{"id":550,"date":"2025-03-18T17:14:14","date_gmt":"2025-03-18T17:14:14","guid":{"rendered":"https:\/\/classenviewvet.com\/?page_id=550"},"modified":"2025-03-18T17:14:14","modified_gmt":"2025-03-18T17:14:14","slug":"adoption-application-form","status":"publish","type":"page","link":"https:\/\/classenviewvet.com\/index.php\/adoption-application-form\/","title":{"rendered":"Adoption Application Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-a9456f36-5cb2-453c-bcab-c437a30a44a3 wpforms-render-modern\" id=\"wpforms-539\"><form id=\"wpforms-form-539\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"539\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/550\" data-token=\"458847410bd610e72c4474d382cfb609\" data-token-time=\"1777043604\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-539-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-539-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-539-field_2-error\" required><label for=\"wpforms-539-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-539-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-539-field_2-last-error\" required><label for=\"wpforms-539-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-539-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Secondary Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-539-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" aria-errormessage=\"wpforms-539-field_3-error\" aria-describedby=\"wpforms-539-field_3-description\" required><label for=\"wpforms-539-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-539-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" aria-errormessage=\"wpforms-539-field_3-last-error\" aria-describedby=\"wpforms-539-field_3-description\" required><label for=\"wpforms-539-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-539-field_3-description\" class=\"wpforms-field-description\">(Spouse, Partner, Roommate, etc&#8230;<\/div><\/fieldset><\/div>\t\t<div id=\"wpforms-539-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-539-field_1\" >And Dr. Leash?<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-539-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-539-field_9-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-539-field_9\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][9][address1]\" aria-errormessage=\"wpforms-539-field_9-error\" required><label for=\"wpforms-539-field_9\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-539-field_9-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][9][address2]\" aria-errormessage=\"wpforms-539-field_9-address2-error\" ><label for=\"wpforms-539-field_9-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-539-field_9-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][9][city]\" aria-errormessage=\"wpforms-539-field_9-city-error\" required><label for=\"wpforms-539-field_9-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-539-field_9-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][9][state]\" aria-errormessage=\"wpforms-539-field_9-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>&#8212; Select state &#8212;<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-539-field_9-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-539-field_9-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][9][postal]\" aria-errormessage=\"wpforms-539-field_9-postal-error\" required><label for=\"wpforms-539-field_9-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-539-field_10-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_10\">Primary Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-539-field_10\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][10]\" aria-label=\"Primary Phone\" aria-errormessage=\"wpforms-539-field_10-error\" required><\/div><div id=\"wpforms-539-field_11-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_11\">Secondary Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-539-field_11\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][11]\" aria-label=\"Secondary Phone\" aria-errormessage=\"wpforms-539-field_11-error\" required><\/div><div id=\"wpforms-539-field_12-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Emergency Contact Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-539-field_12\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][12][first]\" aria-errormessage=\"wpforms-539-field_12-error\" required><label for=\"wpforms-539-field_12\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-539-field_12-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][12][last]\" aria-errormessage=\"wpforms-539-field_12-last-error\" required><label for=\"wpforms-539-field_12-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-539-field_13-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_13\">Emergency Contact Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-539-field_13\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][13]\" aria-label=\"Emergency Contact Phone Number\" aria-errormessage=\"wpforms-539-field_13-error\" required><\/div><div id=\"wpforms-539-field_14-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_14\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-539-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" spellcheck=\"false\" aria-errormessage=\"wpforms-539-field_14-error\" required><\/div><div id=\"wpforms-539-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_15\">What Type Of Residence Do You Live In? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-539-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required=\"required\"><option value=\"House\"  class=\"choice-1 depth-1\"  >House<\/option><option value=\"Apartment\"  class=\"choice-2 depth-1\"  >Apartment<\/option><option value=\"Condo\"  class=\"choice-3 depth-1\"  >Condo<\/option><option value=\"Townhome\"  class=\"choice-4 depth-1\"  >Townhome<\/option><option value=\"Other\"  class=\"choice-5 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-539-field_16-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_16\">Do You Own Or Rent? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-539-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required=\"required\"><option value=\"Own\"  class=\"choice-1 depth-1\"  >Own<\/option><option value=\"Rent\"  class=\"choice-2 depth-1\"  >Rent<\/option><\/select><\/div><div id=\"wpforms-539-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_17\">Years At Current Residence? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-539-field_17\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-539-field_17-error\" required><\/div><div id=\"wpforms-539-field_19-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">Do You Have A Securely Fenced Yard? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-539-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_19_1\" name=\"wpforms[fields][19][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_19_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_19_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_19_2\" name=\"wpforms[fields][19][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_19_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_19_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_20\">How Many Children Live In Your Home? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-539-field_20\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-539-field_20-error\" required><\/div><div id=\"wpforms-539-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Have You Owned A Dog Before? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-539-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_21_1\" name=\"wpforms[fields][21][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_21_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_21_2\" name=\"wpforms[fields][21][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_21_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_21_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_22\">Please List The Name And Age Of Any Pet Currently Living In Your Home: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-539-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-539-field_22-error\" required><\/textarea><\/div><div id=\"wpforms-539-field_23-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"23\"><fieldset><legend class=\"wpforms-field-label\">Do Any Of Your Current Pets Have Any Behavioral Issues? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-539-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_23_1\" name=\"wpforms[fields][23][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_23_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_23_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_23_2\" name=\"wpforms[fields][23][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_23_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_23_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_24\">If You Answered Yes, Please Explain:<\/label><textarea id=\"wpforms-539-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-539-field_24-error\" ><\/textarea><\/div><div id=\"wpforms-539-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_25\">What Brand Of Food Do You Feed Your Dog Or Cat?<\/label><input type=\"text\" id=\"wpforms-539-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-539-field_25-error\" ><\/div><div id=\"wpforms-539-field_26-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"26\"><fieldset><legend class=\"wpforms-field-label\">Are Dogs Allowed On The Furniture In Your Home?<\/legend><ul id=\"wpforms-539-field_26\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_26_1\" name=\"wpforms[fields][26][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_26_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_26_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_26_2\" name=\"wpforms[fields][26][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_26_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_26_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_27-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"27\"><fieldset><legend class=\"wpforms-field-label\">Do You Walk Your Dog With Or Without A Leash?<\/legend><ul id=\"wpforms-539-field_27\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_27_1\" name=\"wpforms[fields][27][]\" value=\"With\" aria-errormessage=\"wpforms-539-field_27_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_27_1\">With<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_27_2\" name=\"wpforms[fields][27][]\" value=\"Without\" aria-errormessage=\"wpforms-539-field_27_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_27_2\">Without<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_28\">Where Will A New Dog Spend The Day?<\/label><input type=\"text\" id=\"wpforms-539-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-539-field_28-error\" ><\/div><div id=\"wpforms-539-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_29\">Where Will A New Dog Spend The Night?<\/label><input type=\"text\" id=\"wpforms-539-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-539-field_29-error\" ><\/div><div id=\"wpforms-539-field_30-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_30\">In General, What Is Your Family&#039;s Typical Schedule?<\/label><textarea id=\"wpforms-539-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-539-field_30-error\" ><\/textarea><\/div><div id=\"wpforms-539-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_31\">On Average, How Many Hours Each Day Will A Dog Be Alone?<\/label><input type=\"text\" id=\"wpforms-539-field_31\" class=\"wpforms-field-small\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-539-field_31-error\" ><\/div><div id=\"wpforms-539-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_32\">If Traveling, What Arrangements Will You Make For Your Pet&#039;s Care While You Are Gone?<\/label><textarea id=\"wpforms-539-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-539-field_32-error\" ><\/textarea><\/div><div id=\"wpforms-539-field_33-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"33\"><fieldset><legend class=\"wpforms-field-label\">Do You Have A Regular Veterinarian?<\/legend><ul id=\"wpforms-539-field_33\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_33_1\" name=\"wpforms[fields][33][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_33_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_33_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_33_2\" name=\"wpforms[fields][33][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_33_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_33_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_34\">Please List The Name Of Your Veterinary Clinic<\/label><input type=\"text\" id=\"wpforms-539-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-539-field_34-error\" ><\/div><div id=\"wpforms-539-field_36-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label\">Is Your Current Pet(s) Current On Vaccinations?<\/legend><ul id=\"wpforms-539-field_36\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_36_1\" name=\"wpforms[fields][36][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_36_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_36_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_36_2\" name=\"wpforms[fields][36][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_36_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_36_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_37\">What Heartworm Prevention Do You Give Your Pet?<\/label><input type=\"text\" id=\"wpforms-539-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-539-field_37-error\" ><\/div><div id=\"wpforms-539-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_38\">How Often Do You Give Heartworm Prevention To Your Pet(s)?<\/label><input type=\"text\" id=\"wpforms-539-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-539-field_38-error\" ><\/div><div id=\"wpforms-539-field_40-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"40\"><fieldset><legend class=\"wpforms-field-label\">Will You Have The Ability To Care For A New Pet For The Lifetime Of The Pet?<\/legend><ul id=\"wpforms-539-field_40\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_40_1\" name=\"wpforms[fields][40][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_40_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_40_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_40_2\" name=\"wpforms[fields][40][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_40_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_40_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_39-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\">Do You Agree To Pay The $150 Adoption Fee<\/legend><ul id=\"wpforms-539-field_39\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_39_1\" name=\"wpforms[fields][39][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_39_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_39_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_39_2\" name=\"wpforms[fields][39][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_39_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_39_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_41-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_41\">Is There Any Other Information You Would Like For Us To Know About Yourself Or Family In Regard To Adoption Of A New Cat Or Dog?<\/label><textarea id=\"wpforms-539-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-539-field_41-error\" ><\/textarea><\/div><div id=\"wpforms-539-field_45-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"45\"><fieldset><legend class=\"wpforms-field-label\">I Have Read And Agree To The Following:  I understand that owning a pet is a lifetime responsibility.\u00a0 I agree that if I am chosen as the new owner of this pet, that I will care for him\/her in the best manner possible including (but not limited to up-to-date vaccinations, wellness exams, heartworm and flea prevention, care when sic, etc&#8230;)  I agree to provide vaccinationsand annual treatments for my pet&#039;s health either by Dr. Clark or another licensed veterinarian.\u00a0\u00a0  I agree that all information abouve is true and correct.\u00a0 I understant that if any of my responses abouve are not true, Classen View Veterinary Clinic reserves the right to refuse adoption to any individual.\u00a0\u00a0  I also understand that any pet adopted from Classen View Veterinary Clinic cannot be surrendered to a shelter or re-homed without written consent from Dr. Clark\u00a0 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-539-field_45\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_45_1\" name=\"wpforms[fields][45][]\" value=\"Yes\" aria-errormessage=\"wpforms-539-field_45_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_45_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-539-field_45_2\" name=\"wpforms[fields][45][]\" value=\"No\" aria-errormessage=\"wpforms-539-field_45_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-539-field_45_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-539-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-539-field_46\">Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-539-field_46\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-539-field_46-error\" aria-describedby=\"wpforms-539-field_46-description\" required><div id=\"wpforms-539-field_46-description\" class=\"wpforms-field-description\">By selecting the \u201cSubmit&#8221; button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual\/handwritten signature on this document. By selecting \u201cSubmit\u201d using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor\u2019s parent or legal guardian.\nI may decline to electronically sign this document and withdraw my consent to sign this document electronically by contacting the signature requestor directly, which may delay transactions. I may contact the signature requestor separately to request to sign this document on paper or to receive a paper copy of the signed document. Any fees for such paper copy will be charged then by the signature requestor. When I sign the document, I will receive a copy of this document via email. <\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-539-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-539-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-539-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"539\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/550\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-539\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/classenviewvet.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/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-550","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/comments?post=550"}],"version-history":[{"count":1,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/550\/revisions"}],"predecessor-version":[{"id":551,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/550\/revisions\/551"}],"wp:attachment":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/media?parent=550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}