{"id":1083,"date":"2021-08-14T14:28:04","date_gmt":"2021-08-14T13:28:04","guid":{"rendered":"https:\/\/vimaansuan.com\/?page_id=1083"},"modified":"2023-01-09T13:27:17","modified_gmt":"2023-01-09T13:27:17","slug":"adoption-application-form","status":"publish","type":"page","link":"https:\/\/vimaansuan.com\/index.php\/adoption-application-form\/","title":{"rendered":"Adoption Application Form"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1935 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1935\" data-uid=\"69d5c08a15bb3\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1935\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1935 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1935\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69d5c08a15bb3\"\n\t\t\t><div class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69d5c08a15bb3\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_69d5c08a15bb3\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69d5c08a15bb3\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69d5c08a15bb3\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69d5c08a15bb3\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_69d5c08a15bb3\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69d5c08a15bb3-label\"><span id=\"forminator-radiogroup-69d5c08a15bb3-label\" class=\"forminator-label\">I am looking for a:<\/span><label for=\"forminator-field-radio-1-1-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Dog\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-1-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Dog<\/span><\/label><label for=\"forminator-field-radio-1-2-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Cat\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-1-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Cat<\/span><\/label><label for=\"forminator-field-radio-1-3-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Puppy\"><input type=\"radio\" name=\"radio-1\" value=\"Puppy\" id=\"forminator-field-radio-1-3-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-1-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Puppy<\/span><\/label><label for=\"forminator-field-radio-1-4-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Kitten\"><input type=\"radio\" name=\"radio-1\" value=\"Kitten\" id=\"forminator-field-radio-1-4-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-1-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Kitten<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69d5c08a15bb3\" class=\"forminator-label\">Name of a pet\/rescue you are interested in:<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-1_69d5c08a15bb3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Tell Us More About You<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69d5c08a15bb3\" class=\"forminator-label\">Which part of Vientiane do you live in?<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69d5c08a15bb3\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69d5c08a15bb3-label\"><span id=\"forminator-radiogroup-69d5c08a15bb3-label\" class=\"forminator-label\">Are there children in your household?<\/span><label for=\"forminator-field-radio-2-1-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-2-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label for=\"forminator-field-radio-2-2-69d5c08a15bb3\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-2-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69d5c08a15bb3-label\"><span id=\"forminator-radiogroup-69d5c08a15bb3-label\" class=\"forminator-label\">Do you own any pets now?<\/span><label for=\"forminator-field-radio-3-1-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-3-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label for=\"forminator-field-radio-3-2-69d5c08a15bb3\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-3-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-69d5c08a15bb3-label\"><h4 id=\"forminator-checkbox-group-69d5c08a15bb3-label\" class=\"forminator-label\">Is your home:<\/h4><label for=\"forminator-field-checkbox-1-1-69d5c08a15bb3\" class=\"forminator-checkbox\" title=\"Fully fenced or with walls and gated\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-checkbox-1-69d5c08a15bb3-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Fully fenced or with walls and gated<\/span><\/label><label for=\"forminator-field-checkbox-1-2-69d5c08a15bb3\" class=\"forminator-checkbox\" title=\"Have a garden\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-checkbox-1-69d5c08a15bb3-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Have a garden<\/span><\/label><label for=\"forminator-field-checkbox-1-3-69d5c08a15bb3\" class=\"forminator-checkbox\" title=\"No fence or walls\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"No-fence-or-walls\" id=\"forminator-field-checkbox-1-3-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-checkbox-1-69d5c08a15bb3-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No fence or walls<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69d5c08a15bb3-label\"><span id=\"forminator-radiogroup-69d5c08a15bb3-label\" class=\"forminator-label\">Do you own or rent your home?<\/span><label for=\"forminator-field-radio-4-1-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Own\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-4-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Own<\/span><\/label><label for=\"forminator-field-radio-4-2-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Rent\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-4-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Rent<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-69d5c08a15bb3-label\"><h4 id=\"forminator-checkbox-group-69d5c08a15bb3-label\" class=\"forminator-label\">If you rent, what is your landlord&#039;s policy on pets?<\/h4><label for=\"forminator-field-checkbox-2-1-69d5c08a15bb3\" class=\"forminator-checkbox\" title=\"Allowed\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-checkbox-2-69d5c08a15bb3-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Allowed<\/span><\/label><label for=\"forminator-field-checkbox-2-2-69d5c08a15bb3\" class=\"forminator-checkbox\" title=\"Allowed, only outside\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"two\" id=\"forminator-field-checkbox-2-2-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-checkbox-2-69d5c08a15bb3-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Allowed, only outside<\/span><\/label><label for=\"forminator-field-checkbox-2-3-69d5c08a15bb3\" class=\"forminator-checkbox\" title=\"Am not sure\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Am-not-sure\" id=\"forminator-field-checkbox-2-3-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-checkbox-2-69d5c08a15bb3-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Am not sure<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69d5c08a15bb3-label\"><span id=\"forminator-radiogroup-69d5c08a15bb3-label\" class=\"forminator-label\">What is your status in Laos?<\/span><label for=\"forminator-field-radio-5-1-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Lao National\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-5-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Lao National<\/span><\/label><label for=\"forminator-field-radio-5-2-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Foreigner working with a valid visa\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-5-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Foreigner working with a valid visa<\/span><\/label><label for=\"forminator-field-radio-5-3-69d5c08a15bb3\" class=\"forminator-radio\" title=\"Other\"><input type=\"radio\" name=\"radio-5\" value=\"Other\" id=\"forminator-field-radio-5-3-69d5c08a15bb3\" data-calculation=\"0\"  aria-describedby=\"forminator-field-radio-5-69d5c08a15bb3-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Other<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69d5c08a15bb3\" class=\"forminator-label\">If you are a foreigner, which country are you from?<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69d5c08a15bb3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69d5c08a15bb3\" class=\"forminator-label\">Will the pet be alone during the day? If so, how many hours a day?<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69d5c08a15bb3\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69d5c08a15bb3\" class=\"forminator-label\">If you have to leave town for an emergency or planned period of time, where would your pet\/s stay?<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69d5c08a15bb3\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Please send us a Private Message on our FaceBook page after sending this Adoption Application Form. We are not able to contact you if you do not first send us a message. Thank you.<\/label><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send Message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"7fd2109720\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/1083\" \/><input type=\"hidden\" name=\"form_id\" value=\"1935\"><input type=\"hidden\" name=\"page_id\" value=\"1083\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/vimaansuan.com\/index.php\/adoption-application-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n","protected":false},"excerpt":{"rendered":"<p><span class=\"more-link-wrap\"><a class=\"more-link\" href=\"https:\/\/vimaansuan.com\/index.php\/adoption-application-form\/\">Read More &rarr;<\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/pages\/1083"}],"collection":[{"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/comments?post=1083"}],"version-history":[{"count":2,"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/pages\/1083\/revisions"}],"predecessor-version":[{"id":1936,"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/pages\/1083\/revisions\/1936"}],"wp:attachment":[{"href":"https:\/\/vimaansuan.com\/index.php\/wp-json\/wp\/v2\/media?parent=1083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}