{"id":46487,"date":"2020-11-14T12:17:25","date_gmt":"2020-11-14T18:17:25","guid":{"rendered":"https:\/\/everybrainmatters.org\/46487-2\/"},"modified":"2025-10-21T08:56:21","modified_gmt":"2025-10-21T13:56:21","slug":"46487-2","status":"publish","type":"page","link":"https:\/\/everybrainmatters.org\/es\/46487-2\/","title":{"rendered":""},"content":{"rendered":"\r\n<div class=\"wp-block-group py-5 is-style-width-full has-text-color\">\r\n<div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\r\n<div class=\"wp-block-columns columns-center is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\r\n<div class=\"wp-block-column align-self-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis: 58%;\">&#13;\n<p class=\"has-text-align-center has-medium-font-size wp-block-paragraph\" style=\"text-align: center;\"><strong>Formulario conmemorativo Cada Cerebro Importa<\/strong><\/p>&#13;\n\r\n\r\n&#13;\n<p class=\"has-text-align-center has-medium-font-size wp-block-paragraph\" style=\"text-align: center;\">Siempre Recordado, Siempre Amado, Nunca Olvidado<\/p>&#13;\n\r\n\r\n&#13;\n<p class=\"has-text-align-center has-medium-font-size wp-block-paragraph\" style=\"text-align: center;\">Gracias por compartir a tu ser querido con nosotros. Pretendemos honrar y recordar a tu ser querido declarando p\u00fablicamente que los efectos de la marihuana cambian la vida. Por favor, rellena todas las casillas marcadas con *. El resto de la informaci\u00f3n queda a tu discreci\u00f3n. Entendemos que esto puede ser dif\u00edcil, as\u00ed que env\u00edanos un correo electr\u00f3nico a info@everybrainmatters.org con cualquier pregunta o duda. Ten la seguridad de que s\u00f3lo compartiremos la informaci\u00f3n con tu aprobaci\u00f3n. Tu privacidad es importante para nosotros.        <\/p>&#13;\n\r\n\r\n&#13;\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-35740 aligncenter\" src=\"https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1-300x300.png\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1-300x300.png 300w, https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1-1024x1024.png 1024w, https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1-150x150.png 150w, https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1-768x768.png 768w, https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1-600x600.png 600w, https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1-100x100.png 100w, https:\/\/everybrainmatters.org\/wp-content\/uploads\/MEMORIAL-1-1.png 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>&#13;\n<\/div>\r\n\r\n\r\n\r\n<div class=\"wp-block-column column-2 is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis: 42%;\"><\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return 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 gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_8' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/es\/wp-json\/wp\/v2\/pages\/46487' data-formid='8' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_8_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of person submitting form<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_1'>\n                            \n                            <span id='input_8_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_8_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_8_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_8_2_container'>\n                                <span id='input_8_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2' id='input_8_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_8_2' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_8_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2_2' id='input_8_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_8_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_8_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_3'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_8_3' type='tel' value='' class='medium'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_8_4\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_8_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_8_4_1' value=''    aria-required='false'    \/>\n                                        <label for='input_8_4_1' id='input_8_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_8_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_8_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_8_4_2' id='input_8_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_8_4_3' value=''    aria-required='false'    \/>\n                                    <label for='input_8_4_3' id='input_8_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_8_4_4' value=''      aria-required='false'    \/>\n                                        <label for='input_8_4_4' id='input_8_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_8_4_5' value=''    aria-required='false'    \/>\n                                    <label for='input_8_4_5' id='input_8_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_8_4_6_container' >\n                                        <select name='input_4.6' id='input_8_4_6'   aria-required='false'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='GS' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_8_4_6' id='input_8_4_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_8_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of person to be memorialized<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_5'>\n                            \n                            <span id='input_8_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_8_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_8_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_6'><span class='gform-field-label__text'>Date of Birth<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_8_6'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_6'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_8_6' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_8_6' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_8_6' aria-label='Date of Birth: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_8_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_7'><span class='gform-field-label__text'>Date of Death<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_8_7'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_7'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_8_7' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_8_7' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_8_7' aria-label='Date of Death: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_8_8\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_8'><span class='gform-field-label__text'>Tell us a little bit about your loved one<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_8_8' class='textarea medium'  aria-describedby=\"gfield_description_8_8\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_8_8'>Please write 1 to 3 sentences for each question. \nDescribe your loved one before marijuana.\nWhat happened to your loved one from their marijuana use?\nWhat is life like now?\nWhat do you want the world to know about today&#8217;s expansion of industrialized marijuana and how this has affected your life?<\/div><\/li><li id=\"field_8_10\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_10'><span class='gform-field-label__text'>Please describe how marijuana caused or was a factor in your loved ones death<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_8_10' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_8_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Please check any diagnosis or statement that applies to your loved one. This section is not required.<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_8_12'><li class='gchoice gchoice_8_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='My loved one did not use marijuana.'  id='choice_8_12_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_1' id='label_8_12_1' class='gform-field-label gform-field-label--type-inline'>My loved one did not use marijuana.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='anxiety induced by marijuana or enhanced by marijuana'  id='choice_8_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_2' id='label_8_12_2' class='gform-field-label gform-field-label--type-inline'>anxiety induced by marijuana or enhanced by marijuana<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Cannabis-Induced Psychosis'  id='choice_8_12_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_3' id='label_8_12_3' class='gform-field-label gform-field-label--type-inline'>Cannabis-Induced Psychosis<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Schizophrenia'  id='choice_8_12_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_4' id='label_8_12_4' class='gform-field-label gform-field-label--type-inline'>Schizophrenia<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.5' type='checkbox'  value='Marijuana\/Cannabis was a factor in other psychiatric diagnosis (depression, anxiety, bipolar).'  id='choice_8_12_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_5' id='label_8_12_5' class='gform-field-label gform-field-label--type-inline'>Marijuana\/Cannabis was a factor in other psychiatric diagnosis (depression, anxiety, bipolar).<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.6' type='checkbox'  value='Cannabinoid Hyperemesis Syndrome'  id='choice_8_12_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_6' id='label_8_12_6' class='gform-field-label gform-field-label--type-inline'>Cannabinoid Hyperemesis Syndrome<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.7' type='checkbox'  value='multiple suicide attempts due to marijuana and\/or cannabis induced psychosis'  id='choice_8_12_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_7' id='label_8_12_7' class='gform-field-label gform-field-label--type-inline'>multiple suicide attempts due to marijuana and\/or cannabis induced psychosis<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.8' type='checkbox'  value='Marijuana was a gateway to other SUD&#039;s (Substance Use Disorder)'  id='choice_8_12_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_8' id='label_8_12_8' class='gform-field-label gform-field-label--type-inline'>Marijuana was a gateway to other SUD&#8217;s (Substance Use Disorder)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.9' type='checkbox'  value='Marijuana was used as a harm reduction drug'  id='choice_8_12_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_9' id='label_8_12_9' class='gform-field-label gform-field-label--type-inline'>Marijuana was used as a harm reduction drug<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.11' type='checkbox'  value='Marijuana was a companion drug (used with other drugs)'  id='choice_8_12_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_11' id='label_8_12_11' class='gform-field-label gform-field-label--type-inline'>Marijuana was a companion drug (used with other drugs)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.12' type='checkbox'  value='Marijuana was used as medicine'  id='choice_8_12_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_12' id='label_8_12_12' class='gform-field-label gform-field-label--type-inline'>Marijuana was used as medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.13' type='checkbox'  value='Marijuana was purchased from a state regulated store'  id='choice_8_12_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_13' id='label_8_12_13' class='gform-field-label gform-field-label--type-inline'>Marijuana was purchased from a state regulated store<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.14' type='checkbox'  value='Impaired driving with only marijuana as a factor'  id='choice_8_12_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_14' id='label_8_12_14' class='gform-field-label gform-field-label--type-inline'>Impaired driving with only marijuana as a factor<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.15' type='checkbox'  value='Impaired driving with marijuana and other drugs as factors'  id='choice_8_12_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_15' id='label_8_12_15' class='gform-field-label gform-field-label--type-inline'>Impaired driving with marijuana and other drugs as factors<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.16' type='checkbox'  value='Marijuana impairment was a factor in an incident at work or at another location'  id='choice_8_12_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_16' id='label_8_12_16' class='gform-field-label gform-field-label--type-inline'>Marijuana impairment was a factor in an incident at work or at another location<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.17' type='checkbox'  value='Accidental Overdose death'  id='choice_8_12_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_17' id='label_8_12_17' class='gform-field-label gform-field-label--type-inline'>Accidental Overdose death<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.18' type='checkbox'  value='Fentanyl poisoning'  id='choice_8_12_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_18' id='label_8_12_18' class='gform-field-label gform-field-label--type-inline'>Fentanyl poisoning<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.19' type='checkbox'  value='Hemp-dervoved THC examples (Delta-8 THC, Delta-10 THC, Delta-12 THC, THC-0 or other variants made from hemp)'  id='choice_8_12_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_19' id='label_8_12_19' class='gform-field-label gform-field-label--type-inline'>Hemp-dervoved THC examples (Delta-8 THC, Delta-10 THC, Delta-12 THC, THC-0 or other variants made from hemp)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_8_13\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_13'><span class='gform-field-label__text'>Would you be willing to share a picture and or a short video of your loved one to be displayed on our memorial page? If so please upload it here or contact us at info@everybrainmatters.org and we can help you record a video.<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='134217728' \/><input name='input_13' id='input_8_13' type='file' class='medium' aria-describedby=\"gfield_upload_rules_8_13\" onchange='javascript:gformValidateFileSize( this, 134217728 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_8_13'>Max. file size: 128 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_8_13'><\/div> <\/div><\/li><li id=\"field_8_14\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_14.1' id='input_8_14_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_14_1' ><span class='gform-field-label__text'>I agree to allow the Every Brain Matters community to display my loved one on their Memorial page, and that I, the person submitting this form, will always have the final approval, and can make changes at anytime.<\/span><\/label><input type='hidden' name='input_14.2' value='I agree to allow the Every Brain Matters community to display my loved one on their Memorial page, and that I, the person submitting this form, will always have the final approval, and can make changes at anytime.' class='gform_hidden' \/><input type='hidden' name='input_14.3' value='7' class='gform_hidden' \/><\/div><\/li><li id=\"field_8_15\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_15.1' id='input_8_15_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_15_1' ><span class='gform-field-label__text'>I am a parent interested in advocating with the Parent Action Network, and I give Every Brain Matters consent to share my information with them.<\/span><\/label><input type='hidden' name='input_15.2' value='I am a parent interested in advocating with the Parent Action Network, and I give Every Brain Matters consent to share my information with them.' class='gform_hidden' \/><input type='hidden' name='input_15.3' value='7' class='gform_hidden' \/><\/div><\/li><li id=\"field_8_19\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_19.1' id='input_8_19_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_19_1' ><span class='gform-field-label__text'>I give permission to allow my information to be shared privately with Moms Strong, momsstrong.org, if my loved one experienced suicide or psychosis.<\/span><\/label><input type='hidden' name='input_19.2' value='I give permission to allow my information to be shared privately with Moms Strong, momsstrong.org, if my loved one experienced suicide or psychosis.' class='gform_hidden' \/><input type='hidden' name='input_19.3' value='7' class='gform_hidden' \/><\/div><\/li><li id=\"field_8_17\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_17.1' id='input_8_17_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_17_1' ><span class='gform-field-label__text'>I give permission to honor and remember my loved one on social media and on the EBM Memorial and events calendar.<\/span><\/label><input type='hidden' name='input_17.2' value='I give permission to honor and remember my loved one on social media and on the EBM Memorial and events calendar.' class='gform_hidden' \/><input type='hidden' name='input_17.3' value='7' class='gform_hidden' \/><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_8' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_8' value='postback' \/>\n  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