<form-template> <fields> <field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1653591334679"></field> <field type="text" subtype="text" required="true" label="Address" class="form-control text-input" name="text-1653591348562"></field> <field type="text" subtype="text" required="true" label="Contact Number" class="form-control text-input" name="text-1653591395994"></field> <field type="textarea" required="true" label="I am eighteen (18) years or over? (Yes)" class="form-control text-area" name="textarea-1653591557413"></field> <field type="text" subtype="text" required="true" label="Name of Dog/Cat" class="form-control text-input" name="text-1653591720968"></field> <field type="text" subtype="text" required="true" label="Breed &amp; Color" class="form-control text-input" name="text-1653591647890"></field> <field type="text" subtype="text" required="true" label="Sex" class="form-control text-input" name="text-1653591689643"></field> <field type="textarea" required="true" label="Neutered (Yes or No)" class="form-control text-area" name="textarea-1653591764936"></field> <field type="textarea" required="true" label="Is this your first application? (Yes or No)" class="form-control text-area" name="textarea-1653591830475"></field> <field type="header" subtype="h1" label="Rabies Vaccination " class="header"></field> <field type="text" subtype="text" required="true" label="Date Given:" class="form-control text-input" name="text-1655236094982"></field> <field type="text" subtype="text" label="Veterinarian:" class="form-control text-input" name="text-1655236119070"></field> <field type="text" subtype="text" required="true" label="As an owner, you are aware that you are legally responsible for the actions of the above described dog/cat in accordance with the By-law 2007/07 of the RM of Pipestone. Please write your name below if you agree." class="form-control text-input" name="text-1655236136860"></field> <field type="textarea" label="$5.00 must be paid to complete this application. Once we receive payment, we will send you your tag if this is your first time applying. Payment options are e-transfer to accounts@rmofpipestone.com, cheque, debit or cash. " class="form-control text-area" name="textarea-1655236525238"></field> </fields> </form-template> Submit Submitting...
