POPREBEL Health Event Registration Form

{
  "config": {
    "logos": [
    {
      "image": "edgeryders",
      "url": "https://edgeryders.eu"
    },
    {
      "image": "https://demos-h2020.eu/uploads/images/fotok%20(website%2C%20conference%2C%20social%20event%2C%20tk%20building)/pop_2.jpg",
      "url": "https://populism-europe.com/poprebel/"
    }],
    "title": "Register to participate in the event: Coping with the Covid19 regulations and mess in health systems",
    "text": "Edgeryders is a global community of people who are making change. To bring people together in conversation, we are organising a series of online events in 2019 and 2020. We invite you to a lively, honest and meaningful conversation that happens during the event, and continues on the edgeryders.eu discussion platform. Our platform is a place where we can safely talk about important topics. We are committed to providing all organisers and participants with the right conditions to express their own opinions and feelings. We do not charge any money for the event. This event is financed by a research grant from the European Commission. We aim to publish the content of the conversation as public knowledge, available to scholars and others who wish to learn about society today.",
    "confirmation": {
      "title": "Thanks for your response",
      "text": "Check your inbox to confirm your Edgeryders account, join the discussion on the platform and check out our other participants' responses <a href='https://edgeryders.eu/t/about-the-coworking-recovery-event-forum/13985'>here</a>."
    },
    "account": {
      "title": "I'm new",
      "login": "I already have a username",
      "text": "To register this form you'll need an account on the forum hosted by Edgeryders - where you can access materials, connect with organisers and participants, and get updates. Fill in the fields below and your account will be set up for you. Check your inbox for a confirmation message."
    },
    "partners": {
      "title": "In partnership with",
      "logos": [
       {
      "image": "https://demos-h2020.eu/uploads/images/fotok%20(website%2C%20conference%2C%20social%20event%2C%20tk%20building)/pop_2.jpg",
      "url": "https://populism-europe.com/poprebel/",
    "text": "This event is part of the research project and grant under the Horizon 2020 funded Research and Innovation Action. The project is funded by the European Commission under grant agreement number 822682 from 2019-2021. In it, EdgeRyders aims to build a community to help one another to navigate the changes that are happening in Europe."
  
       }
    ]
    },
    "publish": {
      "topic": 14593
    }
  },
  "fields": [
    {
      "type": "input",
      "title": "What is your name?",
      "text": "",
      "placeholder": ""
    },
    {
      "type": "textarea",
      "title": "Are you working on a project or are you member in an organisation? What does the project/organisation do, and why?",
      "text": "What are you trying to achieve that is meaningful to you? You can also add your website/ social media.",
      "placeholder": "placeholder text"
    },
    {
      "type": "radio",
      "title": "Let's get to know each other. Which of the following best represents you?",
      "text": "Pick one even if you are working on more topics.",
      "options": ["Health worker", "Researcher", "Policy maker", "NGO member", "Concerned citizen", "Media", "Other"]
    },
    {
      "type": "textarea",
      "title": "Think about your health and safety at the moment.. What is a practical problem that you have in your work/projects or personal life?",
      "text": "Share your experience here.. This is important because we will address it during the event",
      "placeholder": "placeholder text"
    },
    {
      "type": "textarea",
      "title": "How is your government helping this, or not helping?",
      "text": "Share your experience here..",
      "placeholder": "placeholder text"
    },
  {
      "type": "textarea",
      "title": "Are you interested to co-host an event with EdgeRyders in the next months? If so, do you have ideas to engage others near you to participate?",
      "text": "Tell us more..",
      "placeholder": "placeholder text"
    },
 {
      "type": "consent",
      "required": true,
      "text": "Before finishing, we'd like you to know that your registration will be made public on our community forum: edgeryders.eu. Before you participate, please <a href='https://edgeryders.eu/t/draft-participant-consent-form-at-registration-on-edgeryders-eu/14328' target='_blank'>read carefully the following terms and conditions.</a>",
      "label": "I agree."
    },
    {
      "type": "submit",
      "text": "Send your answer"
    }
  ]
}