{"id":952,"date":"2021-06-16T10:01:01","date_gmt":"2021-06-16T10:01:01","guid":{"rendered":"https:\/\/pawsspetservicesltd.co.uk\/?page_id=952"},"modified":"2021-06-22T10:13:24","modified_gmt":"2021-06-22T10:13:24","slug":"pet-visit-form","status":"publish","type":"page","link":"https:\/\/pawsspetservicesltd.co.uk\/pet-visit-form\/","title":{"rendered":"Pet Visit Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"952\" class=\"elementor elementor-952\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-22b3244f elementor-section-stretched elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"22b3244f\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-768e70ad\" data-id=\"768e70ad\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1eb708f elementor-widget elementor-widget-heading\" data-id=\"1eb708f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pet Visit Form<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6403193d elementor-widget elementor-widget-spacer\" data-id=\"6403193d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ecce692 elementor-widget elementor-widget-heading\" data-id=\"ecce692\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Making sure we have all the information we need to take care of your pet.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e833f28 elementor-widget elementor-widget-spacer\" data-id=\"e833f28\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-35ab9ef elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"35ab9ef\" data-element_type=\"section\" id=\"form1\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b04d301\" data-id=\"b04d301\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a1f7e41 elementor-widget elementor-widget-text-editor\" data-id=\"2a1f7e41\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Pet Visit Form<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5727746 elementor-widget elementor-widget-wp-widget-frm_show_form\" data-id=\"5727746\" data-element_type=\"widget\" data-widget_type=\"wp-widget-frm_show_form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"frm_form_widget\"><div class=\"frm_forms  with_frm_style frm_style_contact-page\" id=\"frm_form_16_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_registrationformpart116eb8aada47cf11f14b480e246cac5432306c3a1a1a57a2147\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Pet Visit Form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"16\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_16\" id=\"frm_hide_fields_16\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"registrationformpart116eb8aada47cf11f14b480e246cac5432306c3a1a1a57a2147\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_16\" name=\"frm_submit_entry_16\" value=\"d5792ef9c3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/952\" \/><div id=\"frm_field_859_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_a182f1a6e5e9d7efb0609c670392acdd4ca9c456c94b070d0f12f85\" id=\"field_a182f1a6e5e9d7efb0609c670392acdd4ca9c456c94b070d0f12f85_label\" class=\"frm_primary_label\">Today\u2019s Date\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_a182f1a6e5e9d7efb0609c670392acdd4ca9c456c94b070d0f12f85\" name=\"item_meta[859]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Today\u2019s Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_860_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_pyr2a15c9698e61166120c135d3258f58f33f53c4b141bb012ff7f4\" id=\"field_pyr2a15c9698e61166120c135d3258f58f33f53c4b141bb012ff7f4_label\" class=\"frm_primary_label\">Owners Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_pyr2a15c9698e61166120c135d3258f58f33f53c4b141bb012ff7f4\" name=\"item_meta[860]\" value=\"\"  data-reqmsg=\"Owners Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_862_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_b4nxlf6c8837e5952eb8032a599cc21683134cad055654254916abe\" id=\"field_b4nxlf6c8837e5952eb8032a599cc21683134cad055654254916abe_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_b4nxlf6c8837e5952eb8032a599cc21683134cad055654254916abe\" name=\"item_meta[862]\" value=\"\"  data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_863_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_vswpe53d90ed0b5dee3a808a09a81678a85a1aea14b75c035ebcef3\" id=\"field_vswpe53d90ed0b5dee3a808a09a81678a85a1aea14b75c035ebcef3_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_vswpe53d90ed0b5dee3a808a09a81678a85a1aea14b75c035ebcef3\" name=\"item_meta[863]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_861_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAddress<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_861-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_line1\" value=\"\" name=\"item_meta[861][line1]\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_861-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_line2\" value=\"\" name=\"item_meta[861][line2]\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_861-zip_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_zip\" value=\"\" name=\"item_meta[861][zip]\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<div id=\"frm_field_861-city_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_city\" value=\"\" name=\"item_meta[861][city]\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_861-country_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tCountry\t<\/label>\n\t\t\t<select name=\"item_meta[861][country]\" id=\"field_13mwuf4c5979a57e1b2311a6f5846d6fc1f559e39a2d3563b431328_country\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afghanistan<\/option><option  value=\"Aland Islands\">Aland Islands<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Algeria<\/option><option  value=\"American Samoa\">American Samoa<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguilla<\/option><option  value=\"Antarctica\">Antarctica<\/option><option  value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaijan<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrain<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Belarus<\/option><option  value=\"Belgium\">Belgium<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Benin\">Benin<\/option><option  value=\"Bermuda\">Bermuda<\/option><option  value=\"Bhutan\">Bhutan<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, Sint Eustatius and Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Bouvet Island<\/option><option  value=\"Brazil\">Brazil<\/option><option  value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">C&ocirc;te d&#039;Ivoire<\/option><option  value=\"Cambodia\">Cambodia<\/option><option  value=\"Cameroon\">Cameroon<\/option><option  value=\"Canada\">Canada<\/option><option  value=\"Cape Verde\">Cape Verde<\/option><option  value=\"Cayman Islands\">Cayman Islands<\/option><option  value=\"Central African Republic\">Central African Republic<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Christmas Island<\/option><option  value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoros<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Cook Islands<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croatia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Cyprus<\/option><option  value=\"Czech Republic\">Czech Republic<\/option><option  value=\"Denmark\">Denmark<\/option><option  value=\"Djibouti\">Djibouti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Dominican Republic<\/option><option  value=\"East Timor\">East Timor<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egypt<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Ethiopia<\/option><option  value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option><option  value=\"Faroe Islands\">Faroe Islands<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finland<\/option><option  value=\"France\">France<\/option><option  value=\"French Guiana\">French Guiana<\/option><option  value=\"French Polynesia\">French Polynesia<\/option><option  value=\"French Southern Territories\">French Southern Territories<\/option><option  value=\"Gabon\">Gabon<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Germany<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Greece<\/option><option  value=\"Greenland\">Greenland<\/option><option  value=\"Grenada\">Grenada<\/option><option  value=\"Guadeloupe\">Guadeloupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Haiti<\/option><option  value=\"Heard Island and McDonald Islands\">Heard Island and McDonald Islands<\/option><option  value=\"Holy See\">Holy See<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungary<\/option><option  value=\"Iceland\">Iceland<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Iran<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Ireland<\/option><option  value=\"Isle of Man\">Isle of Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italy<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Japan<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordan<\/option><option  value=\"Kazakhstan\">Kazakhstan<\/option><option  value=\"Kenya\">Kenya<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Latvia<\/option><option  value=\"Lebanon\">Lebanon<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libya<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lithuania<\/option><option  value=\"Luxembourg\">Luxembourg<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malaysia<\/option><option  value=\"Maldives\">Maldives<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Marshall Islands<\/option><option  value=\"Martinique\">Martinique<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauritius<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">Mexico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldova<\/option><option  value=\"Monaco\">Monaco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Morocco<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Netherlands<\/option><option  value=\"New Caledonia\">New Caledonia<\/option><option  value=\"New Zealand\">New Zealand<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">Niger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Norfolk Island<\/option><option  value=\"North Korea\">North Korea<\/option><option  value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option  value=\"Norway\">Norway<\/option><option  value=\"Oman\">Oman<\/option><option  value=\"Pakistan\">Pakistan<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestine<\/option><option  value=\"Panama\">Panama<\/option><option  value=\"Papua New Guinea\">Papua New Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Peru<\/option><option  value=\"Philippines\">Philippines<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Poland<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reunion<\/option><option  value=\"Romania\">Romania<\/option><option  value=\"Russia\">Russia<\/option><option  value=\"Rwanda\">Rwanda<\/option><option  value=\"Saint Barthelemy\">Saint Barthelemy<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Saint Helena, Ascension and Tristan da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option  value=\"Saint Lucia\">Saint Lucia<\/option><option  value=\"Saint Martin (French part)\">Saint Martin (French part)<\/option><option  value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option><option  value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option  value=\"Saudi Arabia\">Saudi Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leone<\/option><option  value=\"Singapore\">Singapore<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (Dutch part)<\/option><option  value=\"Slovakia\">Slovakia<\/option><option  value=\"Slovenia\">Slovenia<\/option><option  value=\"Solomon Islands\">Solomon Islands<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">South Africa<\/option><option  value=\"South Georgia and the South Sandwich Islands\">South Georgia and the South Sandwich Islands<\/option><option  value=\"South Korea\">South Korea<\/option><option  value=\"South Sudan\">South Sudan<\/option><option  value=\"Spain\">Spain<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sudan<\/option><option  value=\"Suriname\">Suriname<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard and Jan Mayen<\/option><option  value=\"Swaziland\">Swaziland<\/option><option  value=\"Sweden\">Sweden<\/option><option  value=\"Switzerland\">Switzerland<\/option><option  value=\"Syria\">Syria<\/option><option  value=\"Taiwan\">Taiwan<\/option><option  value=\"Tajikistan\">Tajikistan<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Thailand<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option  value=\"Tunisia\">Tunisia<\/option><option  value=\"Turkey\">Turkey<\/option><option  value=\"Turkmenistan\">Turkmenistan<\/option><option  value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ukraine<\/option><option  value=\"United Arab Emirates\">United Arab Emirates<\/option><option  value=\"United Kingdom\">United Kingdom<\/option><option  value=\"United States\">United States<\/option><option  value=\"United States Minor Outlying Islands\">United States Minor Outlying Islands<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekistan<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Vatican City<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option  value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option  value=\"Wallis and Futuna\">Wallis and Futuna<\/option><option  value=\"Western Sahara\">Western Sahara<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabwe<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Country<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_864_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_e65y58c506dec56f12c2f874704697a4fd482865649cdea94f8cec2\" id=\"field_e65y58c506dec56f12c2f874704697a4fd482865649cdea94f8cec2_label\" class=\"frm_primary_label\">Name of Emergency Contact \r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_e65y58c506dec56f12c2f874704697a4fd482865649cdea94f8cec2\" name=\"item_meta[864]\" value=\"\"  data-reqmsg=\"Name of Emergency Contact  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_865_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_via6z7f310ffd7e7dd09124f3bc9b7aa598874d2cc75\" id=\"field_via6z7f310ffd7e7dd09124f3bc9b7aa598874d2cc75_label\" class=\"frm_primary_label\">Emergency Contact Phone Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_via6z7f310ffd7e7dd09124f3bc9b7aa598874d2cc75\" name=\"item_meta[865]\" value=\"\"  data-reqmsg=\"Emergency Contact Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_927_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_wkveo\" id=\"field_wkveo_label\" class=\"frm_primary_label\">Pets Name(s)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wkveo\" name=\"item_meta[927]\" value=\"\"  data-reqmsg=\"Pets Name(s) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_928_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_no6b8\" id=\"field_no6b8_label\" class=\"frm_primary_label\">Start Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_no6b8\" name=\"item_meta[928]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Start Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_929_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_7u4uv\" id=\"field_7u4uv_label\" class=\"frm_primary_label\">End Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7u4uv\" name=\"item_meta[929]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"End Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_930_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_klujf\" id=\"field_klujf_label\" class=\"frm_primary_label\">First Visit Details (Date and Time)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_klujf\" name=\"item_meta[930]\" value=\"\"  data-reqmsg=\"First Visit Details (Date and Time) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_931_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_80kmt\" id=\"field_80kmt_label\" class=\"frm_primary_label\">Last Visit Details (Date and Time)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_80kmt\" name=\"item_meta[931]\" value=\"\"  data-reqmsg=\"Last Visit Details (Date and Time) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_932_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_third\">\r\n    <label for=\"field_yzwz9\" id=\"field_yzwz9_label\" class=\"frm_primary_label\">Total Cost\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yzwz9\" name=\"item_meta[932]\" value=\"\"  data-reqmsg=\"Total Cost cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_933_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_cd4eb\" id=\"field_cd4eb_label\" class=\"frm_primary_label\">Deposit Paid\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cd4eb\" name=\"item_meta[933]\" value=\"\"  data-reqmsg=\"Deposit Paid cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_934_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_f5tmg\" id=\"field_f5tmg_label\" class=\"frm_primary_label\">Balance to be paid\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f5tmg\" name=\"item_meta[934]\" value=\"\"  data-reqmsg=\"Balance to be paid cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_935_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_ri7fr\" id=\"field_ri7fr_label\" class=\"frm_primary_label\">Where do pets get fed?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ri7fr\" name=\"item_meta[935]\" value=\"\"  data-reqmsg=\"Where do pets get fed? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_936_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_oi0fo\" id=\"field_oi0fo_label\" class=\"frm_primary_label\">What type and how much food at each visit?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oi0fo\" name=\"item_meta[936]\" value=\"\"  data-reqmsg=\"What type and how much food at each visit? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_937_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_tv1ym\" id=\"field_tv1ym_label\" class=\"frm_primary_label\">Where is litter tray kept?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_tv1ym\" name=\"item_meta[937]\" value=\"\"  data-reqmsg=\"Where is litter tray kept? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_938_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_13xcg_label\" class=\"frm_primary_label\">Tick each option that applies:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_13xcg_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_938-0\"><label for=\"field_13xcg-0\"><input type=\"checkbox\" name=\"item_meta[938][]\" id=\"field_13xcg-0\" value=\"Litter Scoop\"  data-reqmsg=\"Tick each option that applies: cannot be blank.\" data-invmsg=\"Tick each option that applies: is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Litter Scoop<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_938-1\"><label for=\"field_13xcg-1\"><input type=\"checkbox\" name=\"item_meta[938][]\" id=\"field_13xcg-1\" value=\"Poo Bags\"  data-reqmsg=\"Tick each option that applies: cannot be blank.\" data-invmsg=\"Tick each option that applies: is invalid\" aria-invalid=\"false\"   \/> Poo Bags<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_938-2\"><label for=\"field_13xcg-2\"><input type=\"checkbox\" name=\"item_meta[938][]\" id=\"field_13xcg-2\" value=\"Spare Bin Bags\"  data-reqmsg=\"Tick each option that applies: cannot be blank.\" data-invmsg=\"Tick each option that applies: is invalid\" aria-invalid=\"false\"   \/> Spare Bin Bags<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_938-3\"><label for=\"field_13xcg-3\"><input type=\"checkbox\" name=\"item_meta[938][]\" id=\"field_13xcg-3\" value=\"Dust Pan\"  data-reqmsg=\"Tick each option that applies: cannot be blank.\" data-invmsg=\"Tick each option that applies: is invalid\" aria-invalid=\"false\"   \/> Dust Pan<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_938-4\"><label for=\"field_13xcg-4\"><input type=\"checkbox\" name=\"item_meta[938][]\" id=\"field_13xcg-4\" value=\"Access to Outdoor Bins\"  data-reqmsg=\"Tick each option that applies: cannot be blank.\" data-invmsg=\"Tick each option that applies: is invalid\" aria-invalid=\"false\"   \/> Access to Outdoor Bins<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_939_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_thnvd\" id=\"field_thnvd_label\" class=\"frm_primary_label\">Spare food and litter will be left:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_thnvd\" name=\"item_meta[939]\" value=\"\"  data-reqmsg=\"Spare food and litter will be left: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_940_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_2pmdj\" id=\"field_2pmdj_label\" class=\"frm_primary_label\">Plants to be watered:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2pmdj\" name=\"item_meta[940]\" value=\"\"  data-reqmsg=\"Plants to be watered: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_941_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_wwc2c\" id=\"field_wwc2c_label\" class=\"frm_primary_label\">Curtains\/Blinds, which rooms:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wwc2c\" name=\"item_meta[941]\" value=\"\"  data-reqmsg=\"Curtains\/Blinds, which rooms: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_942_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_xx4wl\" id=\"field_xx4wl_label\" class=\"frm_primary_label\">Wheely bins to go out and what day for which ones:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xx4wl\" name=\"item_meta[942]\" value=\"\"  data-reqmsg=\"Wheely bins to go out and what day for which ones: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_943_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_w6bel\" id=\"field_w6bel_label\" class=\"frm_primary_label\">Alarm Details\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w6bel\" name=\"item_meta[943]\" value=\"\"  data-reqmsg=\"Alarm Details cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_958_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_mu8p\" id=\"field_mu8p_label\" class=\"frm_primary_label\">Additional Medication Information\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[958]\" id=\"field_mu8p\" rows=\"5\"  data-invmsg=\"Additional Medication Information is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_944_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_hh1ti_label\" class=\"frm_primary_label\">Updates while you are away\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_hh1ti_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_944-0\"><label for=\"field_hh1ti-0\"><input type=\"checkbox\" name=\"item_meta[944][]\" id=\"field_hh1ti-0\" value=\"Facebook Message\"  data-reqmsg=\"Updates while you are away cannot be blank.\" data-invmsg=\"Updates while you are away is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Facebook Message<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_944-1\"><label for=\"field_hh1ti-1\"><input type=\"checkbox\" name=\"item_meta[944][]\" id=\"field_hh1ti-1\" value=\"Whatsapp Message\"  data-reqmsg=\"Updates while you are away cannot be blank.\" data-invmsg=\"Updates while you are away is invalid\" aria-invalid=\"false\"   \/> Whatsapp Message<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_945_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_xurui\" id=\"field_xurui_label\" class=\"frm_primary_label\">DOES THE PET(S) HAVE ACCESS TO A CAT FLAP? IF SO, IN THE EVENT OF A PET GOING MISSING, PAWSS PET SERVICES LTD, WILL CONTINUE WITH AGREED VISITS BUT NOTIFY THE OWNER, THE VET, THE POLICE & THE CHIP COMPANY BUT WILL NOT BE HELD RESPONSIBLE FOR THE LOSS OF THE PET.\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xurui\" name=\"item_meta[945]\" value=\"\"  data-reqmsg=\"DOES THE PET(S) HAVE ACCESS TO A CAT FLAP? IF SO, IN THE EVENT OF A PET GOING MISSING, PAWSS PET SERVICES LTD, WILL CONTINUE WITH AGREED VISITS BUT NOTIFY THE OWNER, THE VET, THE POLICE &amp; THE CHIP COMPANY BUT WILL NOT BE HELD RESPONSIBLE FOR THE LOSS OF THE PET. cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_947_container\" class=\"frm_form_field  frm_html_container form-field\">I (THE CLIENT) RELEASE MY HOUSE KEYS TO PAWSS PET SERVICES LTD FOR THE DURATION OF THE CONTRACT.  I MAY REVOKE THIS RELEASE AT ANY TIME AND EXPECT MY KEYS TO BE RETURNED TO ME IMMEDIATELY UPON SUCH  REVOCATION.<\/p>\n<p>I HEREBY CONFIRM THAT I AM THE OWNER OF THE ABOVE NAMED PET (S) AND THAT I AUTHORISE PAWSS PET SERVICES LTD TO ACT AS GUARDIAN DURING MY ABSENCE AND TO TAKE ANY ACTION WHICH HE\/SHE CONSIDERS SUITABLE IN ORDER TO PROTECT AND KEEP IN GOOD HEALTH THE ABOVE NAMED PET(S).  <\/p>\n<p>I DO FURTHER CONFIRM THAT I WILL BE RESPONSIBLE FOR ANY COSTS WHICH MIGHT BE INCURRED, EITHER VETERINARY OR OTHER, AS A RESULT OF ANY SICKNESS, ACCIDENT OR DAMAGE CAUSED TO OR BY THE ABOVE NAMED PET(S).  EXCEPT THIRD PARTY LIABILITY, AND THAT I WILL PAY ANY SUCH COSTS OR EXPENSES ON DEMAND.  I ALSO UNDERSTAND THAT NO LIABILITY WILL ATTACH TO THE ABOVE  MENTIONED PETSITTER.<\/p><\/div>\n<div id=\"frm_field_948_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h4>Veterinary Authorisation<\/h4>\n<p>DURING MY ABSENCE PAWSS PET SERVICES LTD WILL BE CARING FOR MY PET(S) AND HAS MY PERMISSION TO TRANSPORT THEM TO YOUR SURGERY FOR TREATMENT. I AUTHORISE YOU TO TREAT MY PET(S) AND I WILL BE RESPONSIBLE FOR PAYMENT TO YOU EITHER BEFORE MY DEPARTURE OR UPON MY RETURN.  PLEASE FILE THIS WITH MY RECORDS.<br \/>\nI HEREBY GIVE PAWSS PET SERVICES LTD PERMISSION TO TRANSPORT MY PET (S) TO THE BELOW MENTIONED VETERINARY SURGERY.  I UNDERSTAND THAT PAWSS PET SERVICES LTD ASSUMES NO RESPONSIBILITY FOR THE LOSS OF THE PET(S) AND IS RELEASED FROM ALL LIABILITY RELATED TO TRANSPORTATION, TREATMENT AND EXPENSE.<\/p><\/div>\n<div id=\"frm_field_866_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_lrbx66d5c508d4697ea26d94437c962505ff98b7cd5baf2cdb9f47d\" id=\"field_lrbx66d5c508d4697ea26d94437c962505ff98b7cd5baf2cdb9f47d_label\" class=\"frm_primary_label\">Vets Name \r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_lrbx66d5c508d4697ea26d94437c962505ff98b7cd5baf2cdb9f47d\" name=\"item_meta[866]\" value=\"\"  data-reqmsg=\"Vets Name  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_926_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_l3c03\" 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data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_925_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n    <div  id=\"field_cw7h3d318e5f805e4d7e326a107576b6e4bd5caa654df3ef4d7d679_label\" class=\"frm_primary_label\">Terms and Conditions\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_cw7h3d318e5f805e4d7e326a107576b6e4bd5caa654df3ef4d7d679_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_925-0\"><label for=\"field_cw7h3d318e5f805e4d7e326a107576b6e4bd5caa654df3ef4d7d679-0\"><input type=\"checkbox\" name=\"item_meta[925][]\" id=\"field_cw7h3d318e5f805e4d7e326a107576b6e4bd5caa654df3ef4d7d679-0\" value=\"&lt;a href=&quot;https:\/\/pawsspetservicesltd.co.uk\/terms-and-conditions\/&quot; target=&quot;_blank&quot;&gt;Terms and Conditions&lt;\/a&gt; read and understood\"  data-reqmsg=\"Terms and Conditions cannot be blank.\" data-invmsg=\"Terms and Conditions is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> <a href=\"https:\/\/pawsspetservicesltd.co.uk\/terms-and-conditions\/\" target=\"_blank\">Terms and Conditions<\/a> read and understood<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__659fc4d8ee6e5\">\n\t\t\t\t<label for=\"frm_email_16\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_16\" type=\"text\" class=\"frm_verify\" name=\"frm__659fc4d8ee6e5\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"fkzNxN2jsfsbDHM+Tl5a8KHTtuhYhePVtespgXDJb0g=\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   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Pet Visit Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":"","_links_to":"","_links_to_target":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pet Visit Form - Pawss Pet Services<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pawsspetservicesltd.co.uk\/pet-visit-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pet Visit Form - Pawss Pet Services\" \/>\n<meta property=\"og:description\" content=\"Pet Visit Form Making sure we have all the information we need to take care of your pet. 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