{"id":94927,"date":"2024-03-03T20:07:20","date_gmt":"2024-03-04T01:07:20","guid":{"rendered":"https:\/\/www.iaff.org\/premios-de-medios\/premios-de-medios-formulario-de-afiliacion\/"},"modified":"2026-11-05T13:03:09","modified_gmt":"2026-11-05T18:03:09","slug":"premios-de-medios-formulario-de-afiliacion","status":"publish","type":"page","link":"https:\/\/www.iaff.org\/es\/premios-de-medios\/premios-de-medios-formulario-de-afiliacion\/","title":{"rendered":"Premios de medios &#8211; formulario de afiliaci\u00f3n"},"content":{"rendered":"<section\n\t class=\"secondary-hero align wp-block-acf-secondary-hero\" id=\"secondary-hero_block_e753bab0e8340eca9e826b1b4dc3ab52\">\n\t\n<header\n\tclass=\"w-full u-bg-full-width px-[22px] md:ps-bleed md:pe-0 py-[60px] bg-smoke-5 text-black u-has-rivets u-rivets-dark\"\n\tdata-theme=\"gray\"\n>\n\t<div class=\"flex flex-col !px-0 !max-w-[1440px] w-full lg:!ps-indent\">\n\t\t<div class=\"border-t-[6px] w-full my-0 flex flex-col md:flex-row gap-x-[62px] gap-y-[22px] border-red\">\n\t\t\t\t\t\t<div class=\"w-full md:w-1\/2 md:py-[45px]\">\n\t\t\t\t<div class=\"max-w-[600px] flex flex-col gap-[22px]\">\n\t\t\t\t\t\t\t\t\t\t\t<h1 class=\"has-[.u-halftone-shadow--dark]:mb-divider has-[.u-halftone-shadow--light]:mb-divider pt-[22px] md:pt-0\">\n\t\t\t\t\t\t\t<span class=\"inline-flex text-heading-200 u-halftone-shadow--dark\">\n\t\t\t\t\t\t\t\tFormulario de inscripci\u00f3n para afiliados\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/h1>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<div class=\"order-first flex justify-start w-full pb-[22px]\">\n\t\t\t\t<div\n\tclass=\"wp-block-button is-style-tertiary text-smoke is-style-tertiary-back\"\n>\n\t\t\t<a\n\t\t\thref=\"https:\/\/www.iaff.org\/es\/premios-de-medios\/\"\n\t\t\tclass=\"wp-block-button__link wp-element-button group\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t<span\n\t\t\tclass=\"leading-none decoration-transparent underline underline-offset-2 group-hover:decoration-inherit group-focus-visible:decoration-inherit transition duration-hover\"\n\t\t>\n\t\t\tPremios Media\t\t<\/span>\n\n\t\t<span\n\t\t\tclass=\"bg-inherit transition-colors duration-hover group-hover:bg-gold group-focus:bg-gold inline-flex items-center rotate-180 order-first pb-0.5\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"21\" height=\"22\" fill=\"none\" viewBox=\"0 0 21 22\"><path stroke=\"currentColor\" stroke-linecap=\"round\" stroke-width=\"2\" d=\"M20 20.75L20 2.25L1.5 2.25L1.5 20.75L20 20.75Z\" clip-rule=\"evenodd\"\/><path stroke=\"currentColor\" stroke-linecap=\"square\" stroke-width=\"2\" d=\"M14.0883 11.5L6.66406 11.5\"\/><path stroke=\"currentColor\" stroke-linecap=\"square\" stroke-width=\"2\" d=\"M11.0723 7.75205L14.8363 11.5L11.0723 15.248\"\/><\/svg>\t\t<\/span>\n\t<\/a><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n<\/header>\n<\/section>\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 gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_33' ><div id='gf_33' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; se\u00f1ala los campos obligatorios<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_33'  action='\/es\/wp-json\/wp\/v2\/pages\/94927#gf_33' data-formid='33' novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\">\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"137\" \/>\n\t\t\t\t\t\t<script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n\n\t\t\t\t\t<\/div>\n        <div id='gf_progressbar_wrapper_33' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>5<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_20' style='width:20%;'><span>20%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_33_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_33' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><div id=\"field_33_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"00c58aad\" data-field-span=\"12\"><h3 class=\"gsection_title\">La candidatura<\/h3><\/div><div id=\"field_33_1\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full select-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"91a41ae8\" data-field-span=\"12\"><label id='gfield_label_33_1' class='gfield_label gform-field-label' for='input_33_1'><span class='gform-field-label__text'>Categor\u00eda de afiliado<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_33_1' class='gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>&#8211; Seleccionar &#8211;<\/option><option value='1. Mejor bolet\u00edn o revista (circulaci\u00f3n inferior a 1000)' >1. Mejor bolet\u00edn o revista (circulaci\u00f3n inferior a 1.000)<\/option><option value='2. Mejor bolet\u00edn o revista (circulaci\u00f3n superior a 1000)' >2. Mejor bolet\u00edn o revista (circulaci\u00f3n superior a 1.000)<\/option><option value='3. Mejor mensaje de campa\u00f1a pol\u00edtica' >3. Mejor mensaje de campa\u00f1a pol\u00edtica<\/option><option value='4. Mejor campa\u00f1a de seguridad p\u00fablica' >4. Mejor campa\u00f1a de seguridad p\u00fablica<\/option><option value='5. Mejor proyecto de divulgaci\u00f3n de la MDA' >5. Mejor proyecto de divulgaci\u00f3n de la MDA<\/option><option value='6. Mejor foto del servicio de bomberos tomada por un miembro de la AIB' >6. Mejor foto del servicio de bomberos tomada por un miembro de la AIB<\/option><option value='7. Mejor cuenta de redes sociales' >7. Mejor cuenta de redes sociales<\/option><option value='8. Mejor medio digital' >8. Mejor medio digital<\/option><\/select><\/div><\/div><div id=\"field_33_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full text-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"4c05ab05\" data-field-span=\"12\"><label id='gfield_label_33_2' class='gfield_label gform-field-label' for='input_33_2'><span class='gform-field-label__text'>Nombre de la entrada<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_33_2' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full textarea-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"dd5a7d28\" data-field-span=\"12\"><label id='gfield_label_33_3' class='gfield_label gform-field-label' for='input_33_3'><span class='gform-field-label__text'>Descripci\u00f3n de la entrada (incluya el prop\u00f3sito, la estrategia y\/o las m\u00e9tricas de \u00e9xito, si corresponde)<\/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_3' id='input_33_3' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_33_4\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full date-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"72e16acb\" data-field-span=\"12\"><label id='gfield_label_33_4' class='gfield_label gform-field-label' for='input_33_4'><span class='gform-field-label__text'>Fecha de realizaci\u00f3n (debe estar comprendida entre el 1 de septiembre de 2025 y el 31 de agosto de 2026)<\/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='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_33_4'\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_4'\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_33_4' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_33_4' 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_33_4' aria-label='Fecha de realizaci\u00f3n (debe estar comprendida entre el 1 de septiembre de 2025 y el 31 de agosto de 2026): 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><\/div><div id=\"field_33_5\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full fileupload-field field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"a1ccd4f8\" data-field-span=\"12\"><label id='gfield_label_33_5' class='gfield_label gform-field-label' for='gform_browse_button_33_5'><span class='gform-field-label__text'>Carga de la entrada<\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_33_5' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_33_5&quot;,&quot;container&quot;:&quot;gform_multifile_upload_33_5&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_33_5&quot;,&quot;filelist&quot;:&quot;gform_preview_33_5&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.iaff.org\\\/es\\\/?gf_page=154c5086cc8ed22&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.iaff.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.iaff.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Archivos permitidos&quot;,&quot;extensions&quot;:&quot;pdf,jpeg,jpg,png,mov,mp4,avi,mp3&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:33,&quot;field_id&quot;:5,&quot;_gform_file_upload_nonce_33_5&quot;:&quot;e7014346e2&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;10&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_33_5&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;shtml&quot;,&quot;shtm&quot;,&quot;stm&quot;,&quot;stml&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_33_5' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Suelte los archivos aqu\u00ed o <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_33_5' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_33_5\"  >Seleccione archivos<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_33_5'>Tipos de archivo aceptados: pdf, jpeg, jpg, png, mov, mp4, avi, mp3, Tama\u00f1o m\u00e1ximo de archivo: 10 MB , N\u00famero m\u00e1ximo de archivos: 10 .<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_33_5'><\/ul> <div id='gform_preview_33_5' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_33_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"7459983f\" data-field-span=\"12\"><label id='gfield_label_33_31' class='gfield_label gform-field-label' for='input_33_31'><span class='gform-field-label__text'>URL de la(s) entrada(s)<\/span><\/label><div class='gfield_description' id='gfield_description_33_31'>Hasta 10 \u2014 se requiere URL o subida de archivo <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_33_31' class='textarea small'  aria-describedby=\"gfield_description_33_31\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_33_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Siguiente<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_33_2' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_33_2' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><div id=\"field_33_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"25d692fc\" data-field-span=\"12\"><h3 class=\"gsection_title\">Lanzamiento<\/h3><\/div><fieldset id=\"field_33_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full radio-field gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"f710616f\" data-field-span=\"12\"><legend id='gfield_label_33_7' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Declaraci\u00f3n personal de autorizaci\u00f3n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_33_7'><p>Una declaraci\u00f3n personal de autorizaci\u00f3n permite a la AIB utilizar la foto u otros materiales en cualquier funci\u00f3n oficial de la AIB. Si no da su permiso, seguir\u00e1 siendo elegible para participar en el concurso. Los Premios de Medios son un recurso extraordinario para que la AIB muestre a nuestros miembros haciendo el trabajo, y agradecemos su consideraci\u00f3n para la autorizaci\u00f3n completa. <\/p>\n<p>Al enviar una fotograf\u00eda u otro material al AIB (IAFF), autorizo al AIB (IAFF) a utilizar este material en su sitio web, en sus publicaciones impresas, y con fines de relaciones p\u00fablicas, educaci\u00f3n y formaci\u00f3n, as\u00ed como para cualquier otro fin que el AIB (IAFF) considere oportuno, sin compensaci\u00f3n adicional alguna para m\u00ed. Asimismo, reconozco el derecho del AIB (IAFF) a recortar o tratar la fotograf\u00eda a su discreci\u00f3n.<br><\/p><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_7'>\n\t\t\t<div class='gchoice gchoice_33_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='S\u00ed'  id='choice_33_7_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_33_7\" aria-labelledby=\"label_33_7_0 gfield_label_33_7\"   \/>\n\t\t\t\t\t<label for='choice_33_7_0' id='label_33_7_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='No'  id='choice_33_7_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_33_7_1' id='label_33_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_33_24' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Anterior<\/button> <button type='button' id='gform_next_button_33_24' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Siguiente<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_33_3' class='gform_page' data-js='page-field-id-24' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_33_3' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><div id=\"field_33_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"7e9434ab\" data-field-span=\"12\"><h3 class=\"gsection_title\">Candidato y contacto<\/h3><\/div><div id=\"field_33_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"927c1ecb\" data-field-span=\"12\"><label id='gfield_label_33_25' class='gfield_label gform-field-label' for='input_33_25'><span class='gform-field-label__text'>Nombre del candidato al premio<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_33_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"4758d646\" data-field-span=\"12\"><label id='gfield_label_33_18' class='gfield_label gform-field-label' for='input_33_18'><span class='gform-field-label__text'>Nombre tal como aparecer\u00e1 en el premio<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_33_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_9\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full email-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"e6955dfb\" data-field-span=\"12\"><label id='gfield_label_33_9' class='gfield_label gform-field-label' for='input_33_9'><span class='gform-field-label__text'>Correo electr\u00f3nico<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_9' id='input_33_9' type='email' value='' class=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_33_10\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full phone-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"885b464c\" data-field-span=\"12\"><label id='gfield_label_33_10' class='gfield_label gform-field-label' for='input_33_10'><span class='gform-field-label__text'>N\u00famero de tel\u00e9fono<\/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_10' id='input_33_10' type='tel' value='' class=''  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_33_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full text-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"1ea1980d\" data-field-span=\"12\"><label id='gfield_label_33_11' class='gfield_label gform-field-label' for='input_33_11'><span class='gform-field-label__text'>Direcci\u00f3n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_33_11' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full text-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"4a2d8c89\" data-field-span=\"12\"><label id='gfield_label_33_12' class='gfield_label gform-field-label' for='input_33_12'><span class='gform-field-label__text'>Ciudad<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_33_12' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full text-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9429b4fb\" data-field-span=\"12\"><label id='gfield_label_33_13' class='gfield_label gform-field-label' for='input_33_13'><span class='gform-field-label__text'>Estado\/Provincia<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_33_13' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full text-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"21921e3d\" data-field-span=\"12\"><label id='gfield_label_33_14' class='gfield_label gform-field-label' for='input_33_14'><span class='gform-field-label__text'>C\u00f3digo Postal<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_33_14' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_33_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Anterior<\/button> <button type='button' id='gform_next_button_33_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Siguiente<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_33_4' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_33_4' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><div id=\"field_33_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"704321fc\" data-field-span=\"12\"><h3 class=\"gsection_title\">Tu local<\/h3><\/div><div id=\"field_33_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full text-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"008bda20\" data-field-span=\"12\"><label id='gfield_label_33_15' class='gfield_label gform-field-label' for='input_33_15'><span class='gform-field-label__text'>Nombre de la AIB local\/afiliado<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_33_15' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full text-field gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"721beeb1\" data-field-span=\"12\"><label id='gfield_label_33_16' class='gfield_label gform-field-label' for='input_33_16'><span class='gform-field-label__text'>AIB local\/afiliado #<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_33_16' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"c647400f\" data-field-span=\"12\"><label id='gfield_label_33_17' class='gfield_label gform-field-label' for='input_33_17'><span class='gform-field-label__text'>AIB (IAFF) Distrito<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_33_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='- Seleccione el distrito -' >&#8211; Seleccione el distrito &#8211;<\/option><option value='1er Distrito (Nueva Jersey, Nueva York)' >1er Distrito (Nueva Jersey, Nueva York)<\/option><option value='2\u00ba Distrito (Iowa, Kansas, Missouri, Nebraska)' >2\u00ba Distrito (Iowa, Kansas, Missouri, Nebraska)<\/option><option value='3er Distrito (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)' >3er Distrito (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)<\/option><option value='4\u00ba Distrito (Delaware, Distrito de Columbia, Maryland, Pensilvania, Virginia, Virginia Occidental)' >4\u00ba Distrito (Delaware, Distrito de Columbia, Maryland, Pensilvania, Virginia, Virginia Occidental)<\/option><option value='5\u00ba Distrito (Minnesota, Dakota del Norte, Dakota del Sur, Wisconsin)' >5\u00ba Distrito (Minnesota, Dakota del Norte, Dakota del Sur, Wisconsin)<\/option><option value='6\u00ba Distrito (Alberta, Columbia Brit\u00e1nica, Territorio del Noroeste, Saskatchewan, Yuk\u00f3n)' >6\u00ba Distrito (Alberta, Columbia Brit\u00e1nica, Territorio del Noroeste, Saskatchewan, Yuk\u00f3n)<\/option><option value='7\u00ba Distrito (Alaska, Idaho, Montana, Washington)' >7\u00ba Distrito (Alaska, Idaho, Montana, Washington)<\/option><option value='8\u00ba Distrito (Illinois, Indiana, Kentucky, Michigan, Ohio)' >8\u00ba Distrito (Illinois, Indiana, Kentucky, Michigan, Ohio)<\/option><option value='9\u00ba Distrito (Colorado, Nevada, Oreg\u00f3n, Utah, Wyoming)' >9\u00ba Distrito (Colorado, Nevada, Oreg\u00f3n, Utah, Wyoming)<\/option><option value='10\u00ba Distrito (Arizona, California, Haw\u00e1i, Nuevo M\u00e9xico, Guam)' >10\u00ba Distrito (Arizona, California, Haw\u00e1i, Nuevo M\u00e9xico, Guam)<\/option><option value='11\u00ba Distrito (Zona del Canal, Oklahoma, Texas)' >11\u00ba Distrito (Zona del Canal, Oklahoma, Texas)<\/option><option value='12\u00ba Distrito (Florida, Georgia, Carolina del Norte, Carolina del Sur, Puerto Rico, Islas del Caribe)' >12\u00ba Distrito (Florida, Georgia, Carolina del Norte, Carolina del Sur, Puerto Rico, Islas del Caribe)<\/option><option value='13\u00ba Distrito (Manitoba, Ontario)' >13\u00ba Distrito (Manitoba, Ontario)<\/option><option value='14\u00ba Distrito (Alabama, Arkansas, Luisiana, Misisipi, Tennessee)' >14\u00ba Distrito (Alabama, Arkansas, Luisiana, Misisipi, Tennessee)<\/option><option value='15\u00ba Distrito (Nuevo Brunswick, Terranova, Nueva Escocia, Isla del Pr\u00edncipe Eduardo, Quebec)' >15\u00ba Distrito (Nuevo Brunswick, Terranova, Nueva Escocia, Isla del Pr\u00edncipe Eduardo, Quebec)<\/option><option value='16\u00ba Distrito (Todos los bomberos federales de los Estados Unidos y Canad\u00e1)' >16\u00ba Distrito (Todos los bomberos federales de los Estados Unidos y Canad\u00e1)<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_33_29' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Anterior<\/button> <button type='button' id='gform_next_button_33_29' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Siguiente<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_33_5' class='gform_page' data-js='page-field-id-29' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_33_5' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><div id=\"field_33_28\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"c15f560c\" data-field-span=\"12\"><h3 class=\"gsection_title\">Certificaci\u00f3n<\/h3><\/div><fieldset id=\"field_33_30\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5193ae22\" data-field-span=\"12\"><legend id='gfield_label_33_30' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Certificaci\u00f3n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_33_30'><div class='gchoice gchoice_33_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Presentaci\u00f3n de esta entrada en nombre de mi secci\u00f3n local.'  id='choice_33_30_1'    aria-labelledby=\"label_33_30_1 gfield_label_33_30\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_33_30_1' id='label_33_30_1' class='gform-field-label gform-field-label--type-inline'>Presentaci\u00f3n de esta entrada en nombre de mi secci\u00f3n local.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_33_19\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"eca8aa0d\" data-field-span=\"12\"><script>gform.addFilter(\n    'gform_datepicker_options_pre_init',\n    function ( options, formId, fieldId ) {\n        if ( formId == 33 &amp;&amp; fieldId == 4 ) {\n            options.minDate = new Date( 2025, 8, 1 );\n            options.maxDate = new Date( 2026, 7, 31 );\n        }\n\n        return options;\n    }\n);\n\n<\/script><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_33' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Anterior<\/button> <button type='submit' id='gform_submit_button_33' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Enviar<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_33' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_33' id='gform_theme_33' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_33' id='gform_style_settings_33' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_33' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='33' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='+cWtX30k+QQyTZPyeSDl\/iJA5qcYG8LSunbeBR6cJBMr9bxJIfDPCTVdK2N4mb2bhmMYcRPro6QxYIuQKQ+YlaIqJBOXA1+ifhNevCli8GHBJQE=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' 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