{"id":1655,"date":"2025-03-31T22:29:52","date_gmt":"2025-03-31T18:29:52","guid":{"rendered":"https:\/\/tbilisigestalt.ge\/?page_id=1655"},"modified":"2025-04-01T20:21:01","modified_gmt":"2025-04-01T16:21:01","slug":"form","status":"publish","type":"page","link":"https:\/\/tbilisigestalt.ge\/en\/form\/","title":{"rendered":"form"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1654 forminator-design--bold  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1654\" data-uid=\"6a3ca4601ed0f\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1654\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1654 forminator-design--bold  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1654\"\n\t\t\t\t\n\t\t\t\tdata-design=\"bold\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a3ca4601ed0f\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_6a3ca4601ed0f\" id=\"forminator-field-first-name-1_6a3ca4601ed0f-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_6a3ca4601ed0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_6a3ca4601ed0f\" id=\"forminator-field-last-name-1_6a3ca4601ed0f-label\" class=\"forminator-label\">Surname <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_6a3ca4601ed0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a3ca4601ed0f\" id=\"forminator-field-email-1_6a3ca4601ed0f-label\" class=\"forminator-label\">E-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a3ca4601ed0f\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a3ca4601ed0f\" id=\"forminator-field-phone-1_6a3ca4601ed0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a3ca4601ed0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-validation=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-1654__field--select-1_6a3ca4601ed0f\" id=\"forminator-form-1654__field--select-1_6a3ca4601ed0f-label\" class=\"forminator-label\">In which role you want to participate <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-1654__field--select-1_6a3ca4601ed0f\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\u10d0\u10d8\u10e0\u10e9\u10d8\u10d4\" data-search=\"false\" data-search-placeholder=\"\u10d0\u10d8\u10e0\u10e9\u10d8\u10d4\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1654__field--select-1_6a3ca4601ed0f-label\"><option value=\"\"  >Choose<\/option><option value=\"one\"  data-calculation=\"0\">Client<\/option><option value=\"two\"  data-calculation=\"0\">Therapist<\/option><option value=\"\u10e1\u10e3\u10de\u10d4\u10e0\u10d5\u10d8\u10d6\u10dd\u10e0\u10d8\"  data-calculation=\"0\">Supervisor<\/option><\/select><\/div><\/div><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-1654__field--select-2_6a3ca4601ed0f\" id=\"forminator-form-1654__field--select-2_6a3ca4601ed0f-label\" class=\"forminator-label\">Are you involved in Gestalt therapy training program? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-1654__field--select-2_6a3ca4601ed0f\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\u10d0\u10d8\u10e0\u10e9\u10d8\u10d4\" data-search=\"false\" data-search-placeholder=\"\u10d0\u10d8\u10e0\u10e9\u10d8\u10d4\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1654__field--select-2_6a3ca4601ed0f-label\"><option value=\"\"  >Choose<\/option><option value=\"one\"  data-calculation=\"0\">No<\/option><option value=\"two\"  data-calculation=\"0\">I am on my first year<\/option><option value=\"\u10d5\u10d0\u10e0-\u10db\u10d4\u10dd\u10e0\u10d4-\u10d9\u10e3\u10e0\u10e1\u10d6\u10d4\"  data-calculation=\"0\">I am on my second year<\/option><option value=\"\u10d5\u10d0\u10e0-\u10db\u10d4\u10e1\u10d0\u10db\u10d4-\u10d9\u10e3\u10e0\u10e1\u10d6\u10d4\"  data-calculation=\"0\">I am on my third year<\/option><option value=\"\u10d5\u10d0\u10e0-\u10db\u10d4\u10dd\u10d7\u10ee\u10d4-\u10d9\u10e3\u10e0\u10e1\u10d6\u10d4\"  data-calculation=\"0\">I am on my fourth year<\/option><option value=\"\u10e1\u10d4\u10e0\u10e2\u10d8\u10e4\u10d8\u10ea\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8-\u10d2\u10d4\u10e8\u10e2\u10d0\u10da\u10e2-\u10d7\u10d4\u10e0\u10d0\u10de\u10d4\u10d5\u10e2\u10d8\"  data-calculation=\"0\">Certified gestalt therapist<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a3ca4601ed0f\" id=\"forminator-field-text-1_6a3ca4601ed0f-label\" class=\"forminator-label\">Name of institution you study or studed <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a3ca4601ed0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a3ca4601ed0f\" id=\"forminator-field-text-3_6a3ca4601ed0f-label\" class=\"forminator-label\">Years of therapeutic work experience <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6a3ca4601ed0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a3ca4601ed0f\" id=\"forminator-field-text-2_6a3ca4601ed0f-label\" class=\"forminator-label\">Please provide your social media page address (for instance: linkedin, facebook) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6a3ca4601ed0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a3ca4601ed0f\" id=\"forminator-field-textarea-1_6a3ca4601ed0f-label\" class=\"forminator-label\">Why you want to participate in intensive<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a3ca4601ed0f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Registration<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"c3866460ed\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1655\" \/><input type=\"hidden\" name=\"form_id\" value=\"1654\"><input type=\"hidden\" name=\"page_id\" value=\"1655\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/tbilisigestalt.ge\/en\/form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1655","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/pages\/1655","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/comments?post=1655"}],"version-history":[{"count":2,"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/pages\/1655\/revisions"}],"predecessor-version":[{"id":1657,"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/pages\/1655\/revisions\/1657"}],"wp:attachment":[{"href":"https:\/\/tbilisigestalt.ge\/en\/wp-json\/wp\/v2\/media?parent=1655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}