{"id":3680,"date":"2021-06-29T23:36:07","date_gmt":"2021-06-29T23:36:07","guid":{"rendered":"https:\/\/acwlw.avgvet.wpengine.com\/?page_id=3680"},"modified":"2021-06-29T23:37:18","modified_gmt":"2021-06-29T23:37:18","slug":"new-pet-form","status":"publish","type":"page","link":"https:\/\/www.acwlw.net\/pet-resources\/new-pet-form\/","title":{"rendered":"New Client Registration"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column]<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script><\/p>\n<div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' >\n<form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/wp-json\/wp\/v2\/pages\/3680\/' data-formid='6' novalidate>\n<div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdZfxInAAAAAGDhjfmQg7QmhadVqjI6NyDa8c0_' data-tabindex='0'><input id=\"input_e5e3b1f4b28fc34530a842900157c22e\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_e5e3b1f4b28fc34530a842900157c22e\" value=\"\"\/><\/div>\n<div class='gform-body gform_body'>\n<div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'>\n<fieldset id=\"field_6_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_1\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>\n<div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_1'>\n<p>                            <span id='input_6_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' ><br \/>\n                                                    <input type='text' name='input_1.3' id='input_6_1_3' value=''   aria-required='true'     \/><br \/>\n                                                    <label for='input_6_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label><br \/>\n                                                <\/span><\/p>\n<p>                            <span id='input_6_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' ><br \/>\n                                                    <input type='text' name='input_1.6' id='input_6_1_6' value=''   aria-required='true'     \/><br \/>\n                                                    <label for='input_6_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label><br \/>\n                                                <\/span><\/p><\/div>\n<\/fieldset>\n<fieldset id=\"field_6_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_2\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>\n<div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_2_1_container' ><br \/>\n                                        <input type='text' name='input_2.1' id='input_6_2_1' value=''    aria-required='true'    \/><br \/>\n                                        <label for='input_6_2_1' id='input_6_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label><br \/>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_6_2_2_container' ><br \/>\n                                        <input type='text' name='input_2.2' id='input_6_2_2' value=''     aria-required='false'   \/><br \/>\n                                        <label for='input_6_2_2' id='input_6_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label><br \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_2_3_container' ><br \/>\n                                    <input type='text' name='input_2.3' id='input_6_2_3' value=''    aria-required='true'    \/><br \/>\n                                    <label for='input_6_2_3' id='input_6_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label><br \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_2_4_container' ><br \/>\n                                        <input type='text' name='input_2.4' id='input_6_2_4' value=''      aria-required='true'    \/><br \/>\n                                        <label for='input_6_2_4' id='input_6_2_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label><br \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_2_5_container' ><br \/>\n                                    <input type='text' name='input_2.5' id='input_6_2_5' value=''    aria-required='true'    \/><br \/>\n                                    <label for='input_6_2_5' id='input_6_2_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label><br \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_6_2_6' value='' \/><\/p>\n<div class='gf_clear gf_clear_complex'><\/div>\n<\/p><\/div>\n<\/fieldset>\n<div id=\"field_6_3\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_3\" ><label class='gfield_label gform-field-label' for='input_6_3'>Home Phone<\/label><\/p>\n<div class='ginput_container ginput_container_phone'><input name='input_3' id='input_6_3' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_4\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_4\" ><label class='gfield_label gform-field-label' for='input_6_4'>Cell Phone #1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_phone'><input name='input_4' id='input_6_4' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_5\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_5\" ><label class='gfield_label gform-field-label' for='input_6_5'>Work Phone<\/label><\/p>\n<div class='ginput_container ginput_container_phone'><input name='input_5' id='input_6_5' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_6\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_6\" ><label class='gfield_label gform-field-label' for='input_6_6'>Cell Phone #2<\/label><\/p>\n<div class='ginput_container ginput_container_phone'><input name='input_6' id='input_6_6' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_7\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_7\" >\n<h3 class=\"gsection_title\">Pet Information<\/h3>\n<\/div>\n<div id=\"field_6_8\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_8\" ><label class='gfield_label gform-field-label' for='input_6_8'>Pet&#039;s Name<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div>\n<\/div>\n<div id=\"field_6_10\" class=\"gfield gfield--type-number gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_10\" ><label class='gfield_label gform-field-label' for='input_6_10'>Age<\/label><\/p>\n<div class='ginput_container ginput_container_number'><input name='input_10' id='input_6_10' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div>\n<\/div>\n<div id=\"field_6_9\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_9\" ><label class='gfield_label gform-field-label' for='input_6_9'>Breed<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_9' id='input_6_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div>\n<\/div>\n<fieldset id=\"field_6_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_12\" >\n<legend class='gfield_label gform-field-label' >Sex<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_12'>\n<div class='gchoice gchoice_6_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Male'  id='choice_6_12_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_12_0' id='label_6_12_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Male (Neutered)'  id='choice_6_12_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_12_1' id='label_6_12_1' class='gform-field-label gform-field-label--type-inline'>Male (Neutered)<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Female'  id='choice_6_12_2' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_12_2' id='label_6_12_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Female (Spayed)'  id='choice_6_12_3' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_12_3' id='label_6_12_3' class='gform-field-label gform-field-label--type-inline'>Female (Spayed)<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_13\" >\n<h3 class=\"gsection_title\"><\/h3>\n<\/div>\n<div id=\"field_6_14\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_14\" ><label class='gfield_label gform-field-label' for='input_6_14'>Pet&#039;s Name<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_14' id='input_6_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div>\n<\/div>\n<div id=\"field_6_15\" class=\"gfield gfield--type-number gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_15\" ><label class='gfield_label gform-field-label' for='input_6_15'>Age<\/label><\/p>\n<div class='ginput_container ginput_container_number'><input name='input_15' id='input_6_15' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div>\n<\/div>\n<div id=\"field_6_16\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_16\" ><label class='gfield_label gform-field-label' for='input_6_16'>Breed<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_16' id='input_6_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div>\n<\/div>\n<fieldset id=\"field_6_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_17\" >\n<legend class='gfield_label gform-field-label' >Sex<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_17'>\n<div class='gchoice gchoice_6_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Male'  id='choice_6_17_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_17_0' id='label_6_17_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Male (Neutered)'  id='choice_6_17_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_17_1' id='label_6_17_1' class='gform-field-label gform-field-label--type-inline'>Male (Neutered)<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Female'  id='choice_6_17_2' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_17_2' id='label_6_17_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Female (Spayed)'  id='choice_6_17_3' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_17_3' id='label_6_17_3' class='gform-field-label gform-field-label--type-inline'>Female (Spayed)<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_18\" >\n<h3 class=\"gsection_title\"><\/h3>\n<\/div>\n<div id=\"field_6_19\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_19\" ><label class='gfield_label gform-field-label' for='input_6_19'>Pet&#039;s Name<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_19' id='input_6_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div>\n<\/div>\n<div id=\"field_6_20\" class=\"gfield gfield--type-number gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_20\" ><label class='gfield_label gform-field-label' for='input_6_20'>Age<\/label><\/p>\n<div class='ginput_container ginput_container_number'><input name='input_20' id='input_6_20' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div>\n<\/div>\n<div id=\"field_6_21\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_21\" ><label class='gfield_label gform-field-label' for='input_6_21'>Breed<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_21' id='input_6_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div>\n<\/div>\n<fieldset id=\"field_6_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_22\" >\n<legend class='gfield_label gform-field-label' >Sex<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_22'>\n<div class='gchoice gchoice_6_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Male'  id='choice_6_22_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_22_0' id='label_6_22_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Male (Neutered)'  id='choice_6_22_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_22_1' id='label_6_22_1' class='gform-field-label gform-field-label--type-inline'>Male (Neutered)<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Female'  id='choice_6_22_2' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_22_2' id='label_6_22_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_22_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Female (Spayed)'  id='choice_6_22_3' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_22_3' id='label_6_22_3' class='gform-field-label gform-field-label--type-inline'>Female (Spayed)<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_23\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_23\" >\n<h3 class=\"gsection_title\"><\/h3>\n<\/div>\n<div id=\"field_6_24\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_24\" ><label class='gfield_label gform-field-label' for='input_6_24'>Pet&#039;s Name<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_24' id='input_6_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div>\n<\/div>\n<div id=\"field_6_25\" class=\"gfield gfield--type-number gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_25\" ><label class='gfield_label gform-field-label' for='input_6_25'>Age<\/label><\/p>\n<div class='ginput_container ginput_container_number'><input name='input_25' id='input_6_25' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div>\n<\/div>\n<div id=\"field_6_26\" class=\"gfield gfield--type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below 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id='label_6_27_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Male (Neutered)'  id='choice_6_27_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_27_1' id='label_6_27_1' class='gform-field-label gform-field-label--type-inline'>Male (Neutered)<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_27_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Female'  id='choice_6_27_2' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_27_2' id='label_6_27_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_27_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Female (Spayed)'  id='choice_6_27_3' 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