{"id":8493,"date":"2016-05-04T18:54:03","date_gmt":"2016-05-04T18:54:03","guid":{"rendered":"https:\/\/readtogrow.org\/es\/?page_id=8493"},"modified":"2025-10-23T18:29:45","modified_gmt":"2025-10-23T22:29:45","slug":"formulario-de-solicitud-de-libro-de-programa","status":"publish","type":"page","link":"https:\/\/readtogrow.org\/es\/formulario-de-solicitud-de-libro-de-programa\/","title":{"rendered":"Formulario de solicitud de libros del programa"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8493\" class=\"elementor elementor-8493 elementor-7525\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e3ee46c page-header e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"1e3ee46c\" data-element_type=\"container\" data-e-type=\"container\" id=\"page-header\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-10cc7dac elementor-widget elementor-widget-text-editor\" data-id=\"10cc7dac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1>Formulario de solicitud de libros del programa<\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-37edb815 form e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"37edb815\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-fb4ec55 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-child\" data-id=\"fb4ec55\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1bfac97 elementor-widget elementor-widget-text-editor\" data-id=\"1bfac97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Informaci\u00f3n importante antes de enviar una solicitud de libros<\/h3><p>Gracias por su inter\u00e9s en el programa de donaci\u00f3n de libros de Read to Grow. Lea atentamente la siguiente informaci\u00f3n antes de completar su solicitud. <\/p><p>Este formulario est\u00e1 destinado a programas con sede en Connecticut que atienden a ni\u00f1os y familias, como centros de educaci\u00f3n infantil, escuelas, proveedores de atenci\u00f3n m\u00e9dica, cuidado infantil en el hogar y organizaciones sin fines de lucro, comunitarias y religiosas. Si est\u00e1 solicitando libros para una familia individual, utilice nuestro <a href=\"https:\/\/readtogrow.org\/es\/formulario-de-solicitud-de-libro-de-familia\/\">Formulario de solicitud de libros para familias<\/a>. <\/p><h3>Pautas para la solicitud de libros<\/h3><p>Env\u00ede su solicitud con al menos 4 a 6 semanas de anticipaci\u00f3n para permitir el tiempo de procesamiento y cumplimiento.<\/p><p>Si necesita los libros antes, puede completar este formulario y luego llamarnos al 203.488.6800 para hablar con un coordinador de Books for Kids.<\/p><p>Los libros est\u00e1n disponibles para recogerlos sin costo alguno en nuestra oficina de Branford. Si prefiere la entrega dentro de Connecticut, la ofrecemos por una tarifa de 15$. <\/p><p>No enviamos libros fuera del estado.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5816998 elementor-widget elementor-widget-shortcode\" data-id=\"5816998\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; se\u00f1ala los campos obligatorios<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/es\/wp-json\/wp\/v2\/pages\/8493' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_87\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_87'>Comments<\/label><div class='gfield_description' id='gfield_description_5_87'>Este campo es un campo de validaci\u00f3n y debe quedar sin cambios.<\/div><div class='ginput_container'><input name='input_87' id='input_5_87' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_5_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >(<span class=\"red\">*<\/span> indica los campos obligatorios)<\/div><div id=\"field_5_1\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Fecha de hoy:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_1' id='input_5_1' type='text' value='04\/24\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='04\/24\/2026' aria-describedby=\"input_5_1_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_1_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_1' class='gform_hidden' value='https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'>Nombre:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Apellido:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_5_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_32'>Nombre de la organizaci\u00f3n:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_5_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_33'>Su cargo:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_5_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_7'>Direcci\u00f3n:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'>Direcci\u00f3n 2:<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Ciudad:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_5_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_55\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter html-label gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Estado:<\/p>\n<p>CONNECTICUT<\/p><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>C\u00f3digo postal:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_5_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_4\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Condado:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_5_4' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Fairfield' >Fairfield<\/option><option value='Hartford' >Hartford<\/option><option value='Litchfield' >Litchfield<\/option><option value='Middlesex' >Middlesex<\/option><option value='New Haven' >New Haven<\/option><option value='New London' >New London<\/option><option value='Tolland' >Tolland<\/option><option value='Windham' >Windham<\/option><\/select><\/div><\/div><div id=\"field_5_15\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'>Tel\u00e9fono del programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_5_15' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_34\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_34'>Tel\u00e9fono de casa\/m\u00f3vil:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_34' id='input_5_34' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_16\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'>Correo electr\u00f3nico:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_16' id='input_5_16' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_68\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_68'>Correo electr\u00f3nico alternativo:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_68' id='input_5_68' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_86\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_86'>Preferencias de idioma para los libros:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_86'>Enumere los idiomas que hablan los ni\u00f1os y las familias a las que atiende. Haremos todo lo posible para adaptarnos. <\/div><div class='ginput_container ginput_container_text'><input name='input_86' id='input_5_86' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_86\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfEs usted socio de Reach Out and Read (ROAR)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_56'>\n\t\t\t<div class='gchoice gchoice_5_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='S\u00ed'  id='choice_5_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_56_0' id='label_5_56_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='No'  id='choice_5_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_56_1' id='label_5_56_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><legend class='gfield_label gform-field-label' >\u00bfEs usted una agencia estatal?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_35'>\n\t\t\t<div class='gchoice gchoice_5_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='S\u00ed'  id='choice_5_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_0' id='label_5_35_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='No'  id='choice_5_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_1' id='label_5_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><legend class='gfield_label gform-field-label' >\u00bfEs usted una agencia municipal?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_36'>\n\t\t\t<div class='gchoice gchoice_5_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='S\u00ed'  id='choice_5_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_36_0' id='label_5_36_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='No'  id='choice_5_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_36_1' id='label_5_36_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><legend class='gfield_label gform-field-label' >\u00bfEs usted un programa Title I?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_39'>\n\t\t\t<div class='gchoice gchoice_5_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='S\u00ed'  id='choice_5_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_0' id='label_5_39_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='No'  id='choice_5_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_1' id='label_5_39_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_71\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_71'>Tipo de organizaci\u00f3n:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_5_71' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Empresa\/corporaci\u00f3n' >Empresa\/corporaci\u00f3n<\/option><option value='Organizaci\u00f3n comunitaria' >Organizaci\u00f3n comunitaria<\/option><option value='Primera infancia' >Primera infancia<\/option><option value='Agencia gubernamental' >Agencia gubernamental<\/option><option value='Proveedor de atenci\u00f3n m\u00e9dica' >Proveedor de atenci\u00f3n m\u00e9dica<\/option><option value='Biblioteca' >Biblioteca<\/option><option value='Filantr\u00f3pica' >Filantr\u00f3pica<\/option><option value='Escuela' >Escuela<\/option><\/select><\/div><\/div><div id=\"field_5_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_37'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_5_37' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Organizaci\u00f3n profesional' >Organizaci\u00f3n profesional<\/option><option value='Editorial' >Editorial<\/option><option value='Proveedor' >Proveedor<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_72\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_72'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_5_72' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Banco de libros' >Banco de libros<\/option><option value='Club de lectura' >Club de lectura<\/option><option value='Centro comunitario' >Centro comunitario<\/option><option value='Banco de pa\u00f1ales' >Banco de pa\u00f1ales<\/option><option value='Confesional' >Confesional<\/option><option value='Banco de alimentos' >Banco de alimentos<\/option><option value='Visitas domiciliarias' >Visitas domiciliarias<\/option><option value='Red de familias de crianza' >Red de familias de crianza<\/option><option value='Servicios sociales' >Servicios sociales<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_73\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_73'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_5_73' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Centro' >Centro<\/option><option value='Programa Head Start temprano' >Programa Head Start temprano<\/option><option value='Head Start' >Head Start<\/option><option value='Visitas domiciliarias' >Visitas domiciliarias<\/option><option value='Guarder\u00eda en el hogar' >Guarder\u00eda en el hogar<\/option><option value='Preescolar' >Preescolar<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_74\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_74'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_5_74' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Federal' >Federal<\/option><option value='Municipal' >Municipal<\/option><option value='Estatal' >Estatal<\/option><\/select><\/div><\/div><div id=\"field_5_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_75'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_5_75' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Centro de salud comunitario' >Centro de salud comunitario<\/option><option value='Visitas domiciliarias' >Visitas domiciliarias<\/option><option value='Hospital' >Hospital<\/option><option value='Maternidad' >Maternidad<\/option><option value='Red de familias de crianza' >Red de familias de crianza<\/option><option value='Obstetricia\/ginecolog\u00eda' >Obstetricia\/ginecolog\u00eda<\/option><option value='Atenci\u00f3n pedi\u00e1trica' >Atenci\u00f3n pedi\u00e1trica<\/option><option value='Atenci\u00f3n prenatal' >Atenci\u00f3n prenatal<\/option><option value='Atenci\u00f3n primaria' >Atenci\u00f3n primaria<\/option><option value='Centro escolar' >Centro escolar<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_76\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_76'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_5_76' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Amigos de la biblioteca' >Amigos de la biblioteca<\/option><option value='Peque\u00f1a biblioteca gratuita' >Peque\u00f1a biblioteca gratuita<\/option><option value='Biblioteca p\u00fablica' >Biblioteca p\u00fablica<\/option><\/select><\/div><\/div><div id=\"field_5_77\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_77'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_5_77' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Fundaci\u00f3n' >Fundaci\u00f3n<\/option><option value='Fraternidad\/sororidad' >Fraternidad\/sororidad<\/option><option value='Auxiliar del hospital' >Auxiliar del hospital<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_78'>Tipo de programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_5_78' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Educaci\u00f3n para adultos' >Educaci\u00f3n para adultos<\/option><option value='Junta de educaci\u00f3n' >Junta de educaci\u00f3n<\/option><option value='Colegio\/universidad' >Colegio\/universidad<\/option><option value='Distrito' >Distrito<\/option><option value='Escuela primaria' >Escuela primaria<\/option><option value='Centro de recursos familiares' >Centro de recursos familiares<\/option><option value='Escuela secundaria' >Escuela secundaria<\/option><option value='Escuela intermedia' >Escuela intermedia<\/option><option value='Preescolar' >Preescolar<\/option><option value='PTA\/PTO' >PTA\/PTO<\/option><option value='Centro de servicio educativo regional' >Centro de servicio educativo regional<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_38'>Si es otro, especifique:<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_5_38' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfHa solicitado libros antes?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_80'>\n\t\t\t<div class='gchoice gchoice_5_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='S\u00ed'  id='choice_5_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_0' id='label_5_80_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='No'  id='choice_5_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_1' id='label_5_80_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_83\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_83'>\u00bfCu\u00e1ndo fue su \u00faltima solicitud?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_83' id='input_5_83' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_5_83_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_83_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_83' class='gform_hidden' value='https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_40\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_40'>Si es nuevo en trabajar con Read to Grow, describa su programa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_5_40' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_42\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_42'>N\u00famero de libros que solicita:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_42' id='input_5_42' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_63\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><strong>Indique a continuaci\u00f3n el n\u00famero de ni\u00f1os que recibir\u00e1n estos libros en cada rango de edad: (Los rangos de edad a continuaci\u00f3n deben completarse para que se procese su pedido).<\/strong> <span style=\"color:var(--rtg-red);\">*<\/span><\/div><div id=\"field_5_62\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_62'>0-2 a\u00f1os:<\/label><div class='ginput_container ginput_container_number'><input name='input_62' id='input_5_62' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_65\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_65'>3-5 a\u00f1os:<\/label><div class='ginput_container ginput_container_number'><input name='input_65' id='input_5_65' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_69\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_69'>6-7 a\u00f1os:<\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_5_69' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_67\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_67'>8-12 a\u00f1os:<\/label><div class='ginput_container ginput_container_number'><input name='input_67' id='input_5_67' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_64\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_64'>13-15 a\u00f1os:<\/label><div class='ginput_container ginput_container_number'><input name='input_64' id='input_5_64' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_70\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_70'>16-18 a\u00f1os:<\/label><div class='ginput_container ginput_container_number'><input name='input_70' id='input_5_70' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_43\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_43'>N\u00famero total de ni\u00f1os a los que se atender\u00e1:<\/label><div class='ginput_container ginput_container_number'><input name='input_43' id='input_5_43' type='text' step='any'   value='' class='small gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'>Proporcione cualquier informaci\u00f3n que pueda ayudar a nuestros coordinadores a preparar su solicitud (d\u00edas festivos, no ficci\u00f3n, temas; sea lo m\u00e1s espec\u00edfico posible):<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_5_19' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_44'>\u00bfC\u00f3mo se entregar\u00e1n los libros a los ni\u00f1os para que se los lleven a casa y se los queden? (Todos los libros est\u00e1n pensados para que los ni\u00f1os se los lleven a casa. No est\u00e1n destinados a la creaci\u00f3n de bibliotecas in situ). <span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_5_44' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='En un evento especial' >En un evento especial<\/option><option value='Durante la cita con el m\u00e9dico\/m\u00e9dica' >Durante la cita con el m\u00e9dico\/m\u00e9dica<\/option><option value='Durante las visitas domiciliarias' >Durante las visitas domiciliarias<\/option><option value='Para la selecci\u00f3n de los ni\u00f1os' >Para la selecci\u00f3n de los ni\u00f1os<\/option><option value='Para la lectura de verano' >Para la lectura de verano<\/option><option value='En la sala de espera' >En la sala de espera<\/option><option value='Con la distribuci\u00f3n de pa\u00f1ales' >Con la distribuci\u00f3n de pa\u00f1ales<\/option><option value='Con la distribuci\u00f3n de alimentos' >Con la distribuci\u00f3n de alimentos<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_45'>Si es otro, especifique:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_5_45' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_46\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_46'>Si la solicitud es para un evento especial, \u00bfcu\u00e1ndo se necesitan los libros?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_46' id='input_5_46' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_5_46_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_46_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_46' class='gform_hidden' value='https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_25'>\u00bfC\u00f3mo se enter\u00f3 de Read to Grow?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_5_25' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Elija\u2026<\/option><option value='Bibliob\u00fas' >Bibliob\u00fas<\/option><option value='Evento comunitario' >Evento comunitario<\/option><option value='Amigo \/ familiar' >Amigo \/ familiar<\/option><option value='Visitante domiciliario' >Visitante domiciliario<\/option><option value='En el hospital cuando naci\u00f3 mi beb\u00e9' >En el hospital cuando naci\u00f3 mi beb\u00e9<\/option><option value='Biblioteca' >Biblioteca<\/option><option value='Medios de comunicaci\u00f3n (TV, peri\u00f3dicos, etc.)' >Medios de comunicaci\u00f3n (TV, peri\u00f3dicos, etc.)<\/option><option value='Cl\u00ednica prenatal' >Cl\u00ednica prenatal<\/option><option value='Evento de Read to Grow' >Evento de Read to Grow<\/option><option value='Redes sociales \/ Internet' >Redes sociales \/ Internet<\/option><option value='Profesor\/proveedor de cuidado infantil' >Profesor\/proveedor de cuidado infantil<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_28\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_28'>Nombre del hospital:<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_5_28' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_81\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_82\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3>Informaci\u00f3n de pago y entrega<\/h3><\/div><fieldset id=\"field_5_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Seleccione el m\u00e9todo de entrega:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_52'>\n\t\t\t<div class='gchoice gchoice_5_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Recoja los libros en la oficina de Branford en 53 School Ground Road, Branford, CT 06405, sin cargo alguno. Las recogidas deben programarse con antelaci\u00f3n. Un coordinador de Books for Kids se pondr\u00e1 en contacto con usted cuando sus libros est\u00e9n listos para ser recogidos.  '  id='choice_5_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_0' id='label_5_52_0' class='gform-field-label gform-field-label--type-inline'>Recoja los libros en la oficina de Branford en 53 School Ground Road, Branford, CT 06405, sin cargo alguno. Las recogidas deben programarse con antelaci\u00f3n. Un coordinador de Books for Kids se pondr\u00e1 en contacto con usted cuando sus libros est\u00e9n listos para ser recogidos.  <\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Entrega de libros por una tarifa prepagada de 15 $. Un coordinador de Books for Kids se pondr\u00e1 en contacto con usted cuando sus libros est\u00e9n listos para organizar la entrega.  El pago debe realizarse lo antes posible.'  id='choice_5_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>Entrega de libros por una tarifa prepagada de 15 $. Un coordinador de Books for Kids se pondr\u00e1 en contacto con usted cuando sus libros est\u00e9n listos para organizar la entrega.  El pago debe realizarse lo antes posible.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Seleccione el m\u00e9todo de pago para la entrega:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_54'>\n\t\t\t<div class='gchoice gchoice_5_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Cheque'  id='choice_5_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_54_0' id='label_5_54_0' class='gform-field-label gform-field-label--type-inline'>Cheque<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Tarjeta de d\u00e9bito \/ cr\u00e9dito'  id='choice_5_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_54_1' id='label_5_54_1' class='gform-field-label gform-field-label--type-inline'>Tarjeta de d\u00e9bito \/ cr\u00e9dito<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_57'>Nombre que aparece en el cheque:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_5_57' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_58'>Nombre que aparece en la tarjeta de d\u00e9bito\/cr\u00e9dito:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_5_58' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection just-divider field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_59\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Aseg\u00farese de completar todos los campos obligatorios antes de hacer clic en el bot\u00f3n \u201cEnviar\u201d.<\/p>\n\n<p>Despu\u00e9s del env\u00edo, deber\u00eda ver un mensaje de confirmaci\u00f3n que dice: \u201c\u00a1Gracias por su solicitud! Su solicitud de libros ha sido enviada\u201d. Le recomendamos que guarde o imprima este mensaje para sus archivos. <\/p>\n\n<p>Si no ve el mensaje de confirmaci\u00f3n, su solicitud no se ha realizado. En ese caso, revise su formulario para ver si faltan campos obligatorios o p\u00f3ngase en contacto con nosotros en el 203.488.6800 si necesita ayuda. <\/p>\n\n<p>Agradecemos su colaboraci\u00f3n para ayudar a los ni\u00f1os de Connecticut a crecer a trav\u00e9s del poder de los libros.<\/p><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Enviar'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='deNJOMZS5MKR4PRv1DLegpAOAsISOt7a\/6PVIg6MRy718PqLgLhyZ\/5cSq6Gq0cYfDMh\/fcgLmGQ6oKM9VMkxe3SYNmNepGPKTqTNZib54HCrK0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJ7XCI3MVwiOltcIjRmNWRjYmQ0YmVjZTY0YTEzM2RmYzMxNDIyNThiYjU3XCIsXCJlMDc0MzZlZmRmMjA1YzUyZGJiZDgwZmVhOWQ2ZWNiN1wiLFwiNmI4MzMxZWU1MzllYzYyOWUzMzY1MjM4OTMwZGY1NWNcIixcIjQxMDI3MTYxOTcwMjM5MzA4ZmRlZTZjYjEyNzVkN2I1XCIsXCIyYmE0YjYzNThkY2E1NzY3M2IyMTI3MTViMjNhN2E3N1wiLFwiMzVjMzZiNWZiZjEwMzUzZmJmMzA3NzZhYzg2Yzg1ZTFcIixcIjkxZmQyMTIxOWJhYTZjMWFjNGQwNWEwYjE5ODQ4YTZlXCIsXCIzZDYyNGJiYWE0NmFjZmY0YTdmM2E1NzM1ZmIwZGMyMlwiXX0iLCI1YmVmZjg5ZGE0OGEzN2EwY2I2ZGM3MzQ1ZDAwZDcwMSJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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Lea atentamente la siguiente informaci\u00f3n antes de completar su solicitud. Este formulario est\u00e1 destinado a programas con sede en Connecticut que atienden a ni\u00f1os y familias, como centros de educaci\u00f3n infantil, escuelas, proveedores de atenci\u00f3n m\u00e9dica, cuidado infantil en el hogar y organizaciones sin fines de lucro, comunitarias y religiosas. Si est\u00e1 solicitando libros para una familia individual, utilice nuestro Formulario de solicitud de libros para familias. Pautas para la solicitud de libros Env\u00ede su solicitud con al menos 4 a 6 semanas de anticipaci\u00f3n para permitir el tiempo de procesamiento y cumplimiento. Si necesita los libros antes, puede completar este formulario y luego llamarnos al 203.488.6800 para hablar con un coordinador de Books for Kids. Los libros est\u00e1n disponibles para recogerlos sin costo alguno en nuestra oficina de Branford. Si prefiere la entrega dentro de Connecticut, la ofrecemos por una tarifa de 15$. No enviamos libros fuera del estado.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8493","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/pages\/8493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/comments?post=8493"}],"version-history":[{"count":13,"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/pages\/8493\/revisions"}],"predecessor-version":[{"id":19862,"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/pages\/8493\/revisions\/19862"}],"wp:attachment":[{"href":"https:\/\/readtogrow.org\/es\/wp-json\/wp\/v2\/media?parent=8493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}