
<input type="submit" value="Submit" class="at-submit btn-at btn-at-primary">
<div class="at-markup secure-processing-single-step-div" style="display: none;">
<label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock"></div>
</label>
</div>
</div>
</form>Text Content
Childcare advocates from around the country are pushing for investment in care that will lift the economy and our families, create and sustain good jobs, and revamp our insufficient care programs. We need immediate public investment for: * Thriving wages for child care providers * Affordable child care for all families * An equitable childcare system built on racial justice Join our grassroots movement to win the childcare system we deserve with thriving wages for providers and affordable care for all families. Let us know what you're most interested in! ? Take future action with a single click. Log in or Sign up for FastAction Contact Information First Name Last Name Street Address Postal Code City State/Province- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email Mobile Phone (Optional) Sign me up for SMS messages. By providing your email or cell phone number, you agree that you may be contacted in the future by Community Change Action, Community Change, or other organizations with which we share this information. Do NOT provide your mobile number if you do not agree. Text STOP to cancel future texts from that sender. Text HELP for help. 4 msgs/month. Msg & data rates may apply. Terms of Submission. Privacy Policy. Remember me so that I can use FastAction next time. (Optional) Let us know about you: Check any boxes that apply to you: (Optional) Check any boxes that apply to you: is required. You are a child care supporter but are not a parent or worker You are a parent of a young child You are a child care provider You are interested in participating in Day Without Child Care You are interested in receiving online action opportunities around childcare What is your story? Why have you chosen to join the child care movement? (Optional) Your donation will be securely processed. SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Sign up with your email address Already have a FastAction account? Log in By clicking "Log in," I confirm that I agree with the FastAction terms of service and privacy policy. × SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Log in with your email address We have discontinued Facebook and Twitter log in options in favor of ActionID, our newer, single sign-on for all your accounts across our platform. Log in or sign up using your email address to unlock your FastAction profile and take future action with a single click. Don't have a FastAction account yet? Sign up By clicking "Sign up," I confirm that I agree with the FastAction terms of service and privacy policy. ×