app.smartsheet.com
Open in
urlscan Pro
23.20.112.162
Public Scan
URL:
https://app.smartsheet.com/b/form/22c22508c734455cbb164dfe5ec2dd2c
Submission: On May 07 via manual from US — Scanned from DE
Submission: On May 07 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_First and Last name" data-client-type="text" id="rj5lLbQXg" class="css-1e3khfm ef83ajd0"><label for="text_box_First and Last name" data-client-id="label_First and Last name" class="css-1xl1v40 ekxsfat0">First and
Last name</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_First and Last name" data-testid="text_box_First and Last name" data-client-id="text_box_First and Last name" data-client-type="" name="rj5lLbQXg"
maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Birthday" data-client-type="date" id="7wk2D8E7k" class="css-gbq6lm ef83ajd0"><label for="date_Birthday" data-client-id="label_Birthday" class="css-1xl1v40 ekxsfat0">Birthday</label>
<p id="description_Birthday" class="css-1jo9ly9 e5k3c9p0"></p>
<div class="css-1f92r3b"><input data-client-id="date_Birthday" id="date_Birthday" aria-label="Birthday" tabindex="0" name="Birthday" maxlength="100" class="css-1dpiipj epidubd0" value=""><button tabindex="0" type="button" aria-label="Choose"
class="css-17q24xo"><span title="Choose a date" class="css-14atay6 e1yrjtds0"><svg xmlns="http://www.w3.org/2000/svg" role="img" width="16" height="16" viewBox="0 0 16 16">
<title>Calendar Icon</title>
<desc>Calendar</desc>
<g fill="none" fill-rule="evenodd">
<rect width="13" height="13" x="2" y="2" fill="#005EE0" rx="1"></rect>
<path fill="#FFF"
d="M11.648 12h-.96V8.38c-.351.328-.765.571-1.241.728v-.871c.25-.082.523-.238.817-.467.294-.229.495-.496.605-.801h.779V12zm-6.385-1.33l.93-.112c.03.237.11.418.24.543.129.125.286.188.47.188a.648.648 0 0 0 .502-.226c.135-.15.203-.353.203-.608 0-.241-.065-.433-.195-.574a.621.621 0 0 0-.475-.212c-.123 0-.27.024-.44.072l.105-.783c.26.007.458-.05.595-.17a.602.602 0 0 0 .205-.476.545.545 0 0 0-.15-.403.54.54 0 0 0-.4-.15.579.579 0 0 0-.42.17c-.117.114-.188.28-.213.5l-.885-.151c.061-.303.154-.545.279-.726.124-.182.297-.324.52-.428.221-.103.47-.155.746-.155.472 0 .85.15 1.135.45.234.247.352.525.352.835 0 .44-.24.79-.721 1.053.287.061.516.199.688.413a1.2 1.2 0 0 1 .258.776c0 .44-.16.815-.482 1.125-.32.31-.72.464-1.2.464-.453 0-.829-.13-1.127-.39a1.538 1.538 0 0 1-.52-1.025zM11 5a1 1 0 1 1 0-2 1 1 0 0 1 0 2zM6 5a1 1 0 1 1 0-2 1 1 0 0 1 0 2z">
</path>
</g>
</svg></span></button></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Email" data-client-type="text" id="0wkegpl7L" class="css-1e3khfm ef83ajd0"><label for="text_box_Email" data-client-id="label_Email" class="css-1xl1v40 ekxsfat0">Email</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Email" data-testid="text_box_Email" data-client-id="text_box_Email" data-client-type="" name="0wkegpl7L" maxlength="4000" class="css-1p0590h e1407lhe0"
value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Phone Number " data-client-type="text" id="QDlmGKGww" class="css-1e3khfm ef83ajd0"><label for="text_box_Phone Number " data-client-id="label_Phone Number " class="css-1xl1v40 ekxsfat0">Phone Number </label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Phone Number " data-testid="text_box_Phone Number " data-client-id="text_box_Phone Number " data-client-type="" name="QDlmGKGww" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Medical Credentials " data-client-type="text" id="J9n7rJyvM" class="css-1e3khfm ef83ajd0"><label for="text_box_Medical Credentials " data-client-id="label_Medical Credentials " class="css-1xl1v40 ekxsfat0">Medical
Credentials </label>
<div id="description_Medical_Credentials_" class="rich-text-field-desc">
<p>RN, CDE, none, etc</p>
</div>
<div style="display: flex;"><input title="" aria-invalid="false" aria-describedby="description_Medical_Credentials_" tabindex="0" id="text_box_Medical Credentials " data-testid="text_box_Medical Credentials "
data-client-id="text_box_Medical Credentials " data-client-type="" name="J9n7rJyvM" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Address" data-client-type="text" id="grN0aG9N7" class="css-1e3khfm ef83ajd0"><label for="text_box_Address" data-client-id="label_Address" class="css-1xl1v40 ekxsfat0">Address</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Address" data-testid="text_box_Address" data-client-id="text_box_Address" data-client-type="" name="grN0aG9N7" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Do you have any allergies or medical conditions we should be aware of?" data-client-type="text" id="WaMzQevRk" class="css-1e3khfm ef83ajd0"><label
for="text_box_Do you have any allergies or medical conditions we should be aware of?" data-client-id="label_Do you have any allergies or medical conditions we should be aware of?" class="css-1xl1v40 ekxsfat0">Do you have any allergies or
medical conditions we should be aware of?</label>
<div id="description_Do_you_have_any_allergies_or_medical_conditions_we_should_be_aware_of_" class="rich-text-field-desc">
<p>Type 1 diabetes, gluten allergy, etc.</p>
</div>
<div style="display: flex;"><input title="" aria-invalid="false" aria-describedby="description_Do_you_have_any_allergies_or_medical_conditions_we_should_be_aware_of_" tabindex="0"
id="text_box_Do you have any allergies or medical conditions we should be aware of?" data-testid="text_box_Do you have any allergies or medical conditions we should be aware of?"
data-client-id="text_box_Do you have any allergies or medical conditions we should be aware of?" data-client-type="" name="WaMzQevRk" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Emergency Contact Name " data-client-type="text" id="QDlmrMz0n" class="css-1e3khfm ef83ajd0"><label for="text_box_Emergency Contact Name " data-client-id="label_Emergency Contact Name "
class="css-1xl1v40 ekxsfat0">Emergency Contact Name </label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Emergency Contact Name " data-testid="text_box_Emergency Contact Name " data-client-id="text_box_Emergency Contact Name " data-client-type=""
name="QDlmrMz0n" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Emergency Contact Phone Number " data-client-type="text" id="WaMzQp8Nz" class="css-1e3khfm ef83ajd0"><label for="text_box_Emergency Contact Phone Number " data-client-id="label_Emergency Contact Phone Number "
class="css-1xl1v40 ekxsfat0">Emergency Contact Phone Number </label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Emergency Contact Phone Number " data-testid="text_box_Emergency Contact Phone Number " data-client-id="text_box_Emergency Contact Phone Number "
data-client-type="" name="WaMzQp8Nz" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Emergency Contact Relationship " data-client-type="text" id="1z1XOwkYW" class="css-1e3khfm ef83ajd0"><label for="text_box_Emergency Contact Relationship " data-client-id="label_Emergency Contact Relationship "
class="css-1xl1v40 ekxsfat0">Emergency Contact Relationship </label>
<div id="description_Emergency_Contact_Relationship_" class="rich-text-field-desc">
<p>Mother, father, grandma, sibling, friend, etc.</p>
</div>
<div style="display: flex;"><input title="" aria-invalid="false" aria-describedby="description_Emergency_Contact_Relationship_" tabindex="0" id="text_box_Emergency Contact Relationship " data-testid="text_box_Emergency Contact Relationship "
data-client-id="text_box_Emergency Contact Relationship " data-client-type="" name="1z1XOwkYW" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Are you interested in being a day in the life guest presenter?" data-client-type="dropdown" id="kXqEd8NYQ" class="css-u3yn36 ef83ajd0"><label
for="select_input_Are you interested in being a day in the life guest presenter?" id="46a07c38-a543-40af-a69a-b43b357b3b12" data-client-id="label_Are you interested in being a day in the life guest presenter?" class="css-1xl1v40 ekxsfat0">Are
you interested in being a day in the life guest presenter?</label>
<div class="rich-text-field-desc css-1q4upac" id="description_select_input_Are_you_interested_in_being_a_day_in_the_life_guest_presenter_">
<p>Day in the life guest presenters will share a 10 minute presentation at the end of each day about their life with T1D.</p>
</div>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Are you interested in being a day in the life guest presenter?" spellcheck="false"
tabindex="0" type="text" aria-label="Select or enter value" aria-labelledby="46a07c38-a543-40af-a69a-b43b357b3b12" value="" aria-describedby="description_select_input_Are_you_interested_in_being_a_day_in_the_life_guest_presenter_"
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Do you have any special talents or suggestions for programming you would like to help facilitate?" data-client-type="text" id="1z1XOGo0R" class="css-1e3khfm ef83ajd0"><label
for="text_box_Do you have any special talents or suggestions for programming you would like to help facilitate?" data-client-id="label_Do you have any special talents or suggestions for programming you would like to help facilitate?"
class="css-1xl1v40 ekxsfat0">Do you have any special talents or suggestions for programming you would like to help facilitate?</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Do you have any special talents or suggestions for programming you would like to help facilitate?"
data-testid="text_box_Do you have any special talents or suggestions for programming you would like to help facilitate?"
data-client-id="text_box_Do you have any special talents or suggestions for programming you would like to help facilitate?" data-client-type="" name="1z1XOGo0R" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Availability" data-client-type="heading" class="css-1e2fy0l e1vg1njp0">
<div class="css-336d07 e13qqj0j0">
<h2 data-client-id="heading_Availability" class="css-1ogntkt e1vg1njp1">Availability</h2>
</div>
<p data-client-id="subheading_Availability" class="css-1ey0zoe e1vg1njp2"></p>
<p>Please note which days and times you are able to volunteer </p>
<p></p>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Tuesday, June 11th" data-client-type="dropdown" id="2wk3NG8yk" class="css-u3yn36 ef83ajd0"><label for="select_input_Tuesday, June 11th" id="7694205b-fc2d-4b9b-b562-04c586bec706"
data-client-id="label_Tuesday, June 11th" class="css-1xl1v40 ekxsfat0">Tuesday, June 11th</label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Tuesday, June 11th" spellcheck="false" tabindex="0" type="text"
aria-label="Select or enter value" aria-labelledby="7694205b-fc2d-4b9b-b562-04c586bec706" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Wednesday, June 12th" data-client-type="dropdown" id="2wk3LqkA9" class="css-u3yn36 ef83ajd0"><label for="select_input_Wednesday, June 12th" id="942971a5-415d-4a2c-9ba9-4aef8ad0864a"
data-client-id="label_Wednesday, June 12th" class="css-1xl1v40 ekxsfat0">Wednesday, June 12th</label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Wednesday, June 12th" spellcheck="false" tabindex="0" type="text"
aria-label="Select or enter value" aria-labelledby="942971a5-415d-4a2c-9ba9-4aef8ad0864a" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Thursday, June 13th " data-client-type="dropdown" id="oy3pjryKO" class="css-u3yn36 ef83ajd0"><label for="select_input_Thursday, June 13th " id="280e099b-ba5f-40b5-bf74-f851f5d03e59"
data-client-id="label_Thursday, June 13th " class="css-1xl1v40 ekxsfat0">Thursday, June 13th </label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Thursday, June 13th " spellcheck="false" tabindex="0" type="text"
aria-label="Select or enter value" aria-labelledby="280e099b-ba5f-40b5-bf74-f851f5d03e59" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Friday, June 14th " data-client-type="dropdown" id="Pbj5Xv7nj" class="css-u3yn36 ef83ajd0"><label for="select_input_Friday, June 14th " id="382b0978-56e3-49d4-ae9e-88229ce2e3ab"
data-client-id="label_Friday, June 14th " class="css-1xl1v40 ekxsfat0">Friday, June 14th </label>
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T1D Strong Volunteer Sign up - June 2024 Thank you for your interest in volunteering for T1D Strong Day Camp! Minimum age for volunteering is 13 years old. Any questions please contact Sydney, Community Engagement Manager at Sydney@ChildrensDiabetesFoundation.org. Thank you! First and Last name Birthday Calendar IconCalendar Email Phone Number Medical Credentials RN, CDE, none, etc Address Do you have any allergies or medical conditions we should be aware of? Type 1 diabetes, gluten allergy, etc. Emergency Contact Name Emergency Contact Phone Number Emergency Contact Relationship Mother, father, grandma, sibling, friend, etc. Are you interested in being a day in the life guest presenter? Day in the life guest presenters will share a 10 minute presentation at the end of each day about their life with T1D. Select or enter value Caret IconCaret symbol Do you have any special talents or suggestions for programming you would like to help facilitate? AVAILABILITY Please note which days and times you are able to volunteer Tuesday, June 11th Select or enter value Caret IconCaret symbol Wednesday, June 12th Select or enter value Caret IconCaret symbol Thursday, June 13th Select or enter value Caret IconCaret symbol Friday, June 14th Select or enter value Caret IconCaret symbol -------------------------------------------------------------------------------- Send me a copy of my responses Submit Powered by Smartsheet Modern Logo On Light Privacy Notice|Report Abuse