{"id":2617,"date":"2023-05-13T06:57:08","date_gmt":"2023-05-13T06:57:08","guid":{"rendered":"https:\/\/staging.adaserviceanimals.org\/?page_id=2617"},"modified":"2023-09-10T16:17:21","modified_gmt":"2023-09-10T16:17:21","slug":"register-animal","status":"publish","type":"page","link":"https:\/\/staging.adaserviceanimals.org\/es\/register-animal\/","title":{"rendered":"Register Animal"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"2617\" class=\"elementor elementor-2617\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28028d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"28028d6\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 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class=\"attachment-large size-large wp-image-3122\" alt=\"\" srcset=\"https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Emotional-Support-Animal-Certificate-with-ID-Card-1024x781.png 1024w, https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Emotional-Support-Animal-Certificate-with-ID-Card-300x229.png 300w, https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Emotional-Support-Animal-Certificate-with-ID-Card-768x586.png 768w, https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Emotional-Support-Animal-Certificate-with-ID-Card-16x12.png 16w, https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Emotional-Support-Animal-Certificate-with-ID-Card-600x458.png 600w, https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Emotional-Support-Animal-Certificate-with-ID-Card.png 1400w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" 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https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Service-Animal-Certificate-with-ID-Card-16x12.png 16w, https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Service-Animal-Certificate-with-ID-Card-600x454.png 600w, https:\/\/staging.adaserviceanimals.org\/wp-content\/uploads\/2023\/09\/Service-Animal-Certificate-with-ID-Card.png 1400w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-96584c2\" data-id=\"96584c2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e95428 elementor-widget elementor-widget-shortcode\" data-id=\"5e95428\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">    <form action=\"https:\/\/staging.adaserviceanimals.org\/es\/register-animal\/\" method=\"post\" class=\"ada-registration-form\" enctype=\"multipart\/form-data\" data-trp-original-action=\"https:\/\/staging.adaserviceanimals.org\/es\/register-animal\/\">\n      \n                <h4 class=\"ada-reg-form-title\">About You:<\/h4>\n      <div class=\"ada-animals-wrapper\">\n        <div class=\"form-row\">\n          <div class=\"form-group col-md-6\">\n            <label for=\"billing_first_name\">First Name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label>\n            <input type=\"text\" class=\"form-control\" id=\"billing_first_name\" name=\"billing_first_name\" maxlength=\"10\" required=\"required\" \/>\n          <\/div>\n          <div class=\"form-group col-md-6\">\n            <label for=\"billing_last_name\">Last Name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label>\n            <input type=\"text\" class=\"form-control\" id=\"billing_last_name\" name=\"billing_last_name\" maxlength=\"10\" required=\"required\" \/>\n          <\/div>\n        <\/div>\n        <div class=\"form-row\">\n          <div class=\"form-group col-md-6\">\n            <label for=\"billing_email\">Email Address <abbr class=\"required\" title=\"required\">*<\/abbr><\/label>\n            <input type=\"email\" class=\"form-control\" id=\"billing_email\" name=\"billing_email\" required=\"required\" \/>\n          <\/div>\n          <div class=\"form-group col-md-6\">\n            <label for=\"billing_phone\">Phone <abbr class=\"required\" title=\"required\">*<\/abbr><\/label>\n            <input type=\"tel\" class=\"form-control\" id=\"billing_phone\" name=\"billing_phone\" required=\"required\" \/>\n          <\/div>\n        <\/div>\n      <\/div>\n      <hr \/>\n    \n    <h4 class=\"ada-reg-form-title\">Animal(s) Information:<\/h4>\n\n  <div class=\"accordion\" id=\"animalsAccordion\">\n\n    <!-- Animal Item -->\n    <div class=\"accordion-item\" data-animal-index=\"0\">\n\n      <h2 class=\"accordion-header\" id=\"heading-0\">\n        <button class=\"accordion-button\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#animal-0\" aria-expanded=\"true\" aria-controls=\"animal-0\">\n          Animal #1\n        <\/button>\n      <\/h2>\n\n      <div id=\"animal-0\" class=\"accordion-collapse collapse show\" aria-labelledby=\"heading-0\" data-bs-parent=\"#animalsAccordion\">\n      <div class=\"accordion-body\">\n\n        <!-- Animal Fieldset -->\n        <fieldset class=\"ada-animals-fieldset\">\n\n          <div class=\"form-row\">\n            <div class=\"form-group col-md-12\">\n              <label>Handler Name <abbr class=\"required\">*<\/abbr><\/label>\n              <input type=\"text\" class=\"form-control\" name=\"animals[0][handler_name]\" maxlength=\"20\" required \/>\n            <\/div>\n          <\/div>\n\n          <div class=\"form-row\">\n            <div class=\"form-group col-md-6\">\n              <label>Animal Name <abbr class=\"required\">*<\/abbr><\/label>\n              <input type=\"text\" class=\"form-control\" name=\"animals[0][animal_name]\" maxlength=\"20\" required \/>\n            <\/div>\n\n            <div class=\"form-group col-md-6\">\n              <label>Animal Type <abbr class=\"required\">*<\/abbr><\/label>\n              <select name=\"animals[0][animal_type]\" class=\"form-control\" required>\n                <option value=\"\">Select...<\/option>\n                <option value=\"cat\">Cat<\/option>\n                <option value=\"chicken\">Chicken<\/option>\n                <option value=\"dog\">Dog<\/option>\n                <option value=\"ferret\">Ferret<\/option>\n                <option value=\"horse\">Horse<\/option>\n                <option value=\"parrot\">Parrot<\/option>\n                <option value=\"pig\">Pig<\/option>\n                <option value=\"rabbit\">Rabbit<\/option>\n                <option value=\"snake\">Snake<\/option>\n              <\/select>\n            <\/div>\n          <\/div>\n\n          <div class=\"form-row\">\n            <div class=\"form-group col-md-6\">\n              <label>Animal Date of Birth<\/label>\n              <input type=\"date\" class=\"form-control\" name=\"animals[0][animal_dob]\" \/>\n            <\/div>\n\n            <div class=\"form-group col-md-6\">\n              <label>Animal Gender<\/label>\n              <select name=\"animals[0][animal_gender]\" class=\"form-control\">\n                <option value=\"\">Select...<\/option>\n                <option value=\"male\">Male<\/option>\n                <option value=\"female\">Female<\/option>\n              <\/select>\n            <\/div>\n          <\/div>\n\n          <div class=\"form-row\">\n            <div class=\"form-group col-md-6\">\n              <label>Animal Weight <small>(Pounds)<\/small><\/label>\n              <input type=\"number\" class=\"form-control\" name=\"animals[0][animal_weight]\" min=\"1\" max=\"200\" \/>\n            <\/div>\n\n            <div class=\"form-group col-md-6\">\n              <div class=\"ada-image-editor\">\n                <label>\n                  Animal's Photo <abbr class=\"required\">*<\/abbr> <small>(Please Crop Photo)<\/small>\n                <\/label>\n                <input type=\"file\" name=\"animals[0][animal_photo]\" class=\"form-control cropit-image-input\" required \/>\n                <input type=\"hidden\" name=\"animals[0][image_data]\" class=\"hidden-image-data\" \/>\n                <div class=\"cropit-preview\"><\/div>\n                <div class=\"ada-cropit-controls\">\n                  <div class=\"ada-image-resize-slider\">\n                    <span class=\"fa fa-image\"><\/span>\n                    <input type=\"range\" class=\"cropit-image-zoom-input\" \/>\n                    <span class=\"fa fa-image fa-lg\"><\/span>\n   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