uucfw.churchcenter.com
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Submitted URL: https://www.update-profile.uufortwayne.org/
Effective URL: https://uucfw.churchcenter.com/people/forms/573623
Submission: On August 11 via api from US — Scanned from DE
Effective URL: https://uucfw.churchcenter.com/people/forms/573623
Submission: On August 11 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<section>
<div>
<div id="new-person-form">
<div class="mt-3">
<div class="d-f jc-sb"><label for="your_name_1" class="f-1">Your name<span class="fs-3 c-ruby"> * </span></label></div>
<div class="d-f@md f_1 d-b@iframe">
<div>
<div class="
"><input type="text" id="your_name_1" placeholder="First name" autocomplete="given-name" spellcheck="false" required="" value=""></div>
</div>
<div class="ml-0 ml-1@md ml-0@iframe mt-1 mt-0@md mt-1@iframe"><label class="screen-reader-text" for="last_name">Last name</label>
<div class="
"><input type="text" id="last_name" placeholder="Last name" autocomplete="family-name" spellcheck="false" required="" value=""></div>
</div>
</div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="email_address_1" class="f-1">Email address<span class="fs-3 c-ruby"> * </span></label></div>
<div class="
"><input type="email" id="email_address_1" placeholder="name@example.com" autocomplete="email" required="" value=""></div>
</div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="phone_number_4458734" class="f-1">Phone number</label></div>
<div class="d-f fd-c fd-r@md d-b@iframe">
<div><label class="screen-reader-text" for="phone_type_4458734">Phone type</label>
<div class=" custom-select"><select class="select" id="phone_type_4458734">
<option selected="">Mobile</option>
<option>Home</option>
<option>Work</option>
<option>Other</option>
</select></div>
</div>
<div class="f-1 ml-0 ml-1@md ml-0@iframe mt-1 mt-0@md mt-1@iframe">
<div class="
"><input type="tel" id="phone_number_4458734" name="phone_number_4458734" autocomplete="tel"></div>
</div>
</div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="address_4458738" class="f-1">Address</label></div>
<div class="">
<div class="d-f mb-1 fd-c fd-r@md d-b@iframe">
<div class=" custom-select"><select class="select" id="address_4458738">
<option selected="">Home</option>
<option>Work</option>
<option>Other</option>
</select></div>
<div class="d-f f-1 ai-c">
<div class="ml-0 ml-1@md ml-0@iframe mt-1 mt-0@md mt-1@iframe"><label class="screen-reader-text" for="country_code">Country</label>
<div class="dropdown" id="country_select_country_code"><label for="country_select_country_code"><span class="screen-reader-text">Country</span><button aria-expanded="false" aria-haspopup="listbox" aria-label="Select country"
type="button" class="select d-if ai-c c-tint4" style="border-bottom-right-radius: 0px; border-top-right-radius: 0px; outline-offset: -1px;">Country</button></label>
<div class="dropdown__content" style="padding: 6px 8px; min-width: 280px;"><input placeholder="Search countries" type="search" role="combobox" aria-expanded="true" aria-controls="country_select_country_code_listbox" class="sm-input"
style="padding-left: 32px; background-image: url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='16' height='16' viewBox='0 0 16 16'%3E%3Cpath d='M11.742 10.344a6.5 6.5 0 1 0-1.397 1.398h-.001c.03.04.062.078.098.115l3.85 3.85a1 1 0 0 0 1.415-1.414l-3.85-3.85a1.007 1.007 0 0 0-.115-.1zM12 6.5a5.5 5.5 0 1 1-11 0 5.5 5.5 0 0 1 11 0z'%3E%3C/path%3E%3C/svg%3E"); background-repeat: no-repeat; background-position: 8px center;">
<ul role="listbox" id="country_select_country_code_listbox" class="m-0 mt-1 p-0 p-r" style="max-height: 15rem; overflow-y: auto;"><span style="display: block; margin: 0.5rem;">No countries found</span></ul>
</div>
</div>
</div>
<div class="f-1"><label for="street_line_1" class="css-1eyxkfe"><span class="screen-reader-text">Street Address</span>
<div data-reach-combobox="" data-state="idle"><input aria-autocomplete="both" aria-controls="listbox--1" aria-expanded="false" aria-haspopup="listbox" role="combobox" type="text" placeholder="Street Address" id="street_line_1"
data-reach-combobox-input="" data-state="idle" value="" style="border-left: 0px; border-radius: 0px 4px 4px 0px;"></div>
</label></div>
</div>
</div><label class="screen-reader-text" for="address_2">Apt/unit/box (optional)</label>
<div class="
mb-1
"><input type="text" id="address_2" placeholder="Apt/unit/box (optional)" autocomplete="address-line2" value=""></div>
<div class="d-f mb-1 fd-c fd-r@md d-b@iframe"><label class="screen-reader-text" for="city">City</label>
<div class="
f-1
"><input type="text" id="city" placeholder="City" autocomplete="address-level2" value=""></div><label class="screen-reader-text" for="state">State</label>
<div class="
f-1 ml-0 ml-1@md ml-0@iframe mt-1 mt-0@md mt-1@iframe
"><input type="text" id="state" placeholder="State" autocomplete="address-level1" value=""></div><label class="screen-reader-text" for="postal_code">Postal code</label>
<div class="
f-1 ml-0 ml-1@md ml-0@iframe mt-1 mt-0@md mt-1@iframe
"><input type="text" id="postal_code" placeholder="Postal code" autocomplete="postal-code" value=""></div>
</div>
</div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="undefined_6112489" class="f-1"></label></div>
<div class="section-header pt-4 pb-1">
<h2 class="h2">Additional Information</h2>
</div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="birthday_4458735" class="f-1">Birthdate</label></div>
<div class="date-field "><span class="date-field__icon ml-1 mt-1" style="z-index: 1;"><svg role="img" class="symbol" aria-labelledby="title-calendar-outline-2">
<title id="title-calendar-outline-2">Date</title>
<use xlink:href="/people/packs/static/@planningcenter/icons/sprites/cco-c56b7e35b5233e557c10.svg#calendar-outline"></use>
</svg></span><input id="birthday_4458735" autocomplete="bday" class="date-field__input hasDatepicker" type="text"></div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="string_6112482" class="f-1">Shirt Size</label></div>
<div class="
"><input type="text" id="string_6112482"></div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="gender_6112477" class="f-1">Gender</label></div>
<div class="undefined custom-select"><select class="select" id="gender_6112477">
<option></option>
<option value="7132930">Male</option>
<option value="7132941">Female</option>
<option value="8234250">Non-binary</option>
<option value="8234251">Gender Fluid</option>
<option value="8234252">Demi-gender (identifies with terms that aren't femme or masc)</option>
<option value="8234253">Femme (Demi, Trans, and Other)</option>
<option value="8234254">Masc (Demi, Trans, and Other)</option>
<option value="8234255">Agender</option>
<option value="8234256">Ask Me!</option>
<option value="8234257">Do Not Ask Me!</option>
<option value="8234258">Prefer not to say</option>
<option value="8234259">Other - Not Specified</option>
</select></div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="medical_6112483" class="f-1">Medical note</label></div>
<div class=""><textarea rows="5" id="medical_6112483"></textarea></div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="household_4458737" class="f-1">Household members</label></div><button type="button" class="btn secondary-btn minor-btn mr-1">+ Add adult</button><button type="button" class="btn secondary-btn minor-btn">+
Add child</button>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="custom_dropdown_6112493" class="f-1">Pronoun</label></div>
<div class="undefined custom-select"><select class="select" id="custom_dropdown_6112493">
<option></option>
<option value="8085682">She/Her</option>
<option value="8085683">He/Him</option>
<option value="8085686">They/Them</option>
<option value="8094058">She/They</option>
<option value="8094059">He/They</option>
<option value="8451404">She/He/They</option>
<option value="8451379">Ask Me</option>
</select></div>
</div>
<div class="mt-3">
<div class="d-f jc-sb"><label for="text_6112509" class="f-1">Notes:</label></div>
<p class="fs-4 c-tint2 mb-1 mt-4p lh-tight p-r b-8p">Anything else you would like to share?</p>
<div class=""><textarea rows="5" id="text_6112509"></textarea></div>
</div>
<div class="my-4 ta-c"><button type="button" class="btn ladda-button" data-style="slide-left" data-spinner-color="#999999"><span class="ladda-label">Submit</span><span class="ladda-spinner"></span></button></div>
</div>
</section>
</form>Text Content
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UPDATE DIRECTORY INFORMATION
Your name *
Last name
Email address *
Phone number
Phone type
MobileHomeWorkOther
Address
HomeWorkOther
Country
CountryCountry
No countries found
Street Address
Apt/unit/box (optional)
City
State
Postal code
ADDITIONAL INFORMATION
Birthdate
Date
Shirt Size
Gender
MaleFemaleNon-binaryGender FluidDemi-gender (identifies with terms that aren't
femme or masc)Femme (Demi, Trans, and Other)Masc (Demi, Trans, and
Other)AgenderAsk Me!Do Not Ask Me!Prefer not to sayOther - Not Specified
Medical note
Household members
+ Add adult+ Add child
Pronoun
She/HerHe/HimThey/ThemShe/TheyHe/TheyShe/He/TheyAsk Me
Notes:
Anything else you would like to share?
Submit
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