<form-template> <fields> <field type="text" subtype="text" required="true" label="NAME" class="form-control text-input" name="text-1703107869132"></field> <field type="text" subtype="text" required="true" label="PHYSICAL ADDRESS" class="form-control text-input" name="text-1703107884887"></field> <field type="textarea" required="true" label="MAILING ADDRESS" class="form-control text-area" name="textarea-1704302656854"></field> <field type="text" subtype="text" required="true" label="CONTACT NUMBER " class="form-control text-input" name="text-1703107899238"></field> <field type="checkbox" required="true" label="I AM EIGHTEEN (18) YEARS OR OVER?" class="checkbox" name="checkbox-1703107935584"></field> <field type="textarea" required="true" label="NAME OF DOG" class="form-control text-area" name="textarea-1703107995043"></field> <field type="textarea" required="true" label="BREED &amp; COLOR OF DOG" class="form-control text-area" name="textarea-1703108019082"></field> <field type="textarea" required="true" label="NEUTURED / SPAYED (YES OR NO)" class="form-control text-area" name="textarea-1703108054289"></field> <field type="text" subtype="text" required="true" label="IS THIS YOUR FIRST APPLICATION? (YES OR NO)" class="form-control text-input" name="text-1703108082889"></field> <field type="header" subtype="h2" label="RABIES VACCINATION" class="header"></field> <field type="date" required="true" label="DATE GIVEN" class="form-control calendar" name="date-1703108132254"></field> <field type="textarea" required="true" label="VETERINARIAN OR NAME OF CLINIC" class="form-control text-area" name="textarea-1703108150048"></field> <field type="textarea" required="true" label="As an owner, you are aware that you are legally responsible for the actions of the above described dog in accordance with By-law 5-2023 of the Municipality of Killarney Turtle-Mountain. Please write your name below if you agree. *" class="form-control text-area" name="textarea-1704302929941"></field> <field type="paragraph" subtype="p" label="For each spayed female or neutered male dog - $10.00 For each male dog - $50.00 For each female dog - $50.00 For each dog declared to be a dangerous animal - $100.00 Replacement tag - $5.00 Transfer of license - $5.00 Kennel permit (annual fee) - $100.00 Restricted Animal permit (annual fee) -$100.00 " class="paragraph"></field> <field type="paragraph" subtype="p" label="PAYMENT MUST BE MADE TO COMPLETE THIS APPLICATION. ONCE WE RECEIVE PAYMENT WE WILL ISSUE YOUR TAG." class="paragraph"></field> <field type="checkbox" label="PLEASE INVOICE ME " class="checkbox" name="checkbox-1704302806344"></field> <field type="checkbox" label="PAYMENT WILL BE MADE IN OFFICE. Office hours are Monday- Friday 8:30 am - 4:30 pm" class="checkbox" name="checkbox-1704302828801"></field> </fields> </form-template> Submit Submitting...
