<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="refresh" content="0; URL='http://www.petsalive.com/NEW_DESIGN/adopt-2/cat-adoption-form'" /> <meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" /> <title>Pets Alive Animal Sanctuary - Adopt</title> <link href="petstyle.css" rel="stylesheet" type="text/css" /> <script type="text/JavaScript"> <!-- function MM_swapImgRestore() { //v3.0 var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc; } function MM_preloadImages() { //v3.0 var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array(); var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++) if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}} } function MM_findObj(n, d) { //v4.01 var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) { d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);} if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n]; for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document); if(!x && d.getElementById) x=d.getElementById(n); return x; } function MM_swapImage() { //v3.0 var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3) if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];} } //--> </script> <!-- Load Menu Items --> <link href="menu/menu.css" rel="stylesheet" type="text/css" /> <style> tr #hideQ {display:none !important;} </style> <script src="menu/menu.js" language="javascript" type="text/JavaScript"></script></head> <body onload="MM_preloadImages('images/sponsor_button_on.jpg')"> <table width="750" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td align="center"><img src="images/banner.gif" alt="Pets Alive" width="750" height="114" longdesc="http://www.petsalive.com" /></td> </tr> </table> <table width="750" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td align="center" valign="middle" bgcolor="#0099FF"> <a href="index.html" class="navlink">Home</a> <span class="blueline">|</span> <a href="about.html" class="navlink" onClick="return clickreturnvalue()" onMouseover="dropdownmenu(this, event, menu1, width1)" onMouseout="delayhidemenu()">About Us </a> <span class="blueline">|</span> <a href="critters.html" class="navlink" onClick="return clickreturnvalue()" onMouseover="dropdownmenu(this, event, menu2, width2)" onMouseout="delayhidemenu()">Meet Our Critters!</a> <span class="blueline">|</span> <a href="adopt.html" class="navlink" onClick="return clickreturnvalue()" onMouseover="dropdownmenu(this, event, menu3, width3)" onMouseout="delayhidemenu()">Adopt</a> <span class="blueline">|</span> <a href="ways_to_help.html" class="navlink" onClick="return clickreturnvalue()" onMouseover="dropdownmenu(this, event, menu4, width4)" onMouseout="delayhidemenu()">Ways to Help</a> <span class="blueline">|</span> <a href="http://www.cafepress.com/petsalive" target="_blank" class="navlink">Online Store</a> <span class="blueline">|</span> <a href="news.html" class="navlink" onClick="return clickreturnvalue()" onMouseover="dropdownmenu(this, event, menu5, width5)" onMouseout="delayhidemenu()">News and Resources</a> <span class="blueline">|</span> <a href="pettales.html" class="navlink" onClick="return clickreturnvalue()" onMouseover="dropdownmenu(this, event, menu6, width6)" onMouseout="delayhidemenu()">Pet Tales</a> </td> </tr> </table> <table width="750" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td background="images/bg_page.gif"> <!-- BEGIN MAIN CONTENT --> <table width="750" align="center" border="0" cellpadding="20" cellspacing="0"> <tbody><tr> <td class="text"> <div class="container"> <div id="container"> <span class="bigheader">Cat Adoption Application</span><br><div id="node-115" class="node clear-block"> <div class="content clear-block"> <div class="node-body"><p>Thank you for your interest in a Pets Alive cat. Please complete the entire application. Incomplete applications will be returned for completion, thus slowing the application process.</p> </div><form action="http://admin.petpalmanager.com/adopt/process-pa.cfm" accept-charset="UTF-8" method="post" id="webform-client-form-114" class="webform-client-form" enctype="multipart/form-data"> <div><input name="petType" id="petType" value="2" type="hidden"> <input name="orgID" id="orgID" value="2085" type="hidden"> <fieldset class="webform-component-fieldset" id="webform-component-contact-info"><legend>Contact Info</legend> <table width="100%" border="0"> <tr> <td width="21%" align="right" valign="top"><span class="form-item">Name Prefix: </span></td> <td width="79%"><span class="form-item"> <select name="prefix" class="form-select" id="edit-submitted-contact-info-civicrm-prefix-id"> <option value="0" selected="selected">- None -</option> <option value="1">Mrs.</option> <option value="2">Ms.</option> <option value="3">Mr.</option> <option value="4">Dr.</option> </select> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-contact-info-civicrm-first-name">First Name: <span class="form-required" title="This field is required.">*</span></label> </span></td> <td><span class="form-item"> <input maxlength="128" name="firstname" id="edit-submitted-contact-info-civicrm-first-name" size="20" class="form-text required" type="text" /> <input type="hidden" name="firstname_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-contact-info-civicrm-last-name2">Last Name: <span class="form-required" title="This field is required.">*</span></label> </span></td> <td><span class="form-item"> <input maxlength="128" name="lastname" id="edit-submitted-contact-info-civicrm-last-name" size="20" class="form-text required" type="text" /> <input type="hidden" name="lastname_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">Street Address:</span> <span class="form-required" title="This field is required.">*</span></td> <td><span class="form-item"> <input maxlength="128" name="address" id="edit-submitted-contact-info-civicrm-street-address" size="60" class="form-text" type="text" /> <input type="hidden" name="address_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">City:</span> <span class="form-required" title="This field is required.">*</span></td> <td><span class="form-item"> <input maxlength="128" name="city" id="edit-submitted-contact-info-civicrm-city" size="20" class="form-text" type="text" /> <input type="hidden" name="city_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">State/Province Select:</span> <span class="form-required" title="This field is required.">*</span></td> <td><span class="form-item"> <select name="state" class="form-select" id="edit-submitted-contact-info-civicrm-state-province-id"> <option value="" selected="selected">- None -</option> <option value="1000">Alabama</option> <option value="1001">Alaska</option> <option value="1052">American Samoa</option> <option value="1002">Arizona</option> <option value="1003">Arkansas</option> <option value="1060">Armed Forces Americas</option> <option value="1059">Armed Forces Europe</option> <option value="1061">Armed Forces Pacific</option> <option value="1004">California</option> <option value="1005">Colorado</option> <option value="1006">Connecticut</option> <option value="1007">Delaware</option> <option value="1050">District of Columbia</option> <option value="1008">Florida</option> <option value="1009">Georgia</option> <option value="1053">Guam</option> <option value="1010">Hawaii</option> <option value="1011">Idaho</option> <option value="1012">Illinois</option> <option value="1013">Indiana</option> <option value="1014">Iowa</option> <option value="1015">Kansas</option> <option value="1016">Kentucky</option> <option value="1017">Louisiana</option> <option value="1018">Maine</option> <option value="1019">Maryland</option> <option value="1020">Massachusetts</option> <option value="1021">Michigan</option> <option value="1022">Minnesota</option> <option value="1023">Mississippi</option> <option value="1024">Missouri</option> <option value="1025">Montana</option> <option value="1026">Nebraska</option> <option value="1027">Nevada</option> <option value="1028">New Hampshire</option> <option value="1029">New Jersey</option> <option value="1030">New Mexico</option> <option value="1031">New York</option> <option value="1032">North Carolina</option> <option value="1033">North Dakota</option> <option value="1055">Northern Mariana Islands</option> <option value="1034">Ohio</option> <option value="1035">Oklahoma</option> <option value="1036">Oregon</option> <option value="1037">Pennsylvania</option> <option value="1056">Puerto Rico</option> <option value="1038">Rhode Island</option> <option value="1039">South Carolina</option> <option value="1040">South Dakota</option> <option value="1041">Tennessee</option> <option value="1042">Texas</option> <option value="1058">United States Minor Outlying Islands</option> <option value="1043">Utah</option> <option value="1044">Vermont</option> <option value="1057">Virgin Islands</option> <option value="1045">Virginia</option> <option value="1046">Washington</option> <option value="1047">West Virginia</option> <option value="1048">Wisconsin</option> <option value="1049">Wyoming</option> </select> <input type="hidden" name="state_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>Select state/province from list</td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">Postal Code: </span><span class="form-required" title="This field is required.">*</span></td> <td><span class="form-item"> <input maxlength="128" name="zipcode" id="edit-submitted-contact-info-civicrm-postal-code" size="10" class="form-text" type="text" /> <input type="hidden" name="zipcode_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-contact-info-civicrm-email2">Email: <span class="form-required" title="This field is required.">*</span></label> </span></td> <td><span class="form-item"> <input maxlength="128" name="emailAddress" id="edit-submitted-contact-info-civicrm-email" size="20" class="form-text required email" type="text" /> <input type="hidden" name="emailAddress_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">Phone Number:</span> <span class="form-required" title="This field is required.">*</span></td> <td><span class="form-item"> <input maxlength="128" name="phoneNumber" id="edit-submitted-contact-info-civicrm-phone" size="20" class="form-text" type="text" /> <input type="hidden" name="phoneNumber_required"> </span></td> </tr> <tr> <td align="right" valign="top"><span class="form-item">Phone Type:</span> <span class="form-required" title="This field is required.">*</span></td> <td><span class="form-item"> <select name="phoneType" class="form-select" id="edit-submitted-contact-info-civicrm-phone-type-id"> <option value="0" selected="selected">- None -</option> <option value="1">Home</option> <option value="2">Mobile</option> <option value="3">Work</option> </select> <input type="hidden" name="phoneType_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">Alternate Phone:</span> <span class="form-required" title="This field is required.">*</span></td> <td><span class="form-item"> <input maxlength="128" name="phoneNumber2" id="edit-submitted-contact-info-alternate-phone" class="form-text" type="text" /> <input type="hidden" name="phoneNumber2_required"> </span></td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-contact-info-phone-type3">Phone Type2: </label><span class="form-required" title="This field is required.">*</span> </span></td> <td><span class="form-item"> <select name="phoneType2" class="form-select" id="edit-submitted-contact-info-phone-type2"> <option value="0" selected="selected">- None -</option> <option value="1">Home</option> <option value="2">Mobile</option> <option value="3">Work</option> </select> <input type="hidden" name="phoneType2_required"> </span></td> </tr> </table> <div class="webform-component webform-component-select" id="webform-component-contact-info--civicrm-prefix-id"><div class="form-item" id="edit-submitted-contact-info-civicrm-prefix-id-wrapper"></div> </div><div class="webform-component webform-component-textfield" id="webform-component-contact-info--civicrm-first-name"><div class="form-item" id="edit-submitted-contact-info-civicrm-first-name-wrapper"></div> </div><div class="webform-component webform-component-textfield" id="webform-component-contact-info--civicrm-last-name"><div class="form-item" id="edit-submitted-contact-info-civicrm-last-name-wrapper"></div> </div><div class="webform-component webform-component-textfield" id="webform-component-contact-info--civicrm-street-address"><div class="form-item" id="edit-submitted-contact-info-civicrm-street-address-wrapper"></div> </div><div class="webform-component webform-component-textfield" id="webform-component-contact-info--civicrm-city"><div class="form-item" id="edit-submitted-contact-info-civicrm-city-wrapper"></div> </div><div class="webform-component webform-component-select" id="webform-component-contact-info--civicrm-state-province-id"><div class="form-item" id="edit-submitted-contact-info-civicrm-state-province-id-wrapper"> <div class="description"><p>&nbsp;</p> </div> </div> </div><div class="webform-component webform-component-textfield" id="webform-component-contact-info--civicrm-postal-code"><div class="form-item" id="edit-submitted-contact-info-civicrm-postal-code-wrapper"></div> </div><div class="webform-component webform-component-email" id="webform-component-contact-info--civicrm-email"><div class="form-item" id="edit-submitted-contact-info-civicrm-email-wrapper"></div> </div><div class="webform-component webform-component-textfield" id="webform-component-contact-info--civicrm-phone"><div class="form-item" id="edit-submitted-contact-info-civicrm-phone-wrapper"></div> </div><div class="webform-component webform-component-select" id="webform-component-contact-info--civicrm-phone-type-id"><div class="form-item" id="edit-submitted-contact-info-civicrm-phone-type-id-wrapper"></div> </div><div class="webform-component webform-component-textfield" id="webform-component-contact-info--alternate-phone"><div class="form-item" id="edit-submitted-contact-info-alternate-phone-wrapper"></div> </div><div class="webform-component webform-component-select" id="webform-component-contact-info--phone-type2"><div class="form-item" id="edit-submitted-contact-info-phone-type2-wrapper"></div> </div></fieldset> <fieldset class="webform-component-fieldset" id="webform-component-household-info"><legend>Household Info</legend> <table width="100%" border="0"> <tr> <td width="36%" align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Are you over 18?</label> </span></td> <td width="64%" valign="top"><div class="form-item" id="edit-submitted-household-info-are-you-over-18-1-wrapper2"> <label class="option" for="edit-submitted-household-info-are-you-over-18-3"> <input name="over18" type="radio" class="form-radio" id="edit-submitted-household-info-are-you-over-18-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-household-info-are-you-over-18-2-wrapper"> <label class="option" for="edit-submitted-household-info-are-you-over-18-4"> <input id="edit-submitted-household-info-are-you-over-18-4" name="over18" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="over18_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Do you own or rent your home?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-household-info-civicrm-custom-88-1-wrapper2"> <label class="option" for="edit-submitted-household-info-civicrm-custom-88-3"> <input name="doRent" type="radio" class="form-radio" id="edit-submitted-household-info-civicrm-custom-88-3" value="Own" /> Own</label> </div> <div class="form-item" id="edit-submitted-household-info-civicrm-custom-88-2-wrapper"> <label class="option" for="edit-submitted-household-info-civicrm-custom-88-4"> <input id="edit-submitted-household-info-civicrm-custom-88-4" name="doRent" value="Rent" class="form-radio" type="radio" /> Rent</label> </div> <input type="hidden" name="doRent_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">If you rent, please tell us your landlord's name and phone number: </span></td> <td valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="aboutRent" id="edit-submitted-household-info-civicrm-custom-89" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Do you have a doggy door?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-household-info-civicrm-custom-108-1-wrapper2"> <label class="option" for="edit-submitted-household-info-civicrm-custom-108-3"> <input name="doggyDoor" type="radio" class="form-radio" id="edit-submitted-household-info-civicrm-custom-108-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-household-info-civicrm-custom-108-2-wrapper"> <label class="option" for="edit-submitted-household-info-civicrm-custom-108-4"> <input id="edit-submitted-household-info-civicrm-custom-108-4" name="doggyDoor" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="doggyDoor_required"> </td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-required" title="This field is required.">*</span> <span class="form-item">How many children live in the home, and what are their ages?</span> </td> <td valign="top"><span class="form-item"> <input maxlength="128" name="numberChilren" id="edit-submitted-household-info-civicrm-custom-92" size="60" class="form-text" type="text" /> <input type="hidden" name="numberChilren_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label for="edit-submitted-household-info-civicrm-custom-2">How many hours each day will the adopted animal be without human companionship?</label> </span></td> <td valign="top"><span class="form-item"> <input maxlength="128" name="humanCompanionship" id="edit-submitted-household-info-civicrm-custom-103" size="20" class="form-text" type="text" /> <input type="hidden" name="humanCompanionship_required"> </span></td> </tr> </table> <div class="webform-component webform-component-radios" id="webform-component-household-info--are-you-over-18"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-household-info-are-you-over-18-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-household-info--civicrm-custom-88"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-household-info-civicrm-custom-88-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textarea" id="webform-component-household-info--civicrm-custom-89"><div class="form-item" id="edit-submitted-household-info-civicrm-custom-89-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div> <div class="webform-component webform-component-radios" id="webform-component-household-info--civicrm-custom-108"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-household-info-civicrm-custom-108-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textfield" id="webform-component-household-info--civicrm-custom-92"><div class="form-item" id="edit-submitted-household-info-civicrm-custom-92-wrapper"></div> </div><div class="webform-component webform-component-textfield" id="webform-component-household-info--civicrm-custom-103"><div class="form-item" id="edit-submitted-household-info-civicrm-custom-103-wrapper"></div> </div></fieldset> <fieldset class="webform-component-fieldset" id="webform-component-adoption-info"><legend>Adoption Info</legend> <table width="100%" border="0"> <tr> <td width="36%" align="right" valign="top"> <span class="form-item">Describe in detail the cat you're looking for:</span> </td> <td width="64%" valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="catType" id="edit-submitted-adoption-info-civicrm-custom-22" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Will this be your first cat?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-24-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-24-3"> <input name="firstCat" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-24-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-24-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-24-4"> <input id="edit-submitted-adoption-info-civicrm-custom-24-4" name="firstCat" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="firstCat_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>If you currently own a cat, have they been tested for feline leukemia?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-28-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-28-6"> <input name="leukemia" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-28-6" value="Yes" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-28-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-28-7"> <input id="edit-submitted-adoption-info-civicrm-custom-28-7" name="leukemia" value="No" class="form-radio" type="radio" /> No</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-28-3-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-28-8"> <input id="edit-submitted-adoption-info-civicrm-custom-28-8" name="leukemia" value="Don't Know" class="form-radio" type="radio" /> Don't Know</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-28-4-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-28-9"> <input id="edit-submitted-adoption-info-civicrm-custom-28-9" name="leukemia" value="Does not apply" class="form-radio" type="radio" /> Does not apply</label> </div> <input type="hidden" name="leukemia_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>If you currently own a cat, have they been tested for FIV?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-29-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-29-4"> <input name="FIV" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-29-4" value="Yes" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-29-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-29-5"> <input id="edit-submitted-adoption-info-civicrm-custom-29-5" name="FIV" value="No" class="form-radio" type="radio" /> No</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-29-3-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-29-6"> <input id="edit-submitted-adoption-info-civicrm-custom-29-6" name="FIV" value="Don't Know" class="form-radio" type="radio" /> Don't Know</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-29-4-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-29-7"> <input id="edit-submitted-adoption-info-civicrm-custom-29-7" name="FIV" value="Does not apply" class="form-radio" type="radio" /> Does not apply</label> </div> <input type="hidden" name="FIV_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>If you currently own a cat, are they declawed?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-30-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-30-4"> <input name="declawed" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-30-4" value="Yes" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-30-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-30-5"> <input id="edit-submitted-adoption-info-civicrm-custom-30-5" name="declawed" value="No" class="form-radio" type="radio" /> No</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-30-3-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-30-6"> <input id="edit-submitted-adoption-info-civicrm-custom-30-6" name="declawed" value="Don't Know" class="form-radio" type="radio" /> Don't Know</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-30-4-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-30-7"> <input id="edit-submitted-adoption-info-civicrm-custom-30-7" name="declawed" value="Does not apply" class="form-radio" type="radio" /> Does not apply</label> </div> <input type="hidden" name="declawed_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-required" title="This field is required.">*</span> <span class="form-item">Why do you want this cat?</span> </td> <td valign="top"><span class="form-item"> <select name="whyWant" class="form-select" id="edit-submitted-adoption-info-civicrm-custom-38"> <option value="" selected="selected">- None -</option> <option value="Companion">Companion</option> <option value="Companion for other pet">Companion for other pet</option> <option value="House pet">House pet</option> <option value="Barn cat">Barn cat</option> <option value="Mouser">Mouser</option> <option value="Office cat">Office cat</option> <option value="Other">Other</option> </select> <input type="hidden" name="whyWant_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-required" title="This field is required.">*</span> <span class="form-item">Where will you keep the cat?</span> </td> <td valign="top"><span class="form-item"> <select name="whereLive" class="form-select" id="edit-submitted-adoption-info-civicrm-custom-52"> <option value="" selected="selected">- None -</option> <option value="In the house">In the house</option> <option value="Outdoors">Outdoors</option> <option value="Free access both indoors and outdoors">Free access both indoors and outdoors</option> <option value="In the barn">In the barn</option> </select> <input type="hidden" name="whereLive_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label>Do you have a cat or dog door?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-53-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-53-3"> <input name="dogOrCatDoor" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-53-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-53-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-53-4"> <input id="edit-submitted-adoption-info-civicrm-custom-53-4" name="dogOrCatDoor" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="dogOrCatDoor_required"> </td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Will you have the cat declawed?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-54-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-54-4"> <input name="willDeclaw" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-54-4" value="Yes" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-54-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-54-5"> <input id="edit-submitted-adoption-info-civicrm-custom-54-5" name="willDeclaw" value="No" class="form-radio" type="radio" /> No</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-54-3-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-54-6"> <input id="edit-submitted-adoption-info-civicrm-custom-54-6" name="willDeclaw" value="Maybe" class="form-radio" type="radio" /> Maybe</label> </div> <input type="hidden" name="willDeclaw_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Are you aware of the potential side effects of declawing?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-55-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-55-3"> <input name="sideEffectsDeclaw" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-55-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-55-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-55-4"> <input id="edit-submitted-adoption-info-civicrm-custom-55-4" name="sideEffectsDeclaw" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="sideEffectsDeclaw_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Will you keep the cat up-to-date on vaccinations &amp; provide medical care as necessary?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-56-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-56-3"> <input name="keepUTD" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-56-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-56-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-56-4"> <input id="edit-submitted-adoption-info-civicrm-custom-56-4" name="keepUTD" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="keepUTD_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label for="edit-submitted-adoption-info-civicrm-custom-2">Please give your veterinarian's name, address and phone number <b>(or include the name of the vet you plan to use for your new cat)</b>: </label> </span></td> <td valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="vetInfo" id="edit-submitted-adoption-info-civicrm-custom-57" class="form-textarea resizable textarea-processed"></textarea> <input type="hidden" name="vetInfo_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>If you move, will you take the cat with you?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-59-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-59-3"> <input name="ifMove" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-59-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-59-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-59-4"> <input id="edit-submitted-adoption-info-civicrm-custom-59-4" name="ifMove" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="ifMove_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Are you willing to have a representative of Pets Alive come to see where the cat will be living?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-64-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-64-3"> <input name="homeVisit" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-64-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-64-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-64-4"> <input id="edit-submitted-adoption-info-civicrm-custom-64-4" name="homeVisit" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="homeVisit_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-adoption-info-civicrm-custom-3">If no, explain: </label> </span></td> <td valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="ifNoHomeVisit" id="edit-submitted-adoption-info-civicrm-custom-65" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Are you willing to take responsibility of this cat for the next 10 to 20 years?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-66-1-wrapper2"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-66-3"> <input name="next1020" type="radio" class="form-radio" id="edit-submitted-adoption-info-civicrm-custom-66-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-66-2-wrapper"> <label class="option" for="edit-submitted-adoption-info-civicrm-custom-66-4"> <input id="edit-submitted-adoption-info-civicrm-custom-66-4" name="next1020" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="next1020_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item">If no, please explain:</span></td> <td valign="top"><span class="form-item"> <textarea cols="60" rows="4" name="ifNo1020" id="edit-submitted-adoption-info-civicrm-custom-67" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label for="edit-submitted-adoption-info-civicrm-custom-4">How much are you willing to spend on medical bills for your cat?</label> </span></td> <td valign="top"><span class="form-item"> <select name="medicalBudget" class="form-select" id="edit-submitted-adoption-info-civicrm-custom-69"> <option value="" selected="selected">- None -</option> <option value="Up to $100">Up to $100</option> <option value="Up to $500">Up to $500</option> <option value="Up to $1,000">Up to $1,000</option> <option value="Up to $5,000">Up to $5,000</option> <option value="Whatever it takes">Whatever it takes</option> </select> </span> <input type="hidden" name="medicalBudget_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-adoption-info-civicrm-custom-5">What would you do if the vet bills went over this amount?</label> </span></td> <td valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="overBudget" id="edit-submitted-adoption-info-civicrm-custom-70" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr></tr> </table> <div class="webform-component webform-component-textarea" id="webform-component-adoption-info--civicrm-custom-22"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-22-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-24"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-24-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-28"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-28-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-29"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-29-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-30"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-30-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-select" id="webform-component-adoption-info--civicrm-custom-38"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-38-wrapper"></div> </div><div class="webform-component webform-component-select" id="webform-component-adoption-info--civicrm-custom-52"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-52-wrapper"></div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-53"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-53-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-54"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-54-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-55"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-55-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-56"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-56-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textarea" id="webform-component-adoption-info--civicrm-custom-57"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-57-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-59"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-59-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-64"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-64-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textarea" id="webform-component-adoption-info--civicrm-custom-65"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-65-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-adoption-info--civicrm-custom-66"><div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-66-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textfield" id="webform-component-adoption-info--civicrm-custom-67"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-67-wrapper"></div> </div><div class="webform-component webform-component-select" id="webform-component-adoption-info--civicrm-custom-69"><div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-69-wrapper"></div> </div><div class="webform-component webform-component-textarea" id="webform-component-adoption-info--civicrm-custom-70"> <div class="form-item" id="edit-submitted-adoption-info-civicrm-custom-70-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div></fieldset> <fieldset class="webform-component-fieldset" id="webform-component-previous-pet-info"><legend>Previous Pet Info</legend> <table width="100%" border="0"> <tr> <td width="33%" align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label for="edit-submitted-previous-pet-info-civicrm-custom-2">What animals do you CURRENTLY have? Include age, sex, breed and species.</label> </span></td> <td width="67%" valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="currentPets" id="edit-submitted-previous-pet-info-civicrm-custom-78" class="form-textarea resizable textarea-processed"></textarea> <input type="hidden" name="currentPets_required"> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-previous-pet-info-civicrm-custom-3">What happened to the pets you no longer have?</label> </span></td> <td valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="whatHappened" id="edit-submitted-previous-pet-info-civicrm-custom-81" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Have you ever had a pet euthanized?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-84-1-wrapper2"> <label class="option" for="edit-submitted-previous-pet-info-civicrm-custom-84-3"> <input name="euthanized" type="radio" class="form-radio" id="edit-submitted-previous-pet-info-civicrm-custom-84-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-84-2-wrapper"> <label class="option" for="edit-submitted-previous-pet-info-civicrm-custom-84-4"> <input id="edit-submitted-previous-pet-info-civicrm-custom-84-4" name="euthanized" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="euthanized_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-previous-pet-info-civicrm-custom-4">If yes, please explain further: </label> </span></td> <td valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="ifYesEuthanized" id="edit-submitted-previous-pet-info-civicrm-custom-83" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Have you ever turned in a pet to a shelter?</label> <td valign="top"><div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-82-1-wrapper2"> <label class="option" for="edit-submitted-previous-pet-info-civicrm-custom-82-3"> <input name="surrenderedPet" type="radio" class="form-radio" id="edit-submitted-previous-pet-info-civicrm-custom-82-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-82-2-wrapper"> <label class="option" for="edit-submitted-previous-pet-info-civicrm-custom-82-4"> <input id="edit-submitted-previous-pet-info-civicrm-custom-82-4" name="surrenderedPet" value="0" class="form-radio" type="radio" /> No</label> </div> <input type="hidden" name="surrenderedPet_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-previous-pet-info-civicrm-custom-5">If yes, please explain the circumstances: </label> </span></td> <td valign="top"><span class="resizable-textarea"> <textarea cols="60" rows="4" name="whySurrender" id="edit-submitted-previous-pet-info-civicrm-custom-85" class="form-textarea resizable textarea-processed"></textarea> </span></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <span class="form-required" title="This field is required.">*</span> <label>Have you ever applied to Pets Alive before to adopt an animal?</label> </span></td> <td valign="top"><div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-111-1-wrapper2"> <label class="option" for="edit-submitted-previous-pet-info-civicrm-custom-111-3"> <input name="appliedBefore" type="radio" class="form-radio" id="edit-submitted-previous-pet-info-civicrm-custom-111-3" value="1" /> Yes</label> </div> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-111-2-wrapper"> <label class="option" for="edit-submitted-previous-pet-info-civicrm-custom-111-4"> <input name="appliedBefore" type="radio" class="form-radio" id="edit-submitted-previous-pet-info-civicrm-custom-111-4" value="0" /> No</label> </div> <input type="hidden" name="appliedBefore_required"></td> </tr> <tr> <td align="right" valign="top">&nbsp;</td> <td valign="top">&nbsp;</td> </tr> <tr> <td align="right" valign="top"><span class="form-item"> <label for="edit-submitted-previous-pet-info-civicrm-custom-6">If yes, when?</label> </span></td> <td valign="top"><span class="form-item"> <input maxlength="128" name="ifYesAppliedBefore" id="edit-submitted-previous-pet-info-civicrm-custom-112" size="20" class="form-text" type="text" /> </span></td> </tr> <tr> <td align="right" valign="top"><span class="form-actions form-wrapper"> <input name="op" id="edit-submit" value="Submit" class="form-submit" type="submit" /> </span></td> <td valign="top">&nbsp;</td> </tr> </table> <div class="webform-component webform-component-textarea" id="webform-component-previous-pet-info--civicrm-custom-78"> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-78-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div><div class="webform-component webform-component-textarea" id="webform-component-previous-pet-info--civicrm-custom-81"> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-81-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-previous-pet-info--civicrm-custom-84"> <div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-84-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textarea" id="webform-component-previous-pet-info--civicrm-custom-83"> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-83-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-previous-pet-info--civicrm-custom-82"> <div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-82-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textarea" id="webform-component-previous-pet-info--civicrm-custom-85"> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-85-wrapper"> <div class="resizable-textarea"><span><div style="margin-right: 184px;" class="grippie"></div></span></div> </div> </div><div class="webform-component webform-component-radios" id="webform-component-previous-pet-info--civicrm-custom-111"> <div class="form-item"> <div class="form-radios"><div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-111-1-wrapper"></div> </div> </div> </div><div class="webform-component webform-component-textfield" id="webform-component-previous-pet-info--civicrm-custom-112"> <div class="form-item" id="edit-submitted-previous-pet-info-civicrm-custom-112-wrapper"></div> </div></fieldset> <div id="edit-actions" class="form-actions form-wrapper"></div> </div></form> </div> </div> </div> </div> </td> </tr> </tbody></table> <!-- END MAIN CONTENT --> </td> </tr> </tbody></table> <!-- FOOTER --> <table width="750" align="center" border="0" cellpadding="0" cellspacing="0"> <tbody><tr> <td class="footer" align="center" background="adoptacat_files/bg_page.gif" bgcolor="#E7DCB9"> <p>&nbsp;</p> <p><a href="http://petsalive.com/index.html" class="footlink">Home</a> | <a href="http://petsalive.com/about.html" class="footlink">About Us</a> | <a href="http://petsalive.com/critters.html" class="footlink">Meet Our Critters!</a> | <a href="http://petsalive.com/adopt.html" class="footlink">Adopt</a> | <a href="http://petsalive.com/ways_to_help.html" class="footlink">Ways to Help</a> | <a href="http://www.cafepress.com/petsalive" target="_blank" class="footlink">Online Store</a> | <a 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