{"id":211,"date":"2014-07-31T16:39:07","date_gmt":"2014-07-31T20:39:07","guid":{"rendered":"http:\/\/masqueradepicards.com\/?page_id=211"},"modified":"2018-04-20T18:23:30","modified_gmt":"2018-04-20T18:23:30","slug":"application","status":"publish","type":"page","link":"https:\/\/masqueradepicards.com\/application\/","title":{"rendered":"Application"},"content":{"rendered":"<p>Thank you for your interested in our puppies!<\/p>\n<p>Our application may look long and tedious however the questions asked here will help us pair you with the proper puppy later. \u00a0Also saves us a bit of time and air because we can reference back to these answers instead of asking the same question multiple times.<\/p>\n<p>No puppy will be placed without an application and home screening.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"vfb-form-1\" class=\"visual-form-builder-container\"><form id=\"masquerade-picards-application-1\" class=\"visual-form-builder vfb-form-1 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"1\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 basics \" id=\"item-vfb-55\"><div class=\"vfb-legend\"><h3>Basics<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-5\"><label for=\"vfb-5\" class=\"vfb-desc\">Full Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-5\" id=\"vfb-5\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-address  \" id=\"item-vfb-11\"><label class=\"vfb-desc\">Physical Address  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-11[address]\" id=\"vfb-11-address\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-11-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-11[address-2]\" id=\"vfb-11-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-11-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-11[city]\" id=\"vfb-11-city\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-11-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-11[state]\" id=\"vfb-11-state\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-11-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-11[zip]\" id=\"vfb-11-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-11-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-11[country]\" class=\"vfb-select  required \" id=\"vfb-11-country\"><option value=\"\"><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/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=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/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=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/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=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d\\'Ivoire\">Cote d\\'Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/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 (Timor Timur)\">East Timor (Timor Timur)<\/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=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia, The\">Gambia, The<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/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=\"Honduras\">Honduras<\/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=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/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=\"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=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/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=\"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 Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Palau\">Palau<\/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=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/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=\"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=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/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=\"Togo\">Togo<\/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=\"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 of America\" selected='selected'>United States of America<\/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=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-11-country\">Country<\/label><\/span><\/div><\/li><li class=\"vfb-item vfb-item-address  \" id=\"item-vfb-12\"><label class=\"vfb-desc\">Mailing Address <\/label><div><span class='vfb-span'><label>If different form Physical Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-12[address]\" id=\"vfb-12-address\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-12-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-12[address-2]\" id=\"vfb-12-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-12-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-12[city]\" id=\"vfb-12-city\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-12-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-12[state]\" id=\"vfb-12-state\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-12-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-12[zip]\" id=\"vfb-12-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-12-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-12[country]\" class=\"vfb-select  \" id=\"vfb-12-country\"><option value=\"\" selected='selected'><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/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=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/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=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/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=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d\\'Ivoire\">Cote d\\'Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/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 (Timor Timur)\">East Timor (Timor Timur)<\/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=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia, The\">Gambia, The<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/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=\"Honduras\">Honduras<\/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=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/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=\"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=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/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=\"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 Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Palau\">Palau<\/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=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/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=\"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=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/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=\"Togo\">Togo<\/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=\"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 of America\">United States of America<\/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=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-12-country\">Country<\/label><\/span><\/div><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-13\"><label for=\"vfb-13\" class=\"vfb-desc\">Home Phone <\/label><input type=\"tel\" name=\"vfb-13\" id=\"vfb-13\" value=\"\" class=\"vfb-text  vfb-medium   phone \" \/><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-14\"><label for=\"vfb-14\" class=\"vfb-desc\">Cell Phone <\/label><input type=\"tel\" name=\"vfb-14\" id=\"vfb-14\" value=\"\" class=\"vfb-text  vfb-medium   phone \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-15\"><label for=\"vfb-15\" class=\"vfb-desc\">Best time to call? <\/label><input type=\"text\" name=\"vfb-15\" id=\"vfb-15\" value=\"\" class=\"vfb-text  vfb-large   \" \/><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-16\"><label for=\"vfb-16\" class=\"vfb-desc\">Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-16\" id=\"vfb-16\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-17\"><label for=\"vfb-17\" class=\"vfb-desc\">How did you find us?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><label>Please be as specific as possible.<\/label><\/span><textarea name=\"vfb-17\" id=\"vfb-17\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 references \" id=\"item-vfb-130\"><div class=\"vfb-legend\"><h3>References<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-91\"><label class=\"vfb-desc\">Please reference only non-family members. <\/label><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-18\"><label for=\"vfb-18\" class=\"vfb-desc\">Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-18\" id=\"vfb-18\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>Reference's Name (non-relative)<\/label><\/span><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-19\"><label for=\"vfb-19\" class=\"vfb-desc\">Phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"tel\" name=\"vfb-19\" id=\"vfb-19\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><label>Reference's Phone number<\/label><\/span><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-20\"><label for=\"vfb-20\" class=\"vfb-desc\">Email <\/label><span class=\"vfb-span\"><input type=\"email\" name=\"vfb-20\" id=\"vfb-20\" value=\"\" class=\"vfb-text  vfb-medium   email \" \/><label>Reference's Email<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-21\"><label for=\"vfb-21\" class=\"vfb-desc\">Relation  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-21\" id=\"vfb-21\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>Your relationship to listed reference.<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-22\"><label for=\"vfb-22\" class=\"vfb-desc\">Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-22\" id=\"vfb-22\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>References Name (non-relative)<\/label><\/span><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-23\"><label for=\"vfb-23\" class=\"vfb-desc\">Phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"tel\" name=\"vfb-23\" id=\"vfb-23\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><label>Reference's Phone number<\/label><\/span><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-24\"><label for=\"vfb-24\" class=\"vfb-desc\">Email <\/label><span class=\"vfb-span\"><input type=\"email\" name=\"vfb-24\" id=\"vfb-24\" value=\"\" class=\"vfb-text  vfb-medium   email \" \/><label>Reference's Email<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-25\"><label for=\"vfb-25\" class=\"vfb-desc\">Relation  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-25\" id=\"vfb-25\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>Your relationship to listed reference.<\/label><\/span><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-3 vet-reference \" id=\"item-vfb-131\"><div class=\"vfb-legend\"><h3>Vet Reference<\/h3><\/div><ul class=\"vfb-section vfb-section-3\"><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-26\"><label for=\"vfb-26\" class=\"vfb-desc\">Clinic <\/label><input type=\"text\" name=\"vfb-26\" id=\"vfb-26\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-27\"><label for=\"vfb-27\" class=\"vfb-desc\">Dr. Name <\/label><input type=\"text\" name=\"vfb-27\" id=\"vfb-27\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-28\"><label for=\"vfb-28\" class=\"vfb-desc\">Phone <\/label><input type=\"tel\" name=\"vfb-28\" id=\"vfb-28\" value=\"\" class=\"vfb-text  vfb-medium   phone \" \/><\/li><li class=\"vfb-item vfb-item-address  \" id=\"item-vfb-29\"><label class=\"vfb-desc\">Address <\/label><div><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-29[address]\" id=\"vfb-29-address\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-29-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-29[address-2]\" id=\"vfb-29-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-29-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-29[city]\" id=\"vfb-29-city\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-29-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-29[state]\" id=\"vfb-29-state\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-29-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-29[zip]\" id=\"vfb-29-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-29-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-29[country]\" class=\"vfb-select  \" id=\"vfb-29-country\"><option value=\"\" selected='selected'><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/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=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/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=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/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=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d\\'Ivoire\">Cote d\\'Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/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 (Timor Timur)\">East Timor (Timor Timur)<\/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=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia, The\">Gambia, The<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/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=\"Honduras\">Honduras<\/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=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/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=\"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=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/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=\"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 Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Palau\">Palau<\/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=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/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=\"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=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/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=\"Togo\">Togo<\/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=\"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 of America\">United States of America<\/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=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-29-country\">Country<\/label><\/span><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-4 family \" id=\"item-vfb-132\"><div class=\"vfb-legend\"><h3>Family<\/h3><\/div><ul class=\"vfb-section vfb-section-4\"><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-30\"><label for=\"vfb-30\" class=\"vfb-desc\">My Occupation Is  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-30\" id=\"vfb-30\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-31\"><label for=\"vfb-31\" class=\"vfb-desc\">Work How Many Hours per Week?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-31\" id=\"vfb-31\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-32\"><label for=\"vfb-32\" class=\"vfb-desc\">Spouse\/Significant Other&#039;s Name <\/label><input type=\"text\" name=\"vfb-32\" id=\"vfb-32\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-33\"><label for=\"vfb-33\" class=\"vfb-desc\">Their Occupation <\/label><input type=\"text\" name=\"vfb-33\" id=\"vfb-33\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-34\"><label for=\"vfb-34\" class=\"vfb-desc\">Number of Adults in Household [18yrs or older] <\/label><input type=\"text\" name=\"vfb-34\" id=\"vfb-34\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-35\"><label for=\"vfb-35\" class=\"vfb-desc\">Number of Children in Household <\/label><input type=\"text\" name=\"vfb-35\" id=\"vfb-35\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-36\"><label for=\"vfb-36\" class=\"vfb-desc\">Names &amp; Ages of Children <\/label><div><textarea name=\"vfb-36\" id=\"vfb-36\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-38\"><label class=\"vfb-desc\">Do you or a family member have allergies? <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-38\" id=\"vfb-38-1\" value=\"Yes\" class=\"vfb-radio  \" \/><label for=\"vfb-38-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-38\" id=\"vfb-38-2\" value=\"No\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-38-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-39\"><label for=\"vfb-39\" class=\"vfb-desc\">If YES, How do you plan to handle the allergies? <\/label><div><textarea name=\"vfb-39\" id=\"vfb-39\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-40\"><label class=\"vfb-desc\">Is your whole family in agreement on the breed? <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-40\" id=\"vfb-40-1\" value=\"Yes\" class=\"vfb-radio  \" \/><label for=\"vfb-40-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-40\" id=\"vfb-40-2\" value=\"No\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-40-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-41\"><label for=\"vfb-41\" class=\"vfb-desc\">If NO, please explain <\/label><div><textarea name=\"vfb-41\" id=\"vfb-41\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-42\"><label for=\"vfb-42\" class=\"vfb-desc\">Who will be the primary caregiver of the dog? <\/label><input type=\"text\" name=\"vfb-42\" id=\"vfb-42\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-43\"><label class=\"vfb-desc\">Is someone at home during the day? <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-43\" id=\"vfb-43-1\" value=\"Yes\" class=\"vfb-radio  \" \/><label for=\"vfb-43-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-43\" id=\"vfb-43-2\" value=\"No\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-43-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-44\"><label for=\"vfb-44\" class=\"vfb-desc\">Where will the dog be kept when no one is home? <\/label><input type=\"text\" name=\"vfb-44\" id=\"vfb-44\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-45\"><label for=\"vfb-45\" class=\"vfb-desc\">How many hours per day\/week will the dog be left alone? <\/label><input type=\"text\" name=\"vfb-45\" id=\"vfb-45\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-5 dog-puppy \" id=\"item-vfb-133\"><div class=\"vfb-legend\"><h3>Dog\/Puppy<\/h3><\/div><ul class=\"vfb-section vfb-section-5\"><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-46\"><label for=\"vfb-46\" class=\"vfb-desc\">Name of Puppy\/Dog Applying for, if applicable <\/label><input type=\"text\" name=\"vfb-46\" id=\"vfb-46\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-47\"><label class=\"vfb-desc\">Age of Interest <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-47\" id=\"vfb-47-1\" value=\"No Preference\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-47-1\" class=\"vfb-choice\">No Preference<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-47\" id=\"vfb-47-2\" value=\"Adult\" class=\"vfb-radio  \" \/><label for=\"vfb-47-2\" class=\"vfb-choice\">Adult<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-47\" id=\"vfb-47-3\" value=\"Puppy\" class=\"vfb-radio  \" \/><label for=\"vfb-47-3\" class=\"vfb-choice\">Puppy<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-checkbox  \" id=\"item-vfb-48\"><label class=\"vfb-desc\">Plans for Puppy\/Dog [check all that apply] <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-48[]\" id=\"vfb-48-0\" value=\"Show\/Performance\" class=\"vfb-checkbox  \" \/><label for=\"vfb-48-0\" class=\"vfb-choice\">Show\/Performance<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-48[]\" id=\"vfb-48-1\" value=\"Breeding\" class=\"vfb-checkbox  \" \/><label for=\"vfb-48-1\" class=\"vfb-choice\">Breeding<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-48[]\" id=\"vfb-48-2\" value=\"Pet Only, will be altered\" class=\"vfb-checkbox  \" \/><label for=\"vfb-48-2\" class=\"vfb-choice\">Pet Only, will be altered<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-48[]\" id=\"vfb-48-3\" value=\"Other\" class=\"vfb-checkbox  \" \/><label for=\"vfb-48-3\" class=\"vfb-choice\">Other<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-49\"><label for=\"vfb-49\" class=\"vfb-desc\">If OTHER, please explain <\/label><div><textarea name=\"vfb-49\" id=\"vfb-49\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-50\"><label class=\"vfb-desc\">Gender Preference <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-50\" id=\"vfb-50-1\" value=\"No Preferance\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-50-1\" class=\"vfb-choice\">No Preferance<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-50\" id=\"vfb-50-2\" value=\"Male\" class=\"vfb-radio  \" \/><label for=\"vfb-50-2\" class=\"vfb-choice\">Male<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-50\" id=\"vfb-50-3\" value=\"Female\" class=\"vfb-radio  \" \/><label for=\"vfb-50-3\" class=\"vfb-choice\">Female<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-51\"><label for=\"vfb-51\" class=\"vfb-desc\">Reason for gender preference <\/label><div><textarea name=\"vfb-51\" id=\"vfb-51\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-57\"><label class=\"vfb-desc\">Breeder Definition <\/label>Anyone that plans to produce even <b>ONE<\/b> litter.<\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-58\"><label class=\"vfb-desc\">I Am <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-58\" id=\"vfb-58-1\" value=\"a Breeder\" class=\"vfb-radio  \" \/><label for=\"vfb-58-1\" class=\"vfb-choice\">a Breeder<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-58\" id=\"vfb-58-2\" value=\"Breeder-to-Be\" class=\"vfb-radio  \" \/><label for=\"vfb-58-2\" class=\"vfb-choice\">Breeder-to-Be<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-58\" id=\"vfb-58-3\" value=\"Not A Breeder\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-58-3\" class=\"vfb-choice\">Not A Breeder<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-59\"><label for=\"vfb-59\" class=\"vfb-desc\">If Breeder, Kennel Name <\/label><input type=\"text\" name=\"vfb-59\" id=\"vfb-59\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-60\"><label for=\"vfb-60\" class=\"vfb-desc\">If Breeder or Breeder-to-be, why are you interested in breeding? <\/label><div><textarea name=\"vfb-60\" id=\"vfb-60\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-61\"><label class=\"vfb-desc\">Do you have experience as a breeder? <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-61\" id=\"vfb-61-1\" value=\"Yes\" class=\"vfb-radio  \" \/><label for=\"vfb-61-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-61\" id=\"vfb-61-2\" value=\"No\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-61-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-62\"><label for=\"vfb-62\" class=\"vfb-desc\">If YES, When &amp; What Breed(s)? <\/label><div><textarea name=\"vfb-62\" id=\"vfb-62\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-63\"><label for=\"vfb-63\" class=\"vfb-desc\">Why I think a Berger Picard is the breed for me <\/label><div><textarea name=\"vfb-63\" id=\"vfb-63\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-6 home \" id=\"item-vfb-134\"><div class=\"vfb-legend\"><h3>Home<\/h3><\/div><ul class=\"vfb-section vfb-section-6\"><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-64\"><label class=\"vfb-desc\">The dog will live  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-64\" id=\"vfb-64-1\" value=\"Inside\" class=\"vfb-radio  required \" \/><label for=\"vfb-64-1\" class=\"vfb-choice\">Inside<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-64\" id=\"vfb-64-2\" value=\"Outside\" class=\"vfb-radio  required \" \/><label for=\"vfb-64-2\" class=\"vfb-choice\">Outside<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-64\" id=\"vfb-64-3\" value=\"Both\" class=\"vfb-radio  required \" \/><label for=\"vfb-64-3\" class=\"vfb-choice\">Both<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-66\"><label class=\"vfb-desc\">Is your yard fenced?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-66\" id=\"vfb-66-1\" value=\"Yes\" class=\"vfb-radio  required \" \/><label for=\"vfb-66-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-66\" id=\"vfb-66-2\" value=\"No\" class=\"vfb-radio  required \" checked='checked' \/><label for=\"vfb-66-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-67\"><label for=\"vfb-67\" class=\"vfb-desc\">If YES, Height &amp; Type of Fence <\/label><input type=\"text\" name=\"vfb-67\" id=\"vfb-67\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-65\"><label class=\"vfb-desc\">Do you own your own home?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-65\" id=\"vfb-65-1\" value=\"Yes\" class=\"vfb-radio  required \" \/><label for=\"vfb-65-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-65\" id=\"vfb-65-2\" value=\"No, I rent.\" class=\"vfb-radio  required \" checked='checked' \/><label for=\"vfb-65-2\" class=\"vfb-choice\">No, I rent.<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-73\"><label for=\"vfb-73\" class=\"vfb-desc\">If you RENT, what is the pet policy? <\/label><div><textarea name=\"vfb-73\" id=\"vfb-73\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-69\"><label for=\"vfb-69\" class=\"vfb-desc\">Landlord <\/label><input type=\"text\" name=\"vfb-69\" id=\"vfb-69\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-address  \" id=\"item-vfb-70\"><label class=\"vfb-desc\">Address <\/label><div><span class='vfb-span'><label>Landlord's Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-70[address]\" id=\"vfb-70-address\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-70-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-70[address-2]\" id=\"vfb-70-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-70-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-70[city]\" id=\"vfb-70-city\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-70-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-70[state]\" id=\"vfb-70-state\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-70-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-70[zip]\" id=\"vfb-70-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-70-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-70[country]\" class=\"vfb-select  \" id=\"vfb-70-country\"><option value=\"\" selected='selected'><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/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=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/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=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/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=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d\\'Ivoire\">Cote d\\'Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/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 (Timor Timur)\">East Timor (Timor Timur)<\/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=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia, The\">Gambia, The<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/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=\"Honduras\">Honduras<\/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=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/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=\"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=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/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=\"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 Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Palau\">Palau<\/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=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/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=\"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=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/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=\"Togo\">Togo<\/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=\"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 of America\">United States of America<\/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=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-70-country\">Country<\/label><\/span><\/div><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-71\"><label for=\"vfb-71\" class=\"vfb-desc\">Phone <\/label><span class=\"vfb-span\"><input type=\"tel\" name=\"vfb-71\" id=\"vfb-71\" value=\"\" class=\"vfb-text  vfb-medium   phone \" \/><label>Landlord's Phone<\/label><\/span><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-72\"><label for=\"vfb-72\" class=\"vfb-desc\">Email <\/label><span class=\"vfb-span\"><input type=\"email\" name=\"vfb-72\" id=\"vfb-72\" value=\"\" class=\"vfb-text  vfb-medium   email \" \/><label>Landlord's Email<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-74\"><label for=\"vfb-74\" class=\"vfb-desc\">How many Dogs do you have?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-74\" id=\"vfb-74\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-75\"><label for=\"vfb-75\" class=\"vfb-desc\">Ages\/Genders[spay\/neutered]\/Breeds: <\/label><div><textarea name=\"vfb-75\" id=\"vfb-75\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-76\"><label for=\"vfb-76\" class=\"vfb-desc\">How many other animals do you have? <\/label><input type=\"text\" name=\"vfb-76\" id=\"vfb-76\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-77\"><label for=\"vfb-77\" class=\"vfb-desc\">Ages\/Genders[spay\/neutered]\/Species: <\/label><div><textarea name=\"vfb-77\" id=\"vfb-77\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-78\"><label for=\"vfb-78\" class=\"vfb-desc\">Please explain how your dog will be exercised and allowed to \u201cgo potty\u201d? <\/label><div><textarea name=\"vfb-78\" id=\"vfb-78\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-79\"><label for=\"vfb-79\" class=\"vfb-desc\">If you don&#039;t currently own a pet, how long has it been since you owned one? <\/label><input type=\"text\" name=\"vfb-79\" id=\"vfb-79\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-80\"><label for=\"vfb-80\" class=\"vfb-desc\">What type of animal was it? <\/label><input type=\"text\" name=\"vfb-80\" id=\"vfb-80\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-81\"><label for=\"vfb-81\" class=\"vfb-desc\">What happened to the pet? <\/label><div><textarea name=\"vfb-81\" id=\"vfb-81\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-82\"><label for=\"vfb-82\" class=\"vfb-desc\">How have your past pets been trained?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><textarea name=\"vfb-82\" id=\"vfb-82\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-83\"><label for=\"vfb-83\" class=\"vfb-desc\">What is your pet training philosphy?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><textarea name=\"vfb-83\" id=\"vfb-83\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-84\"><label for=\"vfb-84\" class=\"vfb-desc\">How would you deal with your dog if it growled\/snapped at you or another person?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><textarea name=\"vfb-84\" id=\"vfb-84\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-85\"><label for=\"vfb-85\" class=\"vfb-desc\">Comments\/Addition information you&#039;d like to share <\/label><div><textarea name=\"vfb-85\" id=\"vfb-85\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-7 social \" id=\"item-vfb-150\"><div class=\"vfb-legend\"><h3>Social<\/h3><\/div><ul class=\"vfb-section vfb-section-7\"><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-149\"><label class=\"vfb-desc\">Do you have a Facebook account?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span><label>Nimh Kennels has started a FB group to bring all our previous puppy owners together and we'd like to add you to it if you become a puppy owner.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-149\" id=\"vfb-149-1\" value=\"Yes\" class=\"vfb-radio  required \" \/><label for=\"vfb-149-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-149\" id=\"vfb-149-2\" value=\"No\" class=\"vfb-radio  required \" \/><label for=\"vfb-149-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-156\"><label for=\"vfb-156\" class=\"vfb-desc\">If you checked &#039;YES&#039;, how can we locate you on facebook? <\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-156\" id=\"vfb-156\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><label>The name used on your Facebook Account.<\/label><\/span><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-86\"><label class=\"vfb-desc\">Thank you again for your interest! You will be contacted soon. <\/label>Please note, by submitting the application you understand that you are not entitled to a purchase of any puppy, nor is it an agreement to purchase on your part.  It is also understood that in spite of any health testing, it can NEVER be guaranteed that the puppy you purchase will not be diagnosed with inherited genetic defects.  Any false information provided in this submission may render any future agreements &\/or purchases null and void.<\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-8 2 \" id=\"item-vfb-2\" style=\"display:block\"><div class=\"vfb-legend\"><h3><\/h3><\/div><ul class=\"vfb-section vfb-section-8\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-3\" class=\"vfb-desc\">Please enter any two digits with no spaces (Example: 12)<\/label><input type=\"hidden\" name=\"_vfb-required-secret\" value=\"0\" \/><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-3\" \/><input type=\"text\" name=\"vfb-3\" id=\"vfb-3\" value=\"\" class=\"vfb-text  vfb-medium  {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-4\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-4\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/211\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n","protected":false},"excerpt":{"rendered":"<p>Thank you for your interested in our puppies! Our application may look long and tedious however the questions asked here will help us pair you with the proper puppy later. \u00a0Also saves us a bit of time and air because we can reference back to these answers instead of asking the same question multiple times. &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/masqueradepicards.com\/application\/\"> <span class=\"screen-reader-text\">Application<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","footnotes":""},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"nimh","author_link":"https:\/\/masqueradepicards.com\/author\/nimh\/"},"uagb_comment_info":0,"uagb_excerpt":"Thank you for your interested in our puppies! Our application may look long and tedious however the questions asked here will help us pair you with the proper puppy later. \u00a0Also saves us a bit of time and air because we can reference back to these answers instead of asking the same question multiple times.&hellip;","_links":{"self":[{"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/pages\/211"}],"collection":[{"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/comments?post=211"}],"version-history":[{"count":4,"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/pages\/211\/revisions"}],"predecessor-version":[{"id":1728,"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/pages\/211\/revisions\/1728"}],"wp:attachment":[{"href":"https:\/\/masqueradepicards.com\/wp-json\/wp\/v2\/media?parent=211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}