{"1":{"name":"Your Name","value":"Marc Bergin","id":1,"type":"name","first":"Marc","middle":"","last":"Bergin"},"3":{"name":"Email Address","value":"marc.bergin@bedford.k12.va.us","id":3,"type":"email"},"2":{"name":"Phone","value":"+15406553758","id":2,"type":"phone"},"5":{"name":"I am a:","value":"Superintendent","value_raw":"Superintendent","id":5,"type":"checkbox"},"6":{"name":"School division:","value":"Bedford County","id":6,"type":"text"},"4":{"name":"Message","value":"To whom it may concern:\r\n\r\nAs I transition from Virginia Beach to Bedford, please ADD marc.bergin@bedford.k12.va.us to the mailing list for the daily education news brief and REMOVE marc.bergin@vbschools.com. Thank you for your assistance.","id":4,"type":"textarea"}}