{"id":21301,"date":"2026-04-25T21:55:57","date_gmt":"2026-04-26T01:55:57","guid":{"rendered":"https:\/\/fcrscspecialty2026.com\/?page_id=21301"},"modified":"2026-04-25T21:58:18","modified_gmt":"2026-04-26T01:58:18","slug":"dinner-choice-form","status":"publish","type":"page","link":"https:\/\/fcrscspecialty2026.com\/?page_id=21301","title":{"rendered":"Dinner Choice Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"21301\" class=\"elementor elementor-21301\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d278734 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d278734\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3edf117\" data-id=\"3edf117\" 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Dinner Choice Form<\/h2>\n                            <p class='gform_description'>Dinner Choice Form for FCRSC Banquet &#8211; August 8, 2026.  Each form has space for 2 Guest orders.  Please complete another form if you are ordering more than 2 dinners.  Please click SUBMIT at the bottom of the page to submit your choices!<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F21301' 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_below validation_below'><div id=\"field_5_5\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">GUEST #1<\/h3><\/div><fieldset id=\"field_5_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><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_5_3'>\n                            \n                            <span id='input_5_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_5_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_5_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_7\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third 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_5_7'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_5_7' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_5_13\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >DINNER CHOICE &#8211; please choose one<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_13'>\n\t\t\t<div class='gchoice gchoice_5_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Sate Salmon Fillet with rice and grilled vegetables    *gluten free'  id='choice_5_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_0' id='label_5_13_0' class='gform-field-label gform-field-label--type-inline'>Sate Salmon Fillet with rice and grilled vegetables    *gluten free<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Greek Chicken, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita'  id='choice_5_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_1' id='label_5_13_1' class='gform-field-label gform-field-label--type-inline'>Greek Chicken, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Spanakopita, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita'  id='choice_5_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_2' id='label_5_13_2' class='gform-field-label gform-field-label--type-inline'>Spanakopita, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Beef Chili served with green salad, cornbread, cheese and sour cream   *Meal is gluten free without the cornbread'  id='choice_5_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_3' id='label_5_13_3' class='gform-field-label gform-field-label--type-inline'>Beef Chili served with green salad, cornbread, cheese and sour cream   *Meal is gluten free without the cornbread<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Vegetarian Chili served with green salad, cornbread, cheese  and sour cream   *Vegetarian is also vegan   *meal is gluten free except the cornbread'  id='choice_5_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_4' id='label_5_13_4' class='gform-field-label gform-field-label--type-inline'>Vegetarian Chili served with green salad, cornbread, cheese  and sour cream   *Vegetarian is also vegan   *meal is gluten free except the cornbread<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Beef Lasagna served with green salad, buns and butter'  id='choice_5_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_5' id='label_5_13_5' class='gform-field-label gform-field-label--type-inline'>Beef Lasagna served with green salad, buns and butter<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Vegetarian Lasagna served with green salad, buns and butter.'  id='choice_5_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_6' id='label_5_13_6' class='gform-field-label gform-field-label--type-inline'>Vegetarian Lasagna served with green salad, buns and butter.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Pasta Primavera (with chicken), green salad  *gluten free available on request'  id='choice_5_13_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_7' id='label_5_13_7' class='gform-field-label gform-field-label--type-inline'>Pasta Primavera (with chicken), green salad  *gluten free available on request<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Pasta Primavera (served vegetarian), green salad  *gluten free available on request'  id='choice_5_13_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_8' id='label_5_13_8' class='gform-field-label gform-field-label--type-inline'>Pasta Primavera (served vegetarian), green salad  *gluten free available on request<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Please check here if you require your dinner to be Gluten Free<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_9'>\n\t\t\t<div class='gchoice gchoice_5_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Gluten Free dinner required'  id='choice_5_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_9_0' id='label_5_9_0' class='gform-field-label gform-field-label--type-inline'>Gluten Free dinner required<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_10\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >DESSERT CHOICE &#8211; please choose one<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_10'>\n\t\t\t<div class='gchoice gchoice_5_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='German Chocolate Cake'  id='choice_5_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_0' id='label_5_10_0' class='gform-field-label gform-field-label--type-inline'>German Chocolate Cake<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Fruit Crisp.  Seasonal fruits tossed in sugar and topped with brown sugar, butter, oatmeal crumb'  id='choice_5_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>Fruit Crisp.  Seasonal fruits tossed in sugar and topped with brown sugar, butter, oatmeal crumb<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Chocolate Chunk Cheesecake.  Chunks of dark chocolate in rich vanilla cheesecake, chocolate ganache coating'  id='choice_5_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_2' id='label_5_10_2' class='gform-field-label gform-field-label--type-inline'>Chocolate Chunk Cheesecake.  Chunks of dark chocolate in rich vanilla cheesecake, chocolate ganache coating<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">GUEST #2<\/h3><\/div><fieldset id=\"field_5_12\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><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_5_12'>\n                            \n                            <span id='input_5_12_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.3' id='input_5_12_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_12_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_12_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.6' id='input_5_12_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_12_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_17\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_5_17' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_5_8\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >DINNER CHOICE &#8211; please choose one<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_8'>\n\t\t\t<div class='gchoice gchoice_5_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Sate Salmon Fillet with rice and grilled vegetables    *gluten free'  id='choice_5_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_8_0' id='label_5_8_0' class='gform-field-label gform-field-label--type-inline'>Sate Salmon Fillet with rice and grilled vegetables    *gluten free<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Greek Chicken, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita'  id='choice_5_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_8_1' id='label_5_8_1' class='gform-field-label gform-field-label--type-inline'>Greek Chicken, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Spanakopita, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita'  id='choice_5_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_8_2' id='label_5_8_2' class='gform-field-label gform-field-label--type-inline'>Spanakopita, rice, Greek salad, hummus, tzatziki, pita   *gluten free without pita<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Beef Chili served with green salad, cornbread, cheese and sour cream   *Meal is gluten free without the cornbread'  id='choice_5_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_8_3' id='label_5_8_3' class='gform-field-label gform-field-label--type-inline'>Beef Chili served with green salad, cornbread, cheese and 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id='label_5_8_5' class='gform-field-label gform-field-label--type-inline'>Beef Lasagna served with green salad, buns and butter<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_8_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Vegetarian Lasagna served with green salad, buns and butter.'  id='choice_5_8_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_8_6' id='label_5_8_6' class='gform-field-label gform-field-label--type-inline'>Vegetarian Lasagna served with green salad, buns and butter.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_8_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Pasta Primavera (with chicken), green salad  *gluten free available on request'  id='choice_5_8_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_8_7' id='label_5_8_7' class='gform-field-label gform-field-label--type-inline'>Pasta Primavera (with chicken), green salad  *gluten free available on request<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_8_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Pasta Primavera (served vegetarian), green salad  *gluten free available on request'  id='choice_5_8_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_8_8' id='label_5_8_8' class='gform-field-label gform-field-label--type-inline'>Pasta Primavera (served vegetarian), green salad  *gluten free available on request<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Please check here if you require your dinner to be Gluten Free<\/legend><div 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