{"id":419,"date":"2020-03-11T00:13:05","date_gmt":"2020-03-11T00:13:05","guid":{"rendered":"https:\/\/1stchoice.us\/saesi\/?page_id=419"},"modified":"2020-03-11T00:13:05","modified_gmt":"2020-03-11T00:13:05","slug":"application-form","status":"publish","type":"page","link":"https:\/\/1stchoice.us\/saesi\/application-form\/","title":{"rendered":"Application form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-417\"><form id=\"wpforms-form-417\" class=\"wpforms-validate wpforms-form\" data-formid=\"417\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/saesi\/wp-json\/wp\/v2\/pages\/419\" data-token=\"1f033ccb75b960c44e1a3b39a73dfcf2\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-417-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_30\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-417-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_31\">Street Address (with city\/state\/zip): <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/div><div id=\"wpforms-417-field_34-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_34\">Cell Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-417-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div><div id=\"wpforms-417-field_33-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_33\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-417-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-417-field_36-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_36\">How many household members? Do all adults work outside the home, list work hours: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-417-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><\/textarea><\/div><div id=\"wpforms-417-field_56-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_56\">How many hours a day will the dog be left alone? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_56\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][56]\" required><\/div><div id=\"wpforms-417-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_37\">Number of children at home or that visit frequently, and ages: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-417-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_35\">Do you rent or own? A house, apartment, condo, other <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" required><\/div><div id=\"wpforms-417-field_39-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_39\">If you rent, provide landlord&#039;s name &amp; contact number so we can verify if pets are allowed:<\/label><textarea id=\"wpforms-417-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" ><\/textarea><\/div><div id=\"wpforms-417-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_38\">How long at present address and do you plan to move in the next 6 months: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-417-field_41-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_41\">Is your yard fenced? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_41\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][41]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_40-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_40\">Provide type and height of fence for your yard and how gates are secured (latches, locks): <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-417-field_40\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][40]\" required><\/textarea><\/div><div id=\"wpforms-417-field_42-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_42\">Have you previously, or do you currently own a whippet? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-417-field_42\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_42_1\" name=\"wpforms[fields][42][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_42_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_42_2\" name=\"wpforms[fields][42][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_42_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-417-field_43-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_43\">If so, please tell us about him\/her\/them:<\/label><textarea id=\"wpforms-417-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" ><\/textarea><\/div><div id=\"wpforms-417-field_52-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_52\">Do all members of the family favor this type of dog? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-417-field_52\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_52_1\" name=\"wpforms[fields][52][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_52_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_52_2\" name=\"wpforms[fields][52][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_52_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-417-field_44-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_44\">Have you ever taken a pet to a shelter\/pound\/rescue <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_44\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][44]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_46-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_46\">If so, what were the circumstances that lead you to do so:<\/label><textarea id=\"wpforms-417-field_46\" class=\"wpforms-field-medium\" name=\"wpforms[fields][46]\" ><\/textarea><\/div><div id=\"wpforms-417-field_48-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_48\">List all pets currently at home as well as owned in the past ten years. Include small caged pets and barnyard animals: Type of animal (list breed of dogs) \/Age \/Sex Spayed or Neutered \/Kept In or Out \/How long owned (for past pets, please list what happened to the pet) <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-417-field_48\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][48]\" required><\/textarea><\/div><div id=\"wpforms-417-field_47-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_47\">What are your reasons for wanting to add a whippet to your family? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-417-field_47\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][47]\" required><\/textarea><\/div><div id=\"wpforms-417-field_49-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_49\">What are you expecting of this Whippet? (check all that apply) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-417-field_49\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_49_4\" name=\"wpforms[fields][49][]\" value=\"Agility\/Obedience\/Rally\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_49_4\">Agility\/Obedience\/Rally<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_49_1\" name=\"wpforms[fields][49][]\" value=\"Breeding\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_49_1\">Breeding<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_49_2\" name=\"wpforms[fields][49][]\" value=\"Companion\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_49_2\">Companion<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_49_7\" name=\"wpforms[fields][49][]\" value=\"Companion for other pets\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_49_7\">Companion for other pets<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_49_3\" name=\"wpforms[fields][49][]\" value=\"Conformation\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_49_3\">Conformation<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_49_6\" name=\"wpforms[fields][49][]\" value=\"Coursing\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_49_6\">Coursing<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_49_5\" name=\"wpforms[fields][49][]\" value=\"Racing\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_49_5\">Racing<\/label><\/li><\/ul><\/div><div id=\"wpforms-417-field_65-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"65\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_65\">Temperament preferred? (check all that apply) (copy) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-417-field_65\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_4\" name=\"wpforms[fields][65][]\" value=\"Very active\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_4\">Very active<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_1\" name=\"wpforms[fields][65][]\" value=\"Active\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_1\">Active<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_2\" name=\"wpforms[fields][65][]\" value=\"Easy going\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_2\">Easy going<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_7\" name=\"wpforms[fields][65][]\" value=\"Lap dog\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_7\">Lap dog<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_3\" name=\"wpforms[fields][65][]\" value=\"Sedate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_3\">Sedate<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_6\" name=\"wpforms[fields][65][]\" value=\"Intelligent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_6\">Intelligent<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_5\" name=\"wpforms[fields][65][]\" value=\"Playful\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_5\">Playful<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_11\" name=\"wpforms[fields][65][]\" value=\"Affectionate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_11\">Affectionate<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_10\" name=\"wpforms[fields][65][]\" value=\"Shy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_10\">Shy<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_65_9\" name=\"wpforms[fields][65][]\" value=\"Independent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_65_9\">Independent<\/label><\/li><\/ul><\/div><div id=\"wpforms-417-field_51-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_51\">I would like my new dog to get along with: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-417-field_51\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_51_1\" name=\"wpforms[fields][51][]\" value=\"Elderly adults\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_51_1\">Elderly adults<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_51_2\" name=\"wpforms[fields][51][]\" value=\"Children\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_51_2\">Children<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_51_3\" name=\"wpforms[fields][51][]\" value=\"Dogs\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_51_3\">Dogs<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_51_4\" name=\"wpforms[fields][51][]\" value=\"Cats\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_51_4\">Cats<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_51_6\" name=\"wpforms[fields][51][]\" value=\"Birds\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_51_6\">Birds<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_51_5\" name=\"wpforms[fields][51][]\" value=\"Farm animals\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_51_5\">Farm animals<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-417-field_51_7\" name=\"wpforms[fields][51][]\" value=\"No other animals\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-417-field_51_7\">No other animals<\/label><\/li><\/ul><\/div><div id=\"wpforms-417-field_53-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_53\">Does any member of the household have pet allergies? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_53\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][53]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_54-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_54\">Are you financially able to care for this dog should it become seriously ill or require surgery? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_54\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][54]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_55-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_55\">What arrangements will you make when you go on vacation? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-417-field_55\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][55]\" required><\/textarea><\/div><div id=\"wpforms-417-field_57-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_57\">Do you crate your dogs while at work or allow them to be loose? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_57\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][57]\" required><\/div><div id=\"wpforms-417-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_58\">Where will the dog be kept at night? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-417-field_58\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][58]\" required><\/div><div id=\"wpforms-417-field_59-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_59\">Have you ever crate trained a dog? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_59\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][59]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_60-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_60\">Do you have objections of using a crate for your dogs safety? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_60\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][60]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_61-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_61\">Are you agreeable to returning the Whippet, should unforeseen circumstances arise wherein you would no longer be able to keep the dog? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_61\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][61]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_62-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_62\">Would you be willing for me, or a friend of mine, to visit your home? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-417-field_62\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][62]\" required=\"required\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-417-field_63-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_63\">Please give 2 personal references: Name\/phone\/years known\/relationship\/ <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-417-field_63\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][63]\" required><\/textarea><\/div><div id=\"wpforms-417-field_64-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-417-field_64\">Please list the name of the last three vets (noting the current vet) that you have used including phone number and street address:  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-417-field_64\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][64]\" required><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-417-field-hp\" class=\"wpforms-field-label\">Email<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-417-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"417\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-417\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-419","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/pages\/419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/comments?post=419"}],"version-history":[{"count":2,"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/pages\/419\/revisions"}],"predecessor-version":[{"id":421,"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/pages\/419\/revisions\/421"}],"wp:attachment":[{"href":"https:\/\/1stchoice.us\/saesi\/wp-json\/wp\/v2\/media?parent=419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}