{"status":"success","response":"<div id=\"custom_forms\">\n\n<div class=\"report_row\" id=\"custom_field_row_30\"><h4>Reflect On Your Action: <\/h4><textarea name=\"custom_field[30]\" id=\"custom_field_30\" class=\"textarea custom_text\" rows=\"3\">What was the impact on you of this action?<\/textarea><\/div><div class=\"----\" id=\"custom_field_25\"><h2>Identify Your Team (and Sub-Team of Players if any):<\/h2><div id=\"custom_field_25_inner\"><div class=\"report_row\" id=\"custom_field_row_1\"><h4>Team Name: [Fill this in if you're part of a Team, if you're playing as an Individual ignore this field.] <\/h4><input type=\"text\" name=\"custom_field[1]\" value=\"\" id=\"custom_field_1\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_23\"><h4>Sub-Team Name: [Fill this in as well if you're part of a Sub-Team of a Team if not ignore this field.] <\/h4><input type=\"text\" name=\"custom_field[23]\" value=\"\" id=\"custom_field_23\" class=\"text custom_text\" \/><\/div><div class=\"custom_div\" id=\"custom_field_29\" ><h2>Input Your Compassionate Action Totals to Be Tallied on a Leaderboard:<\/h2><div id=\"custom_field_29_inner\"><div class=\"report_row\" id=\"custom_field_row_3\"><h4>Total # of Volunteers: [Count yourself and others that participated.] <\/h4><input type=\"text\" name=\"custom_field[3]\" value=\"\" id=\"custom_field_3\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_4\"><h4>Total # of Hours by Volunteers [How much time - for minutes round up to the hour - to complete this action?] <\/h4><input type=\"text\" name=\"custom_field[4]\" value=\"\" id=\"custom_field_4\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_6\"><h4>Total Monies Donated [If the action included a donation, how much was donated?] <\/h4><input type=\"text\" name=\"custom_field[6]\" value=\"\" id=\"custom_field_6\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_7\"><h4>Total # of People Served [How many people were directly impacted by the action?] <\/h4><input type=\"text\" name=\"custom_field[7]\" value=\"\" id=\"custom_field_7\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_31\"><h4>Total # of Soup Cans <\/h4><input type=\"text\" name=\"custom_field[31]\" value=\"\" id=\"custom_field_31\" class=\"text custom_text\" \/><\/div><\/div>"}