{"1":{"name":"Please select the program you want to donate to","value":"Assistive Device\n$2500 - Adopt a child in EI - 7 Years GRANT\n$400 - Adopt a Child in EI Child - Yearly","value_raw":"Assistive Device\n$2500 - Adopt a child in EI - 7 Years GRANT\n$400 - Adopt a Child in EI Child - Yearly","id":1,"type":"checkbox"},"2":{"name":"","value":"","value_raw":"","id":2,"type":"checkbox","visible":true}}