Skip to content
Caprock Insurance
Pursue Your Path with Confidence
Facebook page opens in new window
Instagram page opens in new window
Linkedin page opens in new window
YouTube page opens in new window
LET'S CONNECT
Home
About Us
What We Do
Disability Income Insurance
Term Life Insurance
Permanent Life Insurance
Protect Your Business
Client Experience
Licenses
Contact Us
Home
About Us
What We Do
Disability Income Insurance
Term Life Insurance
Permanent Life Insurance
Protect Your Business
Client Experience
Licenses
Contact Us
vid test
You are here:
Home
vid test
<div class="sidebar-content widget-divider-off"> <section id="ninja_forms_widget-2" class="widget widget_ninja_forms_widget"><noscript class="ninja-forms-noscript-message"> Notice: JavaScript is required for this content.</noscript> <div id="nf-form-1-cont" class="nf-form-cont" aria-live="polite" aria-labelledby="nf-form-title-1" aria-describedby="nf-form-errors-1" role="form"> <div class="nf-loading-spinner"></div> </div> <!-- That data is being printed as a workaround to page builders reordering the order of the scripts loaded--> <script>var formDisplay=1;var nfForms=nfForms||[];var form=[];form.id='1';form.settings={"objectType":"Form Setting","editActive":true,"title":"Contact Us","key":"","created_at":"2019-10-22 00:47:55","default_label_pos":"above","conditions":[],"show_title":0,"clear_complete":"1","hide_complete":"1","wrapper_class":"","element_class":"","add_submit":"1","logged_in":"","not_logged_in_msg":"","sub_limit_number":"","sub_limit_msg":"","calculations":[],"formContentData":["name","email","phone","message","submit"],"container_styles_background-color":"","container_styles_border":"","container_styles_border-style":"","container_styles_border-color":"","container_styles_color":"","container_styles_height":"","container_styles_width":"","container_styles_font-size":"","container_styles_margin":"","container_styles_padding":"","container_styles_display":"","container_styles_float":"","container_styles_show_advanced_css":"0","container_styles_advanced":"","title_styles_background-color":"","title_styles_border":"","title_styles_border-style":"","title_styles_border-color":"","title_styles_color":"","title_styles_height":"","title_styles_width":"","title_styles_font-size":"","title_styles_margin":"","title_styles_padding":"","title_styles_display":"","title_styles_float":"","title_styles_show_advanced_css":"0","title_styles_advanced":"","row_styles_background-color":"","row_styles_border":"","row_styles_border-style":"","row_styles_border-color":"","row_styles_color":"","row_styles_height":"","row_styles_width":"","row_styles_font-size":"","row_styles_margin":"","row_styles_padding":"","row_styles_display":"","row_styles_show_advanced_css":"0","row_styles_advanced":"","row-odd_styles_background-color":"","row-odd_styles_border":"","row-odd_styles_border-style":"","row-odd_styles_border-color":"","row-odd_styles_color":"","row-odd_styles_height":"","row-odd_styles_width":"","row-odd_styles_font-size":"","row-odd_styles_margin":"","row-odd_styles_padding":"","row-odd_styles_display":"","row-odd_styles_show_advanced_css":"0","row-odd_styles_advanced":"","success-msg_styles_background-color":"","success-msg_styles_border":"","success-msg_styles_border-style":"","success-msg_styles_border-color":"","success-msg_styles_color":"","success-msg_styles_height":"","success-msg_styles_width":"","success-msg_styles_font-size":"","success-msg_styles_margin":"","success-msg_styles_padding":"","success-msg_styles_display":"","success-msg_styles_show_advanced_css":"0","success-msg_styles_advanced":"","error_msg_styles_background-color":"","error_msg_styles_border":"","error_msg_styles_border-style":"","error_msg_styles_border-color":"","error_msg_styles_color":"","error_msg_styles_height":"","error_msg_styles_width":"","error_msg_styles_font-size":"","error_msg_styles_margin":"","error_msg_styles_padding":"","error_msg_styles_display":"","error_msg_styles_show_advanced_css":"0","error_msg_styles_advanced":"","allow_public_link":0,"embed_form":"","changeEmailErrorMsg":"Please enter a valid email address!","changeDateErrorMsg":"Please enter a valid date!","confirmFieldErrorMsg":"These fields must match!","fieldNumberNumMinError":"Number Min Error","fieldNumberNumMaxError":"Number Max Error","fieldNumberIncrementBy":"Please increment by ","formErrorsCorrectErrors":"Please correct errors before submitting this form.","validateRequiredField":"This is a required field.","honeypotHoneypotError":"Honeypot Error","fieldsMarkedRequired":"Fields marked with an <span class=\"ninja-forms-req-symbol\">*<\/span> are required","currency":"","unique_field_error":"A form with this value has already been submitted.","drawerDisabled":false,"form_title_heading_level":"3","ninjaForms":"Ninja Forms","fieldTextareaRTEInsertLink":"Insert Link","fieldTextareaRTEInsertMedia":"Insert Media","fieldTextareaRTESelectAFile":"Select a file","formHoneypot":"If you are a human seeing this field, please leave it empty.","fileUploadOldCodeFileUploadInProgress":"File Upload in Progress.","fileUploadOldCodeFileUpload":"FILE UPLOAD","currencySymbol":"$","thousands_sep":",","decimal_point":".","siteLocale":"en_US","dateFormat":"m\/d\/Y","startOfWeek":"1","of":"of","previousMonth":"Previous Month","nextMonth":"Next Month","months":["January","February","March","April","May","June","July","August","September","October","November","December"],"monthsShort":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"weekdays":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"weekdaysShort":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"weekdaysMin":["Su","Mo","Tu","We","Th","Fr","Sa"],"recaptchaConsentMissing":"reCaptcha validation couldn't load.","recaptchaMissingCookie":"reCaptcha v3 validation couldn't load the cookie needed to submit the form.","recaptchaConsentEvent":"Accept reCaptcha cookies before sending the form.","currency_symbol":"","beforeForm":"","beforeFields":"","afterFields":"","afterForm":""};form.fields=[{"objectType":"Field","objectDomain":"fields","editActive":false,"order":1,"idAttribute":"id","label":"Name","key":"name","type":"textbox","created_at":"2019-10-22 00:47:55","label_pos":"above","required":1,"placeholder":"","default":"","wrapper_class":"","element_class":"","container_class":"","input_limit":"","input_limit_type":"characters","input_limit_msg":"Character(s) left","manual_key":"","disable_input":"","admin_label":"","help_text":"","desc_text":"","disable_browser_autocomplete":"","mask":"","custom_mask":"","wrap_styles_background-color":"","wrap_styles_border":"","wrap_styles_border-style":"","wrap_styles_border-color":"","wrap_styles_color":"","wrap_styles_height":"","wrap_styles_width":"","wrap_styles_font-size":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_display":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"wrap_styles_advanced":"","label_styles_background-color":"","label_styles_border":"","label_styles_border-style":"","label_styles_border-color":"","label_styles_color":"","label_styles_height":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_display":"","label_styles_float":"","label_styles_show_advanced_css":0,"label_styles_advanced":"","element_styles_background-color":"","element_styles_border":"","element_styles_border-style":"","element_styles_border-color":"","element_styles_color":"","element_styles_height":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_display":"","element_styles_float":"","element_styles_show_advanced_css":0,"element_styles_advanced":"","cellcid":"c3277","custom_name_attribute":"","personally_identifiable":"","value":"","id":1,"beforeField":"","afterField":"","parentType":"textbox","element_templates":["textbox","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":2,"idAttribute":"id","label":"Email","key":"email","type":"email","created_at":"2019-10-22 00:47:55","label_pos":"above","required":1,"placeholder":"","default":"","wrapper_class":"","element_class":"","container_class":"","admin_label":"","help_text":"","desc_text":"","wrap_styles_background-color":"","wrap_styles_border":"","wrap_styles_border-style":"","wrap_styles_border-color":"","wrap_styles_color":"","wrap_styles_height":"","wrap_styles_width":"","wrap_styles_font-size":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_display":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"wrap_styles_advanced":"","label_styles_background-color":"","label_styles_border":"","label_styles_border-style":"","label_styles_border-color":"","label_styles_color":"","label_styles_height":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_display":"","label_styles_float":"","label_styles_show_advanced_css":0,"label_styles_advanced":"","element_styles_background-color":"","element_styles_border":"","element_styles_border-style":"","element_styles_border-color":"","element_styles_color":"","element_styles_height":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_display":"","element_styles_float":"","element_styles_show_advanced_css":0,"element_styles_advanced":"","cellcid":"c3281","custom_name_attribute":"email","personally_identifiable":1,"value":"","id":2,"beforeField":"","afterField":"","parentType":"email","element_templates":["email","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":3,"idAttribute":"id","label":"Phone","type":"phone","key":"phone","label_pos":"above","required":0,"default":"","placeholder":"","container_class":"","element_class":"","input_limit":"","input_limit_type":"characters","input_limit_msg":"Character(s) left","manual_key":true,"admin_label":"","help_text":"","mask":"","custom_mask":"","custom_name_attribute":"phone","personally_identifiable":1,"value":"","drawerDisabled":false,"id":5,"beforeField":"","afterField":"","parentType":"textbox","element_templates":["tel","textbox","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":4,"idAttribute":"id","label":"Message","key":"message","type":"textarea","created_at":"2019-10-22 00:47:55","label_pos":"above","required":1,"placeholder":"","default":"","wrapper_class":"","element_class":"","container_class":"","input_limit":"","input_limit_type":"characters","input_limit_msg":"Character(s) left","manual_key":"","disable_input":"","admin_label":"","help_text":"","desc_text":"","disable_browser_autocomplete":"","textarea_rte":"","disable_rte_mobile":"","textarea_media":"","wrap_styles_background-color":"","wrap_styles_border":"","wrap_styles_border-style":"","wrap_styles_border-color":"","wrap_styles_color":"","wrap_styles_height":"","wrap_styles_width":"","wrap_styles_font-size":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_display":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"wrap_styles_advanced":"","label_styles_background-color":"","label_styles_border":"","label_styles_border-style":"","label_styles_border-color":"","label_styles_color":"","label_styles_height":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_display":"","label_styles_float":"","label_styles_show_advanced_css":0,"label_styles_advanced":"","element_styles_background-color":"","element_styles_border":"","element_styles_border-style":"","element_styles_border-color":"","element_styles_color":"","element_styles_height":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_display":"","element_styles_float":"","element_styles_show_advanced_css":0,"element_styles_advanced":"","cellcid":"c3284","value":"","id":3,"beforeField":"","afterField":"","parentType":"textarea","element_templates":["textarea","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":5,"idAttribute":"id","label":"Submit","key":"submit","type":"submit","created_at":"2019-10-22 00:47:56","processing_label":"Processing","container_class":"","element_class":"","wrap_styles_background-color":"","wrap_styles_border":"","wrap_styles_border-style":"","wrap_styles_border-color":"","wrap_styles_color":"","wrap_styles_height":"","wrap_styles_width":"","wrap_styles_font-size":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_display":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"wrap_styles_advanced":"","label_styles_background-color":"","label_styles_border":"","label_styles_border-style":"","label_styles_border-color":"","label_styles_color":"","label_styles_height":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_display":"","label_styles_float":"","label_styles_show_advanced_css":0,"label_styles_advanced":"","element_styles_background-color":"","element_styles_border":"","element_styles_border-style":"","element_styles_border-color":"","element_styles_color":"","element_styles_height":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_display":"","element_styles_float":"","element_styles_show_advanced_css":0,"element_styles_advanced":"","submit_element_hover_styles_background-color":"","submit_element_hover_styles_border":"","submit_element_hover_styles_border-style":"","submit_element_hover_styles_border-color":"","submit_element_hover_styles_color":"","submit_element_hover_styles_height":"","submit_element_hover_styles_width":"","submit_element_hover_styles_font-size":"","submit_element_hover_styles_margin":"","submit_element_hover_styles_padding":"","submit_element_hover_styles_display":"","submit_element_hover_styles_float":"","submit_element_hover_styles_show_advanced_css":0,"submit_element_hover_styles_advanced":"","cellcid":"c3287","drawerDisabled":false,"id":4,"beforeField":"","afterField":"","value":"","label_pos":"above","parentType":"textbox","element_templates":["submit","button","input"],"old_classname":"","wrap_template":"wrap-no-label"}];nfForms.push(form);</script> </section> </div> </aside><!-- #sidebar --> </div><!-- .wf-container --> </div><!-- .wf-wrap --> </div><!-- #main --> <!-- !Footer --> <footer id="footer" class="footer solid-bg"> <div class="wf-wrap"> <div class="wf-container-footer"> <div class="wf-container"> <section id="text-2" class="widget widget_text wf-cell wf-1-4"> <div class="textwidget"><p><a href="https://www.caprock-insurance.com"><img loading="lazy" decoding="async" class="alignnone size-full wp-image-66" src="https://www.caprock-insurance.com/wp-content/uploads/2019/10/caprock_sm-wht.png" alt="caprock logo" width="100" height="295" /></a></p> <div>14241 Dallas Parkway, Suite 1200<u></u><u></u></div> <div>Dallas, Texas 75254</div> </div> </section><section id="text-3" class="widget widget_text wf-cell wf-1-4"> <div class="textwidget"><p>E-mail:<br /> <a href="mailto:patrickclark@financialguide.com ">patrickclark@financialguide.com</a></p> <p>Phone: <a href="tel:5126376294">512.637.6294</a></p> <p>Fax: 512.346.4723</p> </div> </section><section id="custom_html-2" class="widget_text widget widget_custom_html wf-cell wf-1-4"><div class="textwidget custom-html-widget"><div class="socfoot"> <a title="Facebook" href="https://www.facebook.com/caprockinsurancepartners" target="_blank" class="facebook"><span class="soc-font-icon"></span><span class="screen-reader-text">Facebook</span></a> <a title="Instagram" href="https://www.instagram.com/caprockinsurance/" target="_blank" class="instagram"><span class="soc-font-icon"></span><span class="screen-reader-text">Instagram</span></a> <a title="Linkedin" href="https://www.linkedin.com/in/patrick-clark-3325447/" target="_blank" class="linkedin"><span class="soc-font-icon"></span><span class="screen-reader-text">Linkedin</span></a> <a title="YouTube" href="https://www.youtube.com/watch?v=VhuZ32uAbXQ" target="_blank" class="you-tube"><span class="soc-font-icon"></span><span class="screen-reader-text">YouTube</span></a> </div> <div class="mybtn footbtn" style="color:#d9b87c;"><a href="/contact-us/"> LET'S CONNECT </a></div> </div></section><section id="text-4" class="widget widget_text wf-cell wf-1-4"> <div class="textwidget"><p><a href="https://www.aana.com/membership/member-advantage-program" target="_blank" rel="noopener"><img decoding="async" class="alignleft size-medium wp-image-110" src="https://www.caprock-insurance.com/wp-content/uploads/2019/12/aana-300x94.png" alt="aana" width="150" srcset="https://www.caprock-insurance.com/wp-content/uploads/2019/12/aana-300x94.png 300w, https://www.caprock-insurance.com/wp-content/uploads/2019/12/aana.png 510w" sizes="(max-width: 300px) 100vw, 300px" /></a></p> <div class="clear"></div> <p><a href="https://crnanation.com/" target="_blank" rel="noopener"><img decoding="async" class="alignleft" style="margin-top: 30px;" src="https://www.caprock-insurance.com/wp-content/uploads/2020/08/crna-nation-logo-white.png" alt="CRNA Nation" width="150" /></a></p> </div> </section> </div><!-- .wf-container --> </div><!-- .wf-container-footer --> </div><!-- .wf-wrap --> <!-- !Bottom-bar --> <div id="bottom-bar" class="logo-split" role="contentinfo"> <div class="wf-wrap"> <div class="wf-container-bottom"> <div class="wf-float-left"> <span style="text-decoration: underline;"> <a href="/licenses/"> Licenses </a></span> </div> <div class="wf-float-right"> <div class="bottom-text-block"><div class="footr">Copyright© 2025</div> </div> </div> </div><!-- .wf-container-bottom --> </div><!-- .wf-wrap --> </div><!-- #bottom-bar --> </footer><!-- #footer --> <a href="#" class="scroll-top"><svg version="1.1" id="Layer_1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 16 16" style="enable-background:new 0 0 16 16;" xml:space="preserve"> <path d="M11.7,6.3l-3-3C8.5,3.1,8.3,3,8,3c0,0,0,0,0,0C7.7,3,7.5,3.1,7.3,3.3l-3,3c-0.4,0.4-0.4,1,0,1.4c0.4,0.4,1,0.4,1.4,0L7,6.4 V12c0,0.6,0.4,1,1,1s1-0.4,1-1V6.4l1.3,1.3c0.4,0.4,1,0.4,1.4,0C11.9,7.5,12,7.3,12,7S11.9,6.5,11.7,6.3z"/> </svg><span class="screen-reader-text">Go to Top</span></a> </div><!-- #page --> <script type="speculationrules"> {"prefetch":[{"source":"document","where":{"and":[{"href_matches":"\/*"},{"not":{"href_matches":["\/wp-*.php","\/wp-admin\/*","\/wp-content\/uploads\/*","\/wp-content\/*","\/wp-content\/plugins\/*","\/wp-content\/themes\/dt-the7-child\/*","\/wp-content\/themes\/dt-the7\/*","\/*\\?(.+)"]}},{"not":{"selector_matches":"a[rel~=\"nofollow\"]"}},{"not":{"selector_matches":".no-prefetch, .no-prefetch a"}}]},"eagerness":"conservative"}]} </script> <script type="text/html" id="wpb-modifications"> window.wpbCustomElement = 1; </script><link rel='stylesheet' id='dashicons-css' href='https://www.caprock-insurance.com/wp-includes/css/dashicons.min.css?ver=6.8.1' media='all' /> <link rel='stylesheet' id='nf-display-css' href='https://www.caprock-insurance.com/wp-content/plugins/ninja-forms/assets/css/display-opinions-light.css?ver=6.8.1' media='all' /> <link rel='stylesheet' id='nf-font-awesome-css' href='https://www.caprock-insurance.com/wp-content/plugins/ninja-forms/assets/css/font-awesome.min.css?ver=6.8.1' media='all' /> <script src="https://www.caprock-insurance.com/wp-content/themes/dt-the7/js/main.min.js?ver=12.5.0" id="dt-main-js"></script> <script src="https://www.caprock-insurance.com/wp-content/themes/dt-the7/js/legacy.min.js?ver=12.5.0" id="dt-legacy-js"></script> <script src="https://www.caprock-insurance.com/wp-content/themes/dt-the7/lib/jquery-mousewheel/jquery-mousewheel.min.js?ver=12.5.0" id="jquery-mousewheel-js"></script> <script src="https://www.caprock-insurance.com/wp-content/themes/dt-the7/lib/custom-scrollbar/custom-scrollbar.min.js?ver=12.5.0" id="the7-custom-scrollbar-js"></script> <script src="https://www.caprock-insurance.com/wp-content/plugins/dt-the7-core/assets/js/post-type.min.js?ver=2.7.10" id="the7-core-js"></script> <script src="https://www.caprock-insurance.com/wp-content/plugins/js_composer/assets/js/dist/js_composer_front.min.js?ver=8.4.1" id="wpb_composer_front_js-js"></script> <script src="https://www.caprock-insurance.com/wp-includes/js/underscore.min.js?ver=1.13.7" id="underscore-js"></script> <script src="https://www.caprock-insurance.com/wp-includes/js/backbone.min.js?ver=1.6.0" id="backbone-js"></script> <script src="https://www.caprock-insurance.com/wp-content/plugins/ninja-forms/assets/js/min/front-end-deps.js?ver=3.10.1" id="nf-front-end-deps-js"></script> <script id="nf-front-end-js-extra"> var nfi18n = {"ninjaForms":"Ninja Forms","changeEmailErrorMsg":"Please enter a valid email address!","changeDateErrorMsg":"Please enter a valid date!","confirmFieldErrorMsg":"These fields must match!","fieldNumberNumMinError":"Number Min Error","fieldNumberNumMaxError":"Number Max Error","fieldNumberIncrementBy":"Please increment by ","fieldTextareaRTEInsertLink":"Insert Link","fieldTextareaRTEInsertMedia":"Insert Media","fieldTextareaRTESelectAFile":"Select a file","formErrorsCorrectErrors":"Please correct errors before submitting this form.","formHoneypot":"If you are a human seeing this field, please leave it empty.","validateRequiredField":"This is a required field.","honeypotHoneypotError":"Honeypot Error","fileUploadOldCodeFileUploadInProgress":"File Upload in Progress.","fileUploadOldCodeFileUpload":"FILE UPLOAD","currencySymbol":"$","fieldsMarkedRequired":"Fields marked with an <span class=\"ninja-forms-req-symbol\">*<\/span> are required","thousands_sep":",","decimal_point":".","siteLocale":"en_US","dateFormat":"m\/d\/Y","startOfWeek":"1","of":"of","previousMonth":"Previous Month","nextMonth":"Next Month","months":["January","February","March","April","May","June","July","August","September","October","November","December"],"monthsShort":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"weekdays":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"weekdaysShort":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"weekdaysMin":["Su","Mo","Tu","We","Th","Fr","Sa"],"recaptchaConsentMissing":"reCaptcha validation couldn't load.","recaptchaMissingCookie":"reCaptcha v3 validation couldn't load the cookie needed to submit the form.","recaptchaConsentEvent":"Accept reCaptcha cookies before sending the form."}; var nfFrontEnd = {"adminAjax":"https:\/\/www.caprock-insurance.com\/wp-admin\/admin-ajax.php","ajaxNonce":"9e30b79f90","requireBaseUrl":"https:\/\/www.caprock-insurance.com\/wp-content\/plugins\/ninja-forms\/assets\/js\/","use_merge_tags":{"user":{"address":"address","textbox":"textbox","button":"button","checkbox":"checkbox","city":"city","confirm":"confirm","date":"date","email":"email","firstname":"firstname","html":"html","hidden":"hidden","lastname":"lastname","listcheckbox":"listcheckbox","listcountry":"listcountry","listimage":"listimage","listmultiselect":"listmultiselect","listradio":"listradio","listselect":"listselect","liststate":"liststate","note":"note","number":"number","password":"password","passwordconfirm":"passwordconfirm","product":"product","quantity":"quantity","recaptcha":"recaptcha","recaptcha_v3":"recaptcha_v3","repeater":"repeater","shipping":"shipping","spam":"spam","starrating":"starrating","submit":"submit","terms":"terms","textarea":"textarea","total":"total","unknown":"unknown","zip":"zip","hr":"hr"},"post":{"address":"address","textbox":"textbox","button":"button","checkbox":"checkbox","city":"city","confirm":"confirm","date":"date","email":"email","firstname":"firstname","html":"html","hidden":"hidden","lastname":"lastname","listcheckbox":"listcheckbox","listcountry":"listcountry","listimage":"listimage","listmultiselect":"listmultiselect","listradio":"listradio","listselect":"listselect","liststate":"liststate","note":"note","number":"number","password":"password","passwordconfirm":"passwordconfirm","product":"product","quantity":"quantity","recaptcha":"recaptcha","recaptcha_v3":"recaptcha_v3","repeater":"repeater","shipping":"shipping","spam":"spam","starrating":"starrating","submit":"submit","terms":"terms","textarea":"textarea","total":"total","unknown":"unknown","zip":"zip","hr":"hr"},"system":{"address":"address","textbox":"textbox","button":"button","checkbox":"checkbox","city":"city","confirm":"confirm","date":"date","email":"email","firstname":"firstname","html":"html","hidden":"hidden","lastname":"lastname","listcheckbox":"listcheckbox","listcountry":"listcountry","listimage":"listimage","listmultiselect":"listmultiselect","listradio":"listradio","listselect":"listselect","liststate":"liststate","note":"note","number":"number","password":"password","passwordconfirm":"passwordconfirm","product":"product","quantity":"quantity","recaptcha":"recaptcha","recaptcha_v3":"recaptcha_v3","repeater":"repeater","shipping":"shipping","spam":"spam","starrating":"starrating","submit":"submit","terms":"terms","textarea":"textarea","total":"total","unknown":"unknown","zip":"zip","hr":"hr"},"fields":{"address":"address","textbox":"textbox","button":"button","checkbox":"checkbox","city":"city","confirm":"confirm","date":"date","email":"email","firstname":"firstname","html":"html","hidden":"hidden","lastname":"lastname","listcheckbox":"listcheckbox","listcountry":"listcountry","listimage":"listimage","listmultiselect":"listmultiselect","listradio":"listradio","listselect":"listselect","liststate":"liststate","note":"note","number":"number","password":"password","passwordconfirm":"passwordconfirm","product":"product","quantity":"quantity","recaptcha":"recaptcha","recaptcha_v3":"recaptcha_v3","repeater":"repeater","shipping":"shipping","spam":"spam","starrating":"starrating","submit":"submit","terms":"terms","textarea":"textarea","total":"total","unknown":"unknown","zip":"zip","hr":"hr"},"calculations":{"html":"html","hidden":"hidden","note":"note","unknown":"unknown"}},"opinionated_styles":"light","filter_esc_status":"false","nf_consent_status_response":[]}; var nfInlineVars = []; </script> <script src="https://www.caprock-insurance.com/wp-content/plugins/ninja-forms/assets/js/min/front-end.js?ver=3.10.1" id="nf-front-end-js"></script> <script></script><script id="tmpl-nf-layout" type="text/template"> <span id="nf-form-title-{{{ data.id }}}" class="nf-form-title"> {{{ ( 1 == data.settings.show_title ) ? '<h' + data.settings.form_title_heading_level + '>' + data.settings.title + '</h' + data.settings.form_title_heading_level + '>' : '' }}} </span> <div class="nf-form-wrap ninja-forms-form-wrap"> <div class="nf-response-msg"></div> <div class="nf-debug-msg"></div> <div class="nf-before-form"></div> <div class="nf-form-layout"></div> <div class="nf-after-form"></div> </div> </script> <script id="tmpl-nf-empty" type="text/template"> </script> <script id="tmpl-nf-before-form" type="text/template"> {{{ data.beforeForm }}} </script><script id="tmpl-nf-after-form" type="text/template"> {{{ data.afterForm }}} </script><script id="tmpl-nf-before-fields" type="text/template"> <div class="nf-form-fields-required">{{{ data.renderFieldsMarkedRequired() }}}</div> {{{ data.beforeFields }}} </script><script id="tmpl-nf-after-fields" type="text/template"> {{{ data.afterFields }}} <div id="nf-form-errors-{{{ data.id }}}" class="nf-form-errors" role="alert"></div> <div class="nf-form-hp"></div> </script> <script id="tmpl-nf-before-field" type="text/template"> {{{ data.beforeField }}} </script><script id="tmpl-nf-after-field" type="text/template"> {{{ data.afterField }}} </script><script id="tmpl-nf-form-layout" type="text/template"> <form> <div> <div class="nf-before-form-content"></div> <div class="nf-form-content {{{ data.element_class }}}"></div> <div class="nf-after-form-content"></div> </div> </form> </script><script id="tmpl-nf-form-hp" type="text/template"> <label id="nf-label-field-hp-{{{ data.id }}}" for="nf-field-hp-{{{ data.id }}}" aria-hidden="true"> {{{ nfi18n.formHoneypot }}} <input id="nf-field-hp-{{{ data.id }}}" name="nf-field-hp" class="nf-element nf-field-hp" type="text" value="" aria-labelledby="nf-label-field-hp-{{{ data.id }}}" /> </label> </script> <script id="tmpl-nf-field-layout" type="text/template"> <div id="nf-field-{{{ data.id }}}-container" class="nf-field-container {{{ data.type }}}-container {{{ data.renderContainerClass() }}}"> <div class="nf-before-field"></div> <div class="nf-field"></div> <div class="nf-after-field"></div> </div> </script> <script id="tmpl-nf-field-before" type="text/template"> {{{ data.beforeField }}} </script><script id="tmpl-nf-field-after" type="text/template"> <# /* * Render our input limit section if that setting exists. */ #> <div class="nf-input-limit"></div> <# /* * Render our error section if we have an error. */ #> <div id="nf-error-{{{ data.id }}}" class="nf-error-wrap nf-error" role="alert" aria-live="assertive"></div> <# /* * Render any custom HTML after our field. */ #> {{{ data.afterField }}} </script> <script id="tmpl-nf-field-wrap" type="text/template"> <div id="nf-field-{{{ data.id }}}-wrap" class="{{{ data.renderWrapClass() }}}" data-field-id="{{{ data.id }}}"> <# /* * This is our main field template. It's called for every field type. * Note that must have ONE top-level, wrapping element. i.e. a div/span/etc that wraps all of the template. */ #> <# /* * Render our label. */ #> {{{ data.renderLabel() }}} <# /* * Render our field element. Uses the template for the field being rendered. */ #> <div class="nf-field-element">{{{ data.renderElement() }}}</div> <# /* * Render our Description Text. */ #> {{{ data.renderDescText() }}} </div> </script> <script id="tmpl-nf-field-wrap-no-label" type="text/template"> <div id="nf-field-{{{ data.id }}}-wrap" class="{{{ data.renderWrapClass() }}}" data-field-id="{{{ data.id }}}"> <div class="nf-field-label"></div> <div class="nf-field-element">{{{ data.renderElement() }}}</div> <div class="nf-error-wrap"></div> </div> </script> <script id="tmpl-nf-field-wrap-no-container" type="text/template"> {{{ data.renderElement() }}} <div class="nf-error-wrap"></div> </script> <script id="tmpl-nf-field-label" type="text/template"> <div class="nf-field-label"> <# if ( data.type === "listcheckbox" || data.type === "listradio" || data.type === "listimage" || data.type === "date" || data.type === "starrating" ) { #> <span id="nf-label-field-{{{ data.id }}}" class="nf-label-span {{{ data.renderLabelClasses() }}}"> {{{ ( data.maybeFilterHTML() === 'true' ) ? _.escape( data.label ) : data.label }}} {{{ ( 'undefined' != typeof data.required && 1 == data.required ) ? '<span class="ninja-forms-req-symbol">*</span>' : '' }}} {{{ data.maybeRenderHelp() }}} </span> <# } else { #> <label for="nf-field-{{{ data.id }}}" id="nf-label-field-{{{ data.id }}}" class="{{{ data.renderLabelClasses() }}}"> {{{ ( data.maybeFilterHTML() === 'true' ) ? _.escape( data.label ) : data.label }}} {{{ ( 'undefined' != typeof data.required && 1 == data.required ) ? '<span class="ninja-forms-req-symbol">*</span>' : '' }}} {{{ data.maybeRenderHelp() }}} </label> <# } #> </div> </script><script id="tmpl-nf-field-error" type="text/template"> <div class="nf-error-msg nf-error-{{{ data.id }}}" aria-live="assertive">{{{ data.msg }}}</div> </script><script id="tmpl-nf-form-error" type="text/template"> <div class="nf-error-msg nf-error-{{{ data.id }}}">{{{ data.msg }}}</div> </script><script id="tmpl-nf-field-input-limit" type="text/template"> {{{ data.currentCount() }}} {{{ nfi18n.of }}} {{{ data.input_limit }}} {{{ data.input_limit_msg }}} </script><script id="tmpl-nf-field-null" type="text/template"> </script><script id="tmpl-nf-field-textbox" type="text/template"> <input type="text" value="{{{ _.escape( data.value ) }}}" class="{{{ data.renderClasses() }}} nf-element" {{{ data.renderPlaceholder() }}} {{{ data.maybeDisabled() }}} {{{ data.maybeInputLimit() }}} id="nf-field-{{{ data.id }}}" name="{{ data.custom_name_attribute || 'nf-field-' + data.id + '-' + data.type }}" {{{ data.maybeDisableAutocomplete() }}} aria-invalid="false" aria-describedby="<# if( data.desc_text ) { #>nf-description-{{{ data.id }}} <# } #>nf-error-{{{ data.id }}}" aria-labelledby="nf-label-field-{{{ data.id }}}" {{{ data.maybeRequired() }}} > </script> <script id='tmpl-nf-field-input' type='text/template'> <input id="nf-field-{{{ data.id }}}" name="nf-field-{{{ data.id }}}" aria-invalid="false" aria-describedby="<# if( data.desc_text ) { #>nf-description-{{{ data.id }}} <# } #>nf-error-{{{ data.id }}}" class="{{{ data.renderClasses() }}} nf-element" type="text" value="{{{ _.escape( data.value ) }}}" {{{ data.renderPlaceholder() }}} {{{ data.maybeDisabled() }}} aria-labelledby="nf-label-field-{{{ data.id }}}" {{{ data.maybeRequired() }}} > </script> <script id="tmpl-nf-field-email" type="text/template"> <input type="email" value="{{{ _.escape( data.value ) }}}" class="{{{ data.renderClasses() }}} nf-element" id="nf-field-{{{ data.id }}}" name="{{ data.custom_name_attribute || 'nf-field-' + data.id + '-' + data.type }}" {{{data.maybeDisableAutocomplete()}}} {{{ data.renderPlaceholder() }}} {{{ data.maybeDisabled() }}} aria-invalid="false" aria-describedby="<# if( data.desc_text ) { #>nf-description-{{{ data.id }}} <# } #>nf-error-{{{ data.id }}}" aria-labelledby="nf-label-field-{{{ data.id }}}" {{{ data.maybeRequired() }}} > </script> <script id="tmpl-nf-field-tel" type="text/template"> <input type="tel" value="{{{ _.escape( data.value ) }}}" class="{{{ data.renderClasses() }}} nf-element" {{{ data.maybeDisabled() }}} id="nf-field-{{{ data.id }}}" name="{{ data.custom_name_attribute || 'nf-field-' + data.id + '-' + data.type }}" {{{ data.maybeDisableAutocomplete() }}} {{{ data.renderPlaceholder() }}} aria-invalid="false" aria-describedby="<# if( data.desc_text ) { #>nf-description-{{{ data.id }}} <# } #>nf-error-{{{ data.id }}}" aria-labelledby="nf-label-field-{{{ data.id }}}" {{{ data.maybeRequired() }}} > </script> <script id="tmpl-nf-field-textarea" type="text/template"> <textarea id="nf-field-{{{ data.id }}}" name="nf-field-{{{ data.id }}}" aria-invalid="false" aria-describedby="<# if( data.desc_text ) { #>nf-description-{{{ data.id }}} <# } #>nf-error-{{{ data.id }}}" class="{{{ data.renderClasses() }}} nf-element" {{{ data.renderPlaceholder() }}} {{{ data.maybeDisabled() }}} {{{ data.maybeDisableAutocomplete() }}} {{{ data.maybeInputLimit() }}} aria-labelledby="nf-label-field-{{{ data.id }}}" {{{ data.maybeRequired() }}} >{{{ _.escape( data.value ) }}}</textarea> </script> <!-- Rich Text Editor Templates --> <script id="tmpl-nf-rte-media-button" type="text/template"> <span class="dashicons dashicons-admin-media"></span> </script> <script id="tmpl-nf-rte-link-button" type="text/template"> <span class="dashicons dashicons-admin-links"></span> </script> <script id="tmpl-nf-rte-unlink-button" type="text/template"> <span class="dashicons dashicons-editor-unlink"></span> </script> <script id="tmpl-nf-rte-link-dropdown" type="text/template"> <div class="summernote-link"> URL <input type="url" class="widefat code link-url"> <br /> Text <input type="url" class="widefat code link-text"> <br /> <label> <input type="checkbox" class="link-new-window"> {{{ nfi18n.fieldsTextareaOpenNewWindow }}} </label> <input type="button" class="cancel-link extra" value="Cancel"> <input type="button" class="insert-link extra" value="Insert"> </div> </script> <script id="tmpl-nf-field-submit" type="text/template"> <# let myType = data.type if('save'== data.type){ myType = 'button' } #> <input id="nf-field-{{{ data.id }}}" class="{{{ data.renderClasses() }}} nf-element " type="{{{myType}}}" value="{{{ ( data.maybeFilterHTML() === 'true' ) ? _.escape( data.label ) : data.label }}}" {{{ ( data.disabled ) ? 'aria-disabled="true" disabled="true"' : '' }}}> </script><script id='tmpl-nf-field-button' type='text/template'> <button id="nf-field-{{{ data.id }}}" name="nf-field-{{{ data.id }}}" class="{{{ data.classes }}} nf-element"> {{{ ( data.maybeFilterHTML() === 'true' ) ? _.escape( data.label ) : data.label }}} </button> </script> <div class="pswp" tabindex="-1" role="dialog" aria-hidden="true"> <div class="pswp__bg"></div> <div class="pswp__scroll-wrap"> <div class="pswp__container"> <div class="pswp__item"></div> <div class="pswp__item"></div> <div class="pswp__item"></div> </div> <div class="pswp__ui pswp__ui--hidden"> <div class="pswp__top-bar"> <div class="pswp__counter"></div> <button class="pswp__button pswp__button--close" title="Close (Esc)" aria-label="Close (Esc)"></button> <button class="pswp__button pswp__button--share" title="Share" aria-label="Share"></button> <button class="pswp__button pswp__button--fs" title="Toggle fullscreen" aria-label="Toggle fullscreen"></button> <button class="pswp__button pswp__button--zoom" title="Zoom in/out" aria-label="Zoom in/out"></button> <div class="pswp__preloader"> <div class="pswp__preloader__icn"> <div class="pswp__preloader__cut"> <div class="pswp__preloader__donut"></div> </div> </div> </div> </div> <div class="pswp__share-modal pswp__share-modal--hidden pswp__single-tap"> <div class="pswp__share-tooltip"></div> </div> <button class="pswp__button pswp__button--arrow--left" title="Previous (arrow left)" aria-label="Previous (arrow left)"> </button> <button class="pswp__button pswp__button--arrow--right" title="Next (arrow right)" aria-label="Next (arrow right)"> </button> <div class="pswp__caption"> <div class="pswp__caption__center"></div> </div> </div> </div> </div> </body> </html>
