${ parent.decodeEntities(`First Name`) } * { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> `} /> ${ parent.decodeEntities(`Enter your first name here`) }

${ parent.decodeEntities(`Last Name`) } * { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> `} /> ${ parent.decodeEntities(`Enter your last name here`) }

${ parent.decodeEntities(`Email Address`) } * parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> `} /> ${ parent.decodeEntities(`Example: [email protected]`) }

${ parent.decodeEntities(`Telephone`) } parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> `} /> ${ parent.decodeEntities(`Enter your full phone number`) }

${ parent.decodeEntities(`Date of Services`) } props.DateWidget( el, '', {"message":"This field is required.","required":false}, register, parent )} /> `} /> ${ parent.decodeEntities(`What date do you need services?`) }

${ parent.decodeEntities(`What Pet Are You Needing Services For?`) } option.mf_input_option_status === 'disabled'} className=${"mf-input mf-input-multiselect " + ( validation.errors['mf-multi-select'] ? 'mf-invalid' : '' )} classNamePrefix="mf_multiselect" value=${parent.getValue("mf-multi-select") && [{"label":"Cat","value":"cat","_id":"022fff4","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Dog","value":"dog","_id":"a3e7e8e","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Bird","value":"bird","_id":"cfbeb4d","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Guinea Pig","value":"guinea-pig","_id":"d2a4a74","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Fish","value":"fish","_id":"ab883c1","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Rabbit","value":"rabbit","_id":"4cdf8c6","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Lizard","value":"lizard","_id":"38677a9","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"d2d6051","label":"Mice","value":"mice","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"0cc766c","label":"Chinchilas","value":"chinchilas","mf_input_option_status":"","mf_input_option_selected":""}].filter(item => { if(parent.state.formData['mf-multi-select'] && parent.state.formData['mf-multi-select'].indexOf(item.value) != -1 ){ return item; } })} name='mf-multi-select' placeholder="${ parent.decodeEntities(``) } " options=${[{"label":"Cat","value":"cat","_id":"022fff4","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Dog","value":"dog","_id":"a3e7e8e","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Bird","value":"bird","_id":"cfbeb4d","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Guinea Pig","value":"guinea-pig","_id":"d2a4a74","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Fish","value":"fish","_id":"ab883c1","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Rabbit","value":"rabbit","_id":"4cdf8c6","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Lizard","value":"lizard","_id":"38677a9","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"d2d6051","label":"Mice","value":"mice","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"0cc766c","label":"Chinchilas","value":"chinchilas","mf_input_option_status":"","mf_input_option_selected":""}]} onChange=${(el) => { setValue("mf-multi-select", ''); if(el != null){ setValue("mf-multi-select", el, true); } parent.multiSelectChange(el, 'mf-multi-select'); }} ref=${() => { register({ name: "mf-multi-select" }, parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false})); if(parent.state?.submitted !== true){ if ( parent.getValue("mf-multi-select") === '' && false ) { parent.setValue( 'mf-multi-select', '[]'); parent.multiSelectChange('[]', 'mf-multi-select'); } } }} isMulti /> `} /> ${ parent.decodeEntities(`Please select all pets that apply`) }

${ parent.decodeEntities(``) } parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} > `} />

parent.activateValidation({"message":"reCAPTCHA is required.","required":true}, el)} /> `} />

${ parent.decodeEntities(`Send Message`) }