{"id":20485,"date":"2024-08-27T21:46:57","date_gmt":"2024-08-27T20:46:57","guid":{"rendered":"https:\/\/www.worcestercity.org.uk\/forms\/?page_id=20485"},"modified":"2024-08-27T21:46:57","modified_gmt":"2024-08-27T20:46:57","slug":"allotment-contact-details-form","status":"publish","type":"page","link":"https:\/\/www.worcestercity.org.uk\/forms\/allotment-contact-details-form\/","title":{"rendered":"Allotment Contact Details Form"},"content":{"rendered":"<style type=\"text\/css\" id=\"167\" data-form-unique-id=\"58771\" >.arf_heading_div h2.arf_sec_heading_field {\r\n\tfont-size: 20px !important;\r\n}\r\n.alert {\r\n\tcolor: red;\r\n\tborder: 3px solid #000;\r\n\tpadding: 10px;\r\n\tfont-size: 1.3em;\r\n}\r\n.alert2 {\r\n\tcolor: #000;\r\n\tborder: 2px solid #000;\r\n\tpadding: 10px;\r\n\tfont-size: 1.3em;\r\n}\r\n.arf_main_label {\r\n\tmargin-bottom: 10px !important;\r\n\tfont-weight: bolder !important;\r\n\tfont-size: 17px !important;\r\n}\r\ndiv.arf_field_description\t{\r\n\ttext-align: left !important;\r\n}\r\nlabel span.arfcheckrequiredfield {\r\n\tcolor: red !important;\r\n}\r\n.dot {\r\n  height: 10px;\r\n  width: 10px;\r\n  background-color: #000;\r\n  border-radius: 50%;\r\n  display: inline-block;\r\n}\r\n.arf_field_description {\r\n\tfont-size: 14px !important;\r\n}\r\n.arf_repeater_field {\r\n\tborder: 1px solid #CCC;\r\n\tpadding: 15px;\r\n}\r\n\/*\r\n.arf_heading_div {\r\n\tborder: 1px solid #000;\r\n\tmargin-bottom: 30px !important;\r\n\tpadding-right: 10px !important;\r\n}\r\n*\/<\/style><div class=\"arf_form ar_main_div_167 arf_form_outer_wrapper \" id=\"arffrm_167_container\"><div id=\"arf_message_error\" class=\"frm_error_style\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">Form Submission is restricted<\/div><\/div><\/div><div id=\"arf_message_success_popup\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">Form was successfully submitted. Thank you!<\/div><\/div><\/div><form enctype=\"multipart\/form-data\" method=\"post\" class=\"arfshowmainform  \" style=\"\" data-form-id=\"form_lhsblf\"  novalidate=\"\" onsubmit=\"return arf_validate_form_submit()\" arf_form_submit = 0 data-id=\"58771\"  data-random-id=\"167_kV7TU3mAEq\"  data-submission-key=\"47DikElK\"  data-key-validate=\"false\"  data-popup-id=\"\"><label for='arf_filter_input_167_kV7TU3mAEq' class='arf_hidden_element' style='color:transparent !important;'>Filter<\/label><input id='arf_filter_input_167_kV7TU3mAEq' type='text' name='arf_filter_input' data-jqvalidate='false' data-random-key='167_kV7TU3mAEq' value='' style='opacity:0 !important;display:none !important;visibility:hidden !important;' \/><input type='hidden' id='arf_ajax_url' value='https:\/\/www.worcestercity.org.uk\/forms\/wp-admin\/admin-ajax.php' \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"kpress\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"stime\" value=\"1775659817\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"nonce_start_time\" class=\"nonce_start_time\" value=\"form_filter_st\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"nonce_keyboard_press\" class=\"nonce_keyboard_press\" value=\"form_filter_kp\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"arm_nonce_check\" name=\"arm_nonce_check\" value=\"a7bc402637\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_redirect_url_to\" id=\"arf_redirect_url_to\" value=\"same_tab\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_browser_name\" data-id=\"arf_browser_name\" data-version=\"unknown\" value=\"Unknown\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arforms_nonce\" id=\"arforms_nonce\" value=\"22dd8a0100\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfdecimal_separator\" data-id=\"arfdecimal_separator\" value=\".\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfform_date_formate_167\" data-id=\"arfform_date_formate_167\" value=\"DD\/MM\/YYYY\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key_167\" data-id=\"form_key_167\" value=\"lhsblf\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_success_message_show_time_167\" data-id=\"arf_success_message_show_time_167\" value=\"30\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_form_hide_after_submit_167\" data-id=\"arf_form_hide_after_submit_167\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"is_form_preview_167\" data-id=\"is_form_preview_167\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_validate_outside_167\" data-id=\"arf_validate_outside_167\" data-validate=\"0\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_validate_outside_167\" data-id=\"arf_is_validate_outside_167\" data-validate=\"0\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_aftersubmit_167\" data-id=\"arf_is_resetform_aftersubmit_167\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_outside_167\" data-id=\"arf_is_resetform_outside_167\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_form_enable_cookie_167\" data-id=\"arf_form_enable_cookie_167\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_tooltip_settings_167\" data-id=\"arf_tooltip_settings_167\" class=\"arf_front_tooltip_settings\" data-form-id=\"167\" data-color=\"#FFFFFF\" data-position=\"top\" data-width=\"\" data-bg-color=\"#000000\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfsuccessmsgposition_167\" data-id=\"arfsuccessmsgposition_167\"  value=\"top\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfpagebreakstyle_167\" data-id=\"arfpagebreakstyle_167\"  value=\"number\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfpagebreakaddtimer_167\" data-id=\"arfpagebreakaddtimer_167\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_tooltip_error_167\" data-id=\"form_tooltip_error_167\" data-color=\"\" data-position=\"bottom\" value=\"advance\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfaction\" value=\"create\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_id\" data-id=\"form_id\" value=\"167\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_data_id\" data-id=\"form_data_id\" value=\"58771\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key\" data-id=\"form_key\" value=\"lhsblf\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_ajax_url\" value=\"https:\/\/www.worcestercity.org.uk\/forms\/wp-admin\/admin-ajax.php\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_display_type\" data-id=\"form_display_type\" value=\"0|https:\/\/www.worcestercity.org.uk\/forms\/allotment-contact-details-form\/\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_submit_type\" data-id=\"form_submit_type\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_http_referrer_url\" data-id=\"arf_http_referrer_url\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"entry_key\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_skip_captcha\" data-id=\"arf_skip_captcha\" value=\"\" \/><input type='hidden' id='arf_pb_field_animation_style_front_167' name='arf_pb_field_animation_style_front_167' value='slideInLeft' \/><input type='hidden' id='arf_pb_field_animation_duration_front_167' name='arf_pb_field_animation_duration_front_167' value='' \/><input type='hidden' id='arf_pb_field_animation_delay_front_167' name='arf_pb_field_animation_delay_front_167' value='' \/><input type='hidden' id='arf_pb_field_animation_inherit_167' name='arf_pb_field_animation_inherit_167' value='0' \/><input type='hidden' id='arf_field_animation_style_front_167' name='arf_field_animation_style_front_167' value='' \/><input type='hidden' id='arf_field_animation_duration_front_167' name='arf_field_animation_duration_front_167' value='' \/><input type='hidden' id='arf_field_animation_delay_front_167' name='arf_field_animation_delay_front_167' value='' \/><input type=\"hidden\" id=\"arf_form_site_wide_167\" value=\"\" \/><div class=\"allfields\" ><div class=\"arf_fieldset arf_standard_form\" id=\"arf_fieldset_58771\"><div class=\"arftitlecontainer\"><div class=\"formtitle_style\">Allotment Contact Details Form<\/div><\/div><div id=\"page_0\" class=\"page_break\"><div id=\"arf_field_3423_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3423\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_lgq6lu_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenant's first name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_lgq6lu_58771\"  name=\"item_meta[3423]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3424_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3424\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_pt026m_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenant's last name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_pt026m_58771\"  name=\"item_meta[3424]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3441_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3441\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_7hjn2o_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Plot number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_7hjn2o_58771\"  name=\"item_meta[3441]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3442_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3442\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_1f9rqt_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Site name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_1f9rqt_58771\"  name=\"item_meta[3442]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3445_58771_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3445\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_bg1251_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenant ID number (TID)<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_bg1251_58771\"  name=\"item_meta[3445]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3443_58771_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3443\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_jr34ea_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenant Debtor number beginning with WD<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_jr34ea_58771\"  name=\"item_meta[3443]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3444_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3444\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_hx5fg1_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenant contact number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_hx5fg1_58771\"  name=\"item_meta[3444]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3414_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_3414\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"0\"><label data-type=\"textarea\" for=\"field_m3jn45_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenant address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[3414]\" id=\"field_m3jn45_58771\"  rows=\"3\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3415_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3415\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_3pyw6k_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenant email address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_3pyw6k_58771\"  name=\"item_meta[3415]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3407_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield  arf_field_3407\"  style='width: 100%'  data-field-type=\"date\" data-parent_field=\"0\"><label data-type=\"date\" for=\"field_91f50x_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = Date of Birth>Date of Birth<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls arf_date_main_controls \"   ><input type=\"text\" data-date-format=\"DD\/MM\/YYYY\" data-start-date=\"01\/01\/1876 00:00 AM\" data-cl-format=\"YYYY-MM-DD\" data-date-new-format=\"DD-MM-YYYY\" data-end-date=\"31\/12\/2076 11:59 PM\" data-default-date=\"\" id=\"field_91f50x_58771\"    class=\" arf_required frm_date arforms_datepicker_control\" data-name='item_meta[3407]' data-format='DD\/MM\/YYYY' data-field-options=\"{&quot;required&quot;:&quot;1&quot;,&quot;required_indicator&quot;:&quot;*&quot;,&quot;blank&quot;:&quot;This field cannot be blank.&quot;,&quot;field_width&quot;:&quot;&quot;,&quot;locale&quot;:&quot;en&quot;,&quot;currentdefaultdate&quot;:&quot;0&quot;,&quot;name&quot;:&quot;Date of Birth&quot;,&quot;default_value&quot;:&quot;&quot;,&quot;description&quot;:&quot;Please use date format dd\\\/mm\\\/yyyy, or pick from the date picker&quot;,&quot;placeholdertext&quot;:&quot;&quot;,&quot;show_time_calendar&quot;:&quot;0&quot;,&quot;frm_show_time_calendar_field_indicator&quot;:&quot;&quot;,&quot;clock&quot;:&quot;12&quot;,&quot;step&quot;:&quot;30&quot;,&quot;off_days&quot;:&quot;&quot;,&quot;start_date&quot;:&quot;&quot;,&quot;end_date&quot;:&quot;&quot;,&quot;arf_show_min_current_date&quot;:&quot;0&quot;,&quot;arf_show_max_current_date&quot;:&quot;0&quot;,&quot;arf_tooltip&quot;:&quot;&quot;,&quot;frm_arf_tooltip_field_indicator&quot;:&quot;&quot;,&quot;tooltip_text&quot;:&quot;&quot;,&quot;enable_arf_prefix&quot;:&quot;&quot;,&quot;arf_prefix_icon&quot;:&quot;&quot;,&quot;enable_arf_suffix&quot;:&quot;&quot;,&quot;arf_suffix_icon&quot;:&quot;&quot;,&quot;classes&quot;:&quot;arf_1&quot;,&quot;inner_class&quot;:&quot;arf_1col&quot;,&quot;key&quot;:&quot;cjoVw&quot;,&quot;selectdefaultdate&quot;:&quot;&quot;,&quot;arfnewdateformat&quot;:&quot;&quot;,&quot;css_outer_wrapper&quot;:&quot;&quot;,&quot;css_label&quot;:&quot;&quot;,&quot;css_input_element&quot;:&quot;&quot;,&quot;css_description&quot;:&quot;&quot;,&quot;css_add_icon&quot;:&quot;&quot;,&quot;type&quot;:&quot;date&quot;,&quot;arf_enable_readonly&quot;:&quot;0&quot;,&quot;arf_aria_label&quot;:&quot;Date of Birth&quot;,&quot;class_selector&quot;:&quot;&quot;,&quot;image_position_from&quot;:&quot;top_left&quot;,&quot;clear_on_focus&quot;:&quot;0&quot;,&quot;default_blank&quot;:&quot;0&quot;,&quot;arf_regular_expression&quot;:&quot;&quot;}\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[3407]\" id=\"field_91f50x_58771_formatted\" \/><div class=\"arf_field_description \">Please use date format dd\/mm\/yyyy, or pick from the date picker<\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3408_58771_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_3408\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"0\"><label data-type=\"radio\" for=\"field_2p9564_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = Are you registered disabled?>Registered disabled?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[3408]\" data-type=\"radio\" id=\"field_3408-0-58771\" data-unique-id=\"58771\" value=\"Yes\"   class=\" arf_required \" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_3408-0-58771\" class=\"\">Yes<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[3408]\" data-type=\"radio\" id=\"field_3408-1-58771\" data-unique-id=\"58771\" value=\"No\"   class=\" arf_required \" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_3408-1-58771\" class=\"\">No<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3409_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3409\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_utj0k2_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Other languages spoken?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_utj0k2_58771\"  name=\"item_meta[3409]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><div class=\"arf_field_description \">(We may be able to provide documents in another language if needed)<\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3410_58771_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_3410\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p><strong>Please note that the information on this form will shared to your site representative for their records as, at times, they may need to contact you. If you have an accident on site, they may also need to contact your next of kin so do please include an emergency contact:<strong><\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3411_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3411\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_sr5v8h_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Emergency Contact Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_sr5v8h_58771\"  name=\"item_meta[3411]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3422_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_3422\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_yz2jr1_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Emergency Contact Number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_yz2jr1_58771\"  name=\"item_meta[3422]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3412_58771_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_3412\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>Your email address is important to keep you informed of things going on, such as minutes of meetings, newsletters etc. It may also be used to send your annual invoice. If you do not wish your email address to be used for these purposes, please tick the boxes below.<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3413_58771_container\" class=\"    arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_3413\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"0\"><label data-type=\"checkbox\" for=\"field_dzzie7_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Do you wish your email address to be used for these purposes? (Please check to agree)<\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style \" id=\"frm_checkbox_3413-0\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[3413][]\" data-type=\"checkbox\" id=\"field_3413-0-58771\" value=\"Events or marketing \" data-label=\"Events or marketing \"    style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_3413-0-58771\" aria-label=\"Events or marketing \">Events or marketing <\/label><\/div><div class=\"arf_checkbox_style \" id=\"frm_checkbox_3413-1\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[3413][]\" data-type=\"checkbox\" id=\"field_3413-1-58771\" value=\"invoicing\" data-label=\"invoicing\"    style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_3413-1-58771\" aria-label=\"invoicing\">invoicing<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3418_58771_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_3418\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p><strong>Worcester City Council will hold and process my information in accordance with Data Protection Law. For more information, please see our <a href=\"https:\/\/www.worcester.gov.uk\/notices\/privacy-policy\/allotments-parks-and-open-spaces\/allotments\" target=\"_new\">privacy notices<\/a> on our website. <\/strong><\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3419_58771_container\" class=\"    arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_3419\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"0\"><label data-type=\"checkbox\" for=\"field_y6250v_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >I acknowledge that Worcester City Council will hold and process my information in accordance with Data Protection Law.<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style \" id=\"frm_checkbox_3419-0\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[3419][]\" data-type=\"checkbox\" id=\"field_3419-0-58771\" value=\"I acknowledge\" data-label=\"I acknowledge\"    class=\" arf_required \"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_3419-0-58771\" aria-label=\"I acknowledge\">I acknowledge<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_3420_58771_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield  arf_field_3420\"  style='width: 100%'  data-field-type=\"date\" data-parent_field=\"0\"><label data-type=\"date\" for=\"field_wgv5ql_58771\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Date<span 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placeholder=\"27\/08\/2024\" readonly=\"readonly\"  data-default-value=\"2026-04-08\" value=\"2026-04-08\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[3420]\" id=\"field_wgv5ql_58771_formatted\" value=\"2026-04-08\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><div style=\"clear:both;height:1px;\">&nbsp;<\/div><\/div><!-- page_break && page_0--><div class=\"arfsubmitbutton top_container\" ><div class=\"arf_submit_div  top_container\"><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" name=\"is_submit_form_167\" data-id=\"is_submit_form_167\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"0\" data-val=\"0\" data-max=\"0\" name=\"submit_form_167\" data-id=\"submit_form_167\" \/><button class=\"arf_submit_btn  arf_submit_btn_flat   btn-info arfstyle-button  unknown\"  id=\"arf_submit_btn_58771\" name=\"arf_submit_btn_58771\" data-style=\"zoom-in\"  ><span class=\"arfsubmitloader\"><\/span><span 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