{"id":223,"date":"2021-11-16T04:20:01","date_gmt":"2021-11-16T04:20:01","guid":{"rendered":"https:\/\/onewiththewater.org\/survey\/?page_id=223"},"modified":"2021-11-28T04:00:16","modified_gmt":"2021-11-28T04:00:16","slug":"ccp-survey","status":"publish","type":"page","link":"https:\/\/onewiththewater.org\/survey\/ccp-survey\/","title":{"rendered":"Culver City Plunge Pool \u2013 Proof of Vaccination"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#161b2f&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;30px|40px|30px|40px|false|false&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_text admin_label=&#8221;CCP Health Survey&#8221; _builder_version=&#8221;4.0.4&#8243; text_font_size=&#8221;16px&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243;]<\/p>\n<h1 style=\"text-align: center;\">Culver City Plunge Pool &#8211; Proof of Vaccination<\/h1>\n<p>By order of the <a href=\"https:\/\/onewiththewater.org\/downloads\/2021-10-26_38th_supplement_to_public_order.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">38th Supplement to Public Order<\/a> under the City of Culver City emergency authority, proof of Covid-19 vaccination is required to enter certain indoor businesses and indoor city facilities effective November 29, 2021, for individuals 18 years of age or older.<\/p>\n<p>Starting on November 29, 2021, adults age 18 and over will need to show proof of vaccination (or show proof of a negative COVID test within the previous 72 hours of their lesson) in order to attend swim lessons at the Culver City Plunge pool.<\/p>\n<p>Culver City is requiring One with the Water to obtain information of your proof of vaccine and, therefore, we ask that you provide us with your vaccination status via this website or an email.<\/p>\n<p>At this time, we are not asking for you to send us a digital copy of your vaccine status, but please make sure you have a copy handy for the Culver City Plunge. In accordance with the Culver City Plunge, you will not be able to attend lessons until this form has been completed. We will always and only comply with the United States Constitution and United States HIPAA laws.<\/p>\n<p>Please provide answers to the below no more than 72 hours in advance, but at least one day before your swim lesson.<\/p>\n<p>You may obtain your digital vaccination card by clicking the following link and filling out the information at California&#8217;s <a href=\"https:\/\/myvaccinerecord.cdph.ca.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">Digital COVID-19 Vaccine Record Portal<\/a>.<\/p>\n<p>Thank you for your understanding and cooperation.<\/p>\n<hr \/>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Formidable Form&#8221; _builder_version=&#8221;4.0.4&#8243;]<\/p>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_7_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate \" id=\"form_ccp-vaccine-survey\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">CCP Vaccine Survey<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"7\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_7\" id=\"frm_hide_fields_7\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ccp-vaccine-survey\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_7\" name=\"frm_submit_entry_7\" value=\"60ef010c81\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/survey\/wp-json\/wp\/v2\/pages\/223\" \/><div id=\"frm_field_159_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full vertical_radio\">\r\n    <div  id=\"field_ku7nsde8a2cd9e4_label\" class=\"frm_primary_label\">1.\tI have a Proof of COVID-19 Vaccination card.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ku7nsde8a2cd9e4_label\" role=\"group\">\t\t<div class=\"frm_radio\" id=\"frm_radio_159-0\"><label for=\"field_ku7nsde8a2cd9e4-0\">\t\t<input type=\"radio\" name=\"item_meta[159]\" id=\"field_ku7nsde8a2cd9e4-0\" value=\"YES\"\n\t\t   data-reqmsg=\"Please answer Yes or No\" aria-required=\"true\" data-invmsg=\"1.\tI have a Proof of COVID-19 Vaccination card. is invalid\" aria-invalid=\"false\"  \/> YES<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_159-1\"><label for=\"field_ku7nsde8a2cd9e4-1\">\t\t<input type=\"radio\" name=\"item_meta[159]\" id=\"field_ku7nsde8a2cd9e4-1\" value=\"NO\"\n\t\t   data-reqmsg=\"Please answer Yes or No\" aria-required=\"true\" data-invmsg=\"1.\tI have a Proof of COVID-19 Vaccination card. is invalid\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_170_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full vertical_radio\">\r\n    <div  id=\"field_5z1do_label\" class=\"frm_primary_label\">2.\tI do not have Covid in the 72 hours prior to my swimming lesson (proof of a negative COVID test).\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_5z1do_label\" role=\"group\">\t\t<div class=\"frm_radio\" id=\"frm_radio_170-0\"><label for=\"field_5z1do-0\">\t\t<input type=\"radio\" name=\"item_meta[170]\" id=\"field_5z1do-0\" value=\"YES\"\n\t\t   data-reqmsg=\"Please answer Yes or No\" aria-required=\"true\" data-invmsg=\"2.\tI do not have Covid in the 72 hours prior to my swimming lesson (proof of a negative COVID test). is invalid\" aria-invalid=\"false\"  \/> YES<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_170-1\"><label for=\"field_5z1do-1\">\t\t<input type=\"radio\" name=\"item_meta[170]\" id=\"field_5z1do-1\" value=\"NO\"\n\t\t   data-reqmsg=\"Please answer Yes or No\" aria-required=\"true\" data-invmsg=\"2.\tI do not have Covid in the 72 hours prior to my swimming lesson (proof of a negative COVID test). is invalid\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_163_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_qh4icyd45b795759\" id=\"field_qh4icyd45b795759_label\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qh4icyd45b795759\" name=\"item_meta[163]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_qh4icyd45b795759\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_qh4icyd45b795759\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_164_container\" class=\"frm_form_field form-field  frm_required_field frm_hidden_container frm_half\">\r\n    <label for=\"field_ocfup12f4177ef1f\" id=\"field_ocfup12f4177ef1f_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ocfup12f4177ef1f\" name=\"item_meta[164]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ocfup12f4177ef1f\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_ocfup12f4177ef1f\">Last<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_165_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n    <label for=\"field_p8vki5498e8b375\" id=\"field_p8vki5498e8b375_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_p8vki5498e8b375\" name=\"item_meta[165]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_166_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n    <label for=\"field_29yf4d9371b9052e\" id=\"field_29yf4d9371b9052e_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d9371b9052e\" name=\"item_meta[166]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#161b2f&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;30px|40px|30px|40px|false|false&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_text admin_label=&#8221;CCP Health Survey&#8221; _builder_version=&#8221;4.0.4&#8243; text_font_size=&#8221;16px&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243;] Culver City Plunge Pool &#8211; Proof of Vaccination By order of the 38th Supplement to Public Order under the City of Culver City emergency authority, proof of Covid-19 vaccination is required to enter certain indoor businesses [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.11 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Culver City Plunge Pool \u2013 Proof of Vaccination - One with the Water<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Culver City Plunge Pool \u2013 Proof of Vaccination - One with the Water\" \/>\n<meta property=\"og:description\" content=\"[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#161b2f&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;30px|40px|30px|40px|false|false&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_text admin_label=&#8221;CCP Health Survey&#8221; _builder_version=&#8221;4.0.4&#8243; text_font_size=&#8221;16px&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243;] Culver City Plunge Pool &#8211; Proof of Vaccination By order of the 38th Supplement to Public Order under the City of Culver City emergency authority, proof of Covid-19 vaccination is required to enter certain indoor businesses [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/onewiththewater.org\/survey\/ccp-survey\/\" \/>\n<meta property=\"og:site_name\" content=\"One with the Water\" \/>\n<meta property=\"article:modified_time\" content=\"2021-11-28T04:00:16+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/onewiththewater.org\/survey\/ccp-survey\/\",\"url\":\"https:\/\/onewiththewater.org\/survey\/ccp-survey\/\",\"name\":\"Culver City Plunge Pool \u2013 Proof of Vaccination - One with the Water\",\"isPartOf\":{\"@id\":\"https:\/\/onewiththewater.org\/survey\/#website\"},\"datePublished\":\"2021-11-16T04:20:01+00:00\",\"dateModified\":\"2021-11-28T04:00:16+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/onewiththewater.org\/survey\/ccp-survey\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/onewiththewater.org\/survey\/ccp-survey\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/onewiththewater.org\/survey\/ccp-survey\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/onewiththewater.org\/survey\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Culver City Plunge Pool \u2013 Proof of Vaccination\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/onewiththewater.org\/survey\/#website\",\"url\":\"https:\/\/onewiththewater.org\/survey\/\",\"name\":\"One with the Water\",\"description\":\"One with the Water\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/onewiththewater.org\/survey\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Culver City Plunge Pool \u2013 Proof of Vaccination - One with the Water","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Culver City Plunge Pool \u2013 Proof of Vaccination - One with the Water","og_description":"[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#161b2f&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;30px|40px|30px|40px|false|false&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_text admin_label=&#8221;CCP Health Survey&#8221; _builder_version=&#8221;4.0.4&#8243; text_font_size=&#8221;16px&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243;] Culver City Plunge Pool &#8211; Proof of Vaccination By order of the 38th Supplement to Public Order under the City of Culver City emergency authority, proof of Covid-19 vaccination is required to enter certain indoor businesses [&hellip;]","og_url":"https:\/\/onewiththewater.org\/survey\/ccp-survey\/","og_site_name":"One with the Water","article_modified_time":"2021-11-28T04:00:16+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/onewiththewater.org\/survey\/ccp-survey\/","url":"https:\/\/onewiththewater.org\/survey\/ccp-survey\/","name":"Culver City Plunge Pool \u2013 Proof of Vaccination - One with the Water","isPartOf":{"@id":"https:\/\/onewiththewater.org\/survey\/#website"},"datePublished":"2021-11-16T04:20:01+00:00","dateModified":"2021-11-28T04:00:16+00:00","breadcrumb":{"@id":"https:\/\/onewiththewater.org\/survey\/ccp-survey\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/onewiththewater.org\/survey\/ccp-survey\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/onewiththewater.org\/survey\/ccp-survey\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/onewiththewater.org\/survey\/"},{"@type":"ListItem","position":2,"name":"Culver City Plunge Pool \u2013 Proof of Vaccination"}]},{"@type":"WebSite","@id":"https:\/\/onewiththewater.org\/survey\/#website","url":"https:\/\/onewiththewater.org\/survey\/","name":"One with the Water","description":"One with the Water","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/onewiththewater.org\/survey\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/pages\/223"}],"collection":[{"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/comments?post=223"}],"version-history":[{"count":10,"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/pages\/223\/revisions"}],"predecessor-version":[{"id":245,"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/pages\/223\/revisions\/245"}],"wp:attachment":[{"href":"https:\/\/onewiththewater.org\/survey\/wp-json\/wp\/v2\/media?parent=223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}