{"id":69,"date":"2014-07-07T10:12:54","date_gmt":"2014-07-07T15:12:54","guid":{"rendered":"https:\/\/lakecharlespitbullrescue.com\/?page_id=69"},"modified":"2017-06-07T19:50:30","modified_gmt":"2017-06-08T00:50:30","slug":"foster","status":"publish","type":"page","link":"https:\/\/lakecharlespitbullrescue.com\/foster\/","title":{"rendered":"Foster"},"content":{"rendered":"<style type=\"text\/css\"><\/style><p>[vc_row][vc_column][vc_column_text]<a href=\"\/wp-content\/uploads\/\/2014\/07\/foster.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-167\" src=\"\/wp-content\/uploads\/\/2014\/07\/foster.jpg\" alt=\"foster\" width=\"720\" height=\"960\" srcset=\"https:\/\/lakecharlespitbullrescue.com\/wp-content\/uploads\/2014\/07\/foster.jpg 720w, https:\/\/lakecharlespitbullrescue.com\/wp-content\/uploads\/2014\/07\/foster-225x300.jpg 225w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><strong>I&#8217;M ALIVE!!!<\/strong><br \/>\n<strong>I&#8217;m alive because I had a foster home,<\/strong><br \/>\n<strong>I&#8217;m alive because they made a small sacrifice,<\/strong><br \/>\n<strong>a small adjustment to their routine and welcomed me into their home.<\/strong><br \/>\n<strong>I&#8217;m alive because they loved me.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>In order to be considered as a foster you must:<\/p>\n<ul>\n<li>Be 21 years of age or older.<\/li>\n<li>Have identification showing your present address.<\/li>\n<li>Have the knowledge and consent of your landlord.<\/li>\n<\/ul>\n<p>Completion of this application does not guarantee foster of a Lake Charles Pit Bull Rescue dog.<\/p>\n<p>Thank you!<\/p>\n<p>&nbsp;<\/p>\n<p>[\/vc_column_text]\n                <div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_2' style='display:none'><a id='gf_2' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/wp-json\/wp\/v2\/pages\/69#gf_2'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Foster Application Form<\/h3>\n                        <\/div>\n        <div id='gf_progressbar_wrapper_2' class='gf_progressbar_wrapper'>\n            <h3 class='gf_progressbar_title'>Step 1 of 6\n        <\/h3>\n            <div class='gf_progressbar'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_16' style='width:16%;'><span>16%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_2_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_1' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_1' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='medium'  tabindex='1' onchange='gf_apply_rules(2,[84]);' onkeyup='clearTimeout(__gf_timeout_handle); __gf_timeout_handle = setTimeout(\"gf_apply_rules(2,[84])\", 300);'  aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_79' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_79' >Age<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_79' id='input_2_79' type='text'    value='' class='medium' tabindex='2'     aria-required=\"true\" aria-invalid=\"false\"\/><div class='instruction '>Please enter a value between <strong>21<\/strong> and <strong>100<\/strong>.<\/div><\/div><\/li><li id='field_2_5' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label gfield_label_before_complex' for='input_2_5_1' >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gfield_trigger_change' id='input_2_5' >\n                         <span class='ginput_full address_line_1' id='input_2_5_1_container' >\n                                        <input type='text' name='input_5.1' id='input_2_5_1' value='' tabindex='3'  \/>\n                                        <label for='input_2_5_1' id='input_2_5_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_5_2_container' >\n                                        <input type='text' name='input_5.2' id='input_2_5_2' value='' tabindex='4'  \/>\n                                        <label for='input_2_5_2' id='input_2_5_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_5_3_container' >\n                                    <input type='text' name='input_5.3' id='input_2_5_3' value='' tabindex='5'  \/>\n                                    <label for='input_2_5_3' id='input_2_5_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_5_4_container' >\n                                        <input type='text' name='input_5.4' id='input_2_5_4' value='' tabindex='7'    \/>\n                                        <label for='input_2_5_4' id='input_2_5_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_5_5_container' >\n                                    <input type='text' name='input_5.5' id='input_2_5_5' value='' tabindex='8'  \/>\n                                    <label for='input_2_5_5' id='input_2_5_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_5.6' id='input_2_5_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_6' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_6' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_2_6' type='text' value='' class='medium' tabindex='9'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_7' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_7' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_2_7' type='text' value='' class='medium' tabindex='10'   \/>\n                        <\/div><\/li><li id='field_2_9' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_9' >Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_2_9' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='11'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_9' class='gform_hidden' value='https:\/\/lakecharlespitbullrescue.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_2_80' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_80' >Driver&#039;s License Number:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_2_80' type='text'    value='' class='medium' tabindex='12'     aria-required=\"true\" aria-invalid=\"false\"\/><\/div><\/li><li id='field_2_10' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_10' >Employer<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_2_10' type='text' value='' class='medium'  tabindex='13'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><div class='gfield_description'>Unemployed is an acceptable answer.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_2_3' class='gform_next_button button' value='Next' tabindex='14' onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_77' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_77' >What kind of pets have you had in the past?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_77' id='input_2_77' class='textarea medium' tabindex='15'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_15' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_15' >Which pets do you still have to date?<\/label><div class='ginput_container'><textarea name='input_15' id='input_2_15' class='textarea medium' tabindex='16'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description'>Include age, sex and breed<\/div><\/li><li id='field_2_83' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_83' >Have they been spayed or neutered?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_83[]' id='input_2_83'  class='medium gfield_select' tabindex='17' ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Soon' >Soon<\/option><\/select><\/div><\/li><li id='field_2_82' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_82' >Are they current on vaccinations?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_82[]' id='input_2_82'  class='medium gfield_select' tabindex='18' ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id='field_2_84' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_84' >Are they current on heartworm prevention?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_84[]' id='input_2_84'  class='medium gfield_select' tabindex='19' ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id='field_2_85' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_85' >What schedule are they on for heartworm prevention?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_85' id='input_2_85' class='textarea medium' tabindex='20'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_86' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_86' >What happened to the pets you no longer have?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_86' id='input_2_86' class='textarea medium' tabindex='21'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_87' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_87' >Have you ever turned your dog into a shelter? If so, explain:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_87' id='input_2_87' class='textarea medium' tabindex='22'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_88' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_88' >If you have other pets, will they adjust to a new pet entering the household?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_2_88' type='text' value='' class='medium'  tabindex='23'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_89' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_89' >Why do you want to foster?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_89' id='input_2_89' class='textarea medium' tabindex='24'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_2_8' class='gform_previous_button button' value='Previous' tabindex='26' onclick='jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_8' class='gform_next_button button' value='Next' tabindex='25' onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_30' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_30' >How many adults are there in your family?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_2_30' type='text'    value='' class='medium' tabindex='27'     aria-required=\"true\" aria-invalid=\"false\"\/><\/div><\/li><li id='field_2_31' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_31' >How many children<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_2_31' type='text'    value='' class='medium' tabindex='28'     aria-required=\"true\" aria-invalid=\"false\"\/><\/div><\/li><li id='field_2_32' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_32' >If children, what are their ages?<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_2_32' type='text' value='' class='medium'  tabindex='29'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_33' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_33' >Is someone home during the day? If yes, who?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='text' value='' class='medium'  tabindex='30'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><div class='gfield_description'>EX: yes; John Smith<\/div><\/li><li id='field_2_34' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Does any member of your household have an allergy to dogs?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_34'><li class='gchoice_2_34_1'>\n\t\t\t\t\t\t\t\t<input name='input_34.1' type='checkbox'  value='Yes'  id='choice_2_34_1' tabindex='31'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_34_1' id='label_2_34_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_34_2'>\n\t\t\t\t\t\t\t\t<input name='input_34.2' type='checkbox'  value='No'  id='choice_2_34_2' tabindex='32'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_34_2' id='label_2_34_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_35' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_35' >How many hours each day will the dog be without human companionship and why?<\/label><div class='ginput_container'><textarea name='input_35' id='input_2_35' class='textarea medium' tabindex='33'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_36' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_36' >Which do you live in?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_2_36'  class='medium gfield_select' tabindex='34'  aria-required=\"true\" aria-invalid=\"false\"><option value='House' >House<\/option><option value='Mobile Home' >Mobile Home<\/option><option value='Apartment' >Apartment<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_2_37' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_37' >If other, explain.<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_2_37' type='text' value='' class='medium'  tabindex='35'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_38' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you rent your home?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_38'><li class='gchoice_2_38_1'>\n\t\t\t\t\t\t\t\t<input name='input_38.1' type='checkbox'  value='Yes'  id='choice_2_38_1' tabindex='36'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_38_1' id='label_2_38_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_38_2'>\n\t\t\t\t\t\t\t\t<input name='input_38.2' type='checkbox'  value='No'  id='choice_2_38_2' tabindex='37'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_38_2' id='label_2_38_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_39' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_39' >If you do rent, can we contact your owner?<\/label><div class='ginput_container'><textarea name='input_39' id='input_2_39' class='textarea medium' tabindex='38'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description'>Please include owner(s) name and phone number if yes.<\/div><\/li><li id='field_2_40' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Will the dog be allowed in the house?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_40'><li class='gchoice_2_40_1'>\n\t\t\t\t\t\t\t\t<input name='input_40.1' type='checkbox'  value='Yes'  id='choice_2_40_1' tabindex='39'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_1' id='label_2_40_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_40_2'>\n\t\t\t\t\t\t\t\t<input name='input_40.2' type='checkbox'  value='No'  id='choice_2_40_2' tabindex='40'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_2' id='label_2_40_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_41' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have a completely fenced yard?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_41'><li class='gchoice_2_41_1'>\n\t\t\t\t\t\t\t\t<input name='input_41.1' type='checkbox'  value='Yes'  id='choice_2_41_1' tabindex='41'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_41_1' id='label_2_41_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_41_2'>\n\t\t\t\t\t\t\t\t<input name='input_41.2' type='checkbox'  value='No'  id='choice_2_41_2' tabindex='42'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_41_2' id='label_2_41_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_43' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_43' >What kind of fence?<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_2_43' type='text' value='' class='medium'  tabindex='43'    aria-invalid=\"false\" \/><\/div><div class='gfield_description'>Wood, hurricane, etc... <\/div><\/li><li id='field_2_44' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_44' >Is there a gate? If no gate please explain.<\/label><div class='ginput_container'><textarea name='input_44' id='input_2_44' class='textarea medium' tabindex='44'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_45' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >If you do not have a fenced in yard are you willing to walk your new pet?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_45'><li class='gchoice_2_45_1'>\n\t\t\t\t\t\t\t\t<input name='input_45.1' type='checkbox'  value='Yes'  id='choice_2_45_1' tabindex='45'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_45_1' id='label_2_45_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_45_2'>\n\t\t\t\t\t\t\t\t<input name='input_45.2' type='checkbox'  value='No'  id='choice_2_45_2' tabindex='46'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_45_2' id='label_2_45_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_46' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have a dog door?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_46'><li class='gchoice_2_46_1'>\n\t\t\t\t\t\t\t\t<input name='input_46.1' type='checkbox'  value='Yes'  id='choice_2_46_1' tabindex='47'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_46_1' id='label_2_46_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_46_2'>\n\t\t\t\t\t\t\t\t<input name='input_46.2' type='checkbox'  value='No'  id='choice_2_46_2' tabindex='48'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_46_2' id='label_2_46_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_47' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_47' >Are there times when the dog will be tied up? If yes when?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_2_47' type='text' value='' class='medium'  tabindex='49'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_48' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_48' >Are there stairs leading to your house? If so how many?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_2_48' type='text' value='' class='medium'  tabindex='50'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_49' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_49' >Will the dog spend time in the garage? if so, why?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_2_49' type='text' value='' class='medium'  tabindex='51'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_50' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_50' >Do you have a pool? If so, is there a fence around the pool?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_2_50' type='text' value='' class='medium'  tabindex='52'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_2_52' class='gform_previous_button button' value='Previous' tabindex='54' onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_52' class='gform_next_button button' value='Next' tabindex='53' onclick='jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_51' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_51' >If pet is not housebroken, what method will you use to train it?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_51' id='input_2_51' class='textarea medium' tabindex='55'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_53' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Will you keep the dog up-to-date on vaccinations?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_53'><li class='gchoice_2_53_1'>\n\t\t\t\t\t\t\t\t<input name='input_53.1' type='checkbox'  value='Yes'  id='choice_2_53_1' tabindex='56'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_53_1' id='label_2_53_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_53_2'>\n\t\t\t\t\t\t\t\t<input name='input_53.2' type='checkbox'  value='No'  id='choice_2_53_2' tabindex='57'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_53_2' id='label_2_53_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_54' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Will you keep the dog up-to-date on heart-worm prevention?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_54'><li class='gchoice_2_54_1'>\n\t\t\t\t\t\t\t\t<input name='input_54.1' type='checkbox'  value='Yes'  id='choice_2_54_1' tabindex='58'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_54_1' id='label_2_54_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_54_2'>\n\t\t\t\t\t\t\t\t<input name='input_54.2' type='checkbox'  value='No'  id='choice_2_54_2' tabindex='59'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_54_2' id='label_2_54_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_55' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_55' >Who is your veterinarian?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_55' id='input_2_55' class='textarea medium' tabindex='60'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description'>Please include the following; name, city, and phone number.<\/div><\/li><li id='field_2_56' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_56' >Would you be able to exercise your dog on a regular basis? If so, what method will you use?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_56' id='input_2_56' class='textarea medium' tabindex='61'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_57' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >If you drive a pick-up truck will the dog ride in the back?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_57'><li class='gchoice_2_57_1'>\n\t\t\t\t\t\t\t\t<input name='input_57.1' type='checkbox'  value='Yes'  id='choice_2_57_1' tabindex='62'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_57_1' id='label_2_57_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_57_2'>\n\t\t\t\t\t\t\t\t<input name='input_57.2' type='checkbox'  value='No'  id='choice_2_57_2' tabindex='63'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_57_2' id='label_2_57_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_58' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_58' >Where will the dog be kept during the day?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_2_58' type='text' value='' class='medium'  tabindex='64'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_59' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_59' >Where will the dog be kept during the night?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_2_59' type='text' value='' class='medium'  tabindex='65'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_60' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_60' >If you go away for a few days who will take care of the dog?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_2_60' type='text' value='' class='medium'  tabindex='66'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_61' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_61' >If you move will you take your dog with you? Please explain your answer.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_61' id='input_2_61' class='textarea medium' tabindex='67'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_2_65' class='gform_previous_button button' value='Previous' tabindex='69' onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_65' class='gform_next_button button' value='Next' tabindex='68' onclick='jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_5' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_64' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_64' >Have you ever applied to adopt an animal from LCPBR in the past?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_64' id='input_2_64' class='textarea medium' tabindex='70'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description'>If so when, and the details around the application.<\/div><\/li><li id='field_2_66' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_66' >Did anyone refer you to LCPBR? If so explain.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_66' id='input_2_66' class='textarea medium' tabindex='71'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_67' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Have you visited the LCPBR Facebook page?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_67'><li class='gchoice_2_67_1'>\n\t\t\t\t\t\t\t\t<input name='input_67.1' type='checkbox'  value='Yes'  id='choice_2_67_1' tabindex='72'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_67_1' id='label_2_67_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_67_2'>\n\t\t\t\t\t\t\t\t<input name='input_67.2' type='checkbox'  value='No'  id='choice_2_67_2' tabindex='73'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_67_2' id='label_2_67_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_68' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Are you willing to allow a LCPBR representative to come and see where the dog will be living?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_68'><li class='gchoice_2_68_1'>\n\t\t\t\t\t\t\t\t<input name='input_68.1' type='checkbox'  value='Yes'  id='choice_2_68_1' tabindex='74'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_68_1' id='label_2_68_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_68_2'>\n\t\t\t\t\t\t\t\t<input name='input_68.2' type='checkbox'  value='No'  id='choice_2_68_2' tabindex='75'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_68_2' id='label_2_68_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description'>A home visit is required before any adoption is finalized and before any pet is taken.<\/div><\/li><li id='field_2_69' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Are you willing to take care fot he dog for the next 10 to 15 years?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_69'><li class='gchoice_2_69_1'>\n\t\t\t\t\t\t\t\t<input name='input_69.1' type='checkbox'  value='Yes'  id='choice_2_69_1' tabindex='76'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_69_1' id='label_2_69_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_69_2'>\n\t\t\t\t\t\t\t\t<input name='input_69.2' type='checkbox'  value='No'  id='choice_2_69_2' tabindex='77'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_69_2' id='label_2_69_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_70' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you agree to return the pet if the adoption does not work out for either you or the pet?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_70'><li class='gchoice_2_70_1'>\n\t\t\t\t\t\t\t\t<input name='input_70.1' type='checkbox'  value='Yes'  id='choice_2_70_1' tabindex='78'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_70_1' id='label_2_70_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_70_2'>\n\t\t\t\t\t\t\t\t<input name='input_70.2' type='checkbox'  value='No'  id='choice_2_70_2' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_70_2' id='label_2_70_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_71' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_71' >What provisions will you make for the new dog should you become unable to care for it?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><textarea name='input_71' id='input_2_71' class='textarea medium' tabindex='80'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_72' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_72' >Is there anything else you would like us to know?<\/label><div class='ginput_container'><textarea name='input_72' id='input_2_72' class='textarea medium' tabindex='81'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_2_73' class='gform_previous_button button' value='Previous' tabindex='83' onclick='jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_73' class='gform_next_button button' value='Next' tabindex='82' onclick='jQuery(\"#gform_target_page_number_2\").val(\"6\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"6\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_6' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_6' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_74' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_2_74' >Please list two 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