<form-template> <fields> <field type="text" subtype="text" required="true" label="Full Name" placeholder="Use All Capitals" class="form-control text-input" name="text-1748429050640"></field> <field type="select" required="true" label="Gender" class="form-control select" name="select-1748429092412"> <option value="Male" selected="true">Male</option> <option value="Female">Female</option> <option value="non-binary">Non-binary</option> <option value="not-disclosed">Do Not Wish To Disclose</option> </field> <field type="text" subtype="text" required="true" label="Physical Address" placeholder="House Number, etc." class="form-control text-input" name="text-1748429314380"></field> <field type="text" subtype="text" required="true" label="Phone Number" placeholder="(xxx)-xxx-xxxx" class="form-control text-input" name="text-1748429263537"></field> <field type="textarea" required="true" label="Primary Language" class="form-control text-area" name="textarea-1748429312880"></field> <field type="textarea" required="true" label="Household Member List" placeholder="Include Everyone" class="form-control text-area" name="textarea-1748429404631"></field> <field type="textarea" required="true" label="Special Considerations" placeholder="Mobility issues, medical requirements, social considerations essential for evacuation personnel to know." class="form-control text-area" name="textarea-1748429437423"></field> <field type="select" required="true" label="Do You Have A Service Animal?" description="With the exception of service animals, pets are not permitted at shelters." class="form-control select" name="select-1748429650066"> <option value="select" selected="true">Select One</option> <option value="Yes">Yes</option> <option value="No">No</option> </field> <field type="header" subtype="h1" label="EMERGENCY CONTACTS" class="header"></field> <field type="textarea" label="Contact 1" placeholder="Include name, relationship, phone number, and address." class="form-control text-area" name="textarea-1748429899444"></field> <field type="textarea" label="Contact 2" placeholder="Include name, relationship, phone number, and address." class="form-control text-area" name="textarea-1748429927293"></field> <field type="textarea" label="Contact 3" placeholder="Include name, relationship, phone number, and address." class="form-control text-area" name="textarea-1748429949017"></field> </fields> </form-template> Submit Submitting...