{"id":294,"date":"2025-08-03T14:37:13","date_gmt":"2025-08-03T14:37:13","guid":{"rendered":"https:\/\/evolvetofitness.com\/?page_id=294"},"modified":"2025-08-03T14:37:13","modified_gmt":"2025-08-03T14:37:13","slug":"one-time-payment-portal","status":"publish","type":"page","link":"https:\/\/evolvetofitness.com\/index.php\/one-time-payment-portal\/","title":{"rendered":"One-Time Payment Portal"},"content":{"rendered":"<style id=\"wpforms-css-vars-258-block-3f9eb069-a61a-440e-9d96-2b73d5c1037f\">\n\t\t\t\t#wpforms-258.wpforms-block-3f9eb069-a61a-440e-9d96-2b73d5c1037f {\n\t\t\t\t--wpforms-label-color: #3d3835;\n--wpforms-label-sublabel-color: #79716b;\n--wpforms-label-error-color: #edb254;\n--wpforms-page-break-color: #ef8225;\n--wpforms-field-border-color: #cbc6c2;\n--wpforms-field-border-color-spare: #cbc6c2;\n--wpforms-field-text-color: #3d3835;\n--wpforms-container-border-radius: 0px;\n--wpforms-button-background-color: #111111;\n--wpforms-button-text-color: 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class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"258\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/294\" data-token=\"6027bc236615eda1ba0b1a15f27b9af6\" data-token-time=\"1780157459\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-258-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-258-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-258-field_2-error\" required><label for=\"wpforms-258-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-258-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-258-field_2-last-error\" required><label for=\"wpforms-258-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-258-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-258-field_3\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-258-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" aria-errormessage=\"wpforms-258-field_3-error\" required><\/div>\t\t<div id=\"wpforms-258-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-258-field_1\" >a Coupon Phone<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-258-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-258-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-258-field_4\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-258-field_4\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][4]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-258-field_4-error\" required><\/div><div id=\"wpforms-258-field_6-container\" class=\"wpforms-field wpforms-field-payment-multiple\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Select Your Package <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-258-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-258-field_6_1\" class=\"wpforms-payment-price\" data-amount=\"375.00\" name=\"wpforms[fields][6]\" value=\"1\" aria-errormessage=\"wpforms-258-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-258-field_6_1\">One-on-One 6 Sessions<\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-258-field_6_2\" class=\"wpforms-payment-price\" data-amount=\"150.00\" name=\"wpforms[fields][6]\" value=\"2\" aria-errormessage=\"wpforms-258-field_6_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-258-field_6_2\">Group 6 Sessions<\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-258-field_6_3\" class=\"wpforms-payment-price\" data-amount=\"75.00\" name=\"wpforms[fields][6]\" value=\"3\" aria-errormessage=\"wpforms-258-field_6_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-258-field_6_3\">One-on-One 1 Session<\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-258-field_6_4\" class=\"wpforms-payment-price\" data-amount=\"25.00\" name=\"wpforms[fields][6]\" value=\"4\" aria-errormessage=\"wpforms-258-field_6_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-258-field_6_4\">Group 1 Session<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-258-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Is this a Follow Up Appointment?<\/legend><ul id=\"wpforms-258-field_10\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-258-field_10_1\" name=\"wpforms[fields][10][]\" value=\"Yes\" aria-errormessage=\"wpforms-258-field_10_1-error\" aria-describedby=\"wpforms-258-field_10-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-258-field_10_1\">Yes<\/label><\/li><\/ul><div id=\"wpforms-258-field_10-description\" class=\"wpforms-field-description\">Select &#8220;Yes&#8221; if you have completed the intake forms or reach out to terry@evolvetofitness.com for questions.<\/div><\/fieldset><\/div><div id=\"wpforms-258-field_9-container\" class=\"wpforms-field wpforms-field-payment-coupon\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-258-field_9\">Coupon<\/label><div class=\"wpforms-field-payment-coupon-wrapper\">\n\t\t\t\t<div class=\"wpforms-field-payment-coupon-input-wrapper\">\n\t\t\t\t\t<input type=\"text\" id=\"wpforms-258-field_9\" class=\"wpforms-field-medium wpforms-field-payment-coupon-input\" data-rule-coupon=\"1\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-258-field_9-error\" >\n\t\t\t\t<\/div>\n\t\t\t\t<button type=\"button\" aria-live=\"assertive\" class=\"wpforms-field-payment-coupon-button\">Apply<\/button>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-field-payment-coupon-applied-coupons\"><\/div><\/div><div id=\"wpforms-258-field_7-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-id=\"7\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\">Due Today<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-258-field_7\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][7]\" value=\"0\"><\/div><div id=\"wpforms-258-field_8-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Stripe Credit Card <span class=\"wpforms-required-label\" 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