<form-template> <fields> <field type="header" subtype="h1" label="DOG LICENSE APPLICATION" class="header"></field> <field type="paragraph" subtype="p" label="ALL DOGS IN THE URBAN COMMUNITIES OF MANITOU, LA RIVIERE AND DARLINGFORD MUST BE LICENSED UNDER BY-LAW 4-2024 DOG CONTROL. " class="paragraph"></field> <field type="paragraph" subtype="p" label="THERE IS NO FEE FOR LICENSING" class="paragraph"></field> <field type="text" subtype="text" required="true" label="Name of Owner" class="form-control text-input" name="text-1747080623395"></field> <field type="text" subtype="text" required="true" label="Address" class="form-control text-input" name="text-1747080708057"></field> <field type="text" subtype="email" required="true" label="Email" class="form-control text-input" name="text-1747083087803"></field> <field type="text" subtype="text" required="true" label="Name of Dog" class="form-control text-input" name="text-1747081662748"></field> <field type="text" subtype="text" label="Breed" description="Ex. Labradoodle" class="form-control text-input" name="text-1747081717972"></field> <field type="date" required="true" label="Date of Birth" class="form-control calendar" name="date-1747081811287"></field> <field type="select" required="true" label="Sex of Dog" class="form-control select" name="select-1747080904249"> <option value="option-1" selected="true">Male</option> <option value="option-2">Female</option> </field> <field type="select" required="true" label="Select" class="form-control select" name="select-1747081543843"> <option value="option-1" selected="true">Neutered</option> <option value="option-2">Spayed</option> <option>Intact</option> </field> <field type="text" subtype="text" required="true" label="Colour" class="form-control text-input" name="text-1747081857455"></field> <field type="text" subtype="text" label="Tattoo" placeholder="Number" class="form-control text-input" name="text-1747081947831"></field> <field type="file" required="true" label="Current Rabies Vaccine" description="Upload current vaccination records" class="form-control file-input" name="file-1747082158436" multiple="true"></field> <field type="paragraph" subtype="p" label="I affirm that the information provided above is true and complete. I will notify the Municipality of Pembina Municipal office of any changes (move, sale, or loss of dog) " class="paragraph"></field> <field type="paragraph" subtype="p" label="Updated Vaccination records must be submitted at time of renewal to maintain an active license" class="paragraph"></field> </fields> </form-template> Submit Submitting...