<form-template> <fields> <field type="paragraph" subtype="p" label="License fees for pets are as follows: Spayed / Neutered dogs: $5 Intact / Not spayed dogs: $20 Cats: $0 These fees are billed out annually " class="paragraph"></field> <field type="text" subtype="text" required="true" label="Pet Owner's Name " class="form-control text-input" name="text-1658954273076"></field> <field type="text" subtype="text" required="true" label="Civic Address " class="form-control text-input" name="text-1658954296339"></field> <field type="text" subtype="text" required="true" label="Mailing Address " class="form-control text-input" name="text-1658954310961"></field> <field type="text" subtype="text" label="Email Address " class="form-control text-input" name="text-1658954328193"></field> <field type="text" subtype="text" required="true" label="Phone Number " class="form-control text-input" name="text-1658954349451"></field> <field type="text" subtype="text" label="Alternate Phone Number " class="form-control text-input" name="text-1658954365072"></field> <field type="text" subtype="text" required="true" label="Pet's Name " class="form-control text-input" name="text-1658954381658"></field> <field type="text" subtype="text" required="true" label="Pet's Birthdate " class="form-control text-input" name="text-1731599193326"></field> <field type="text" subtype="text" required="true" label="Species " description="dog, cat, etc" class="form-control text-input" name="text-1658954401132"></field> <field type="text" subtype="text" label="Dog Breed (if applicable) " class="form-control text-input" name="text-1658954440995"></field> <field type="text" subtype="text" required="true" label="Colour " class="form-control text-input" name="text-1658954469069"></field> <field type="text" subtype="text" label="Tattoo Number " class="form-control text-input" name="text-1658954642986"></field> <field type="text" subtype="text" required="true" label="Please specify what gender your pet is" class="form-control text-input" name="text-1658954664780"></field> <field type="text" subtype="text" required="true" label="Please specify, has your pet been spayed or neutered?" description="yes or no" class="form-control text-input" name="text-1658954689070"></field> <field type="text" subtype="text" label="other distinguishing markings " class="form-control text-input" name="text-1658956449886"></field> <field type="file" required="true" label="Please upload a picture of your pet " class="form-control file-input" name="file-1658954743487" multiple="true"></field> </fields> </form-template> Submit Submitting...