{"id":1214,"date":"2018-11-18T14:09:52","date_gmt":"2018-11-18T19:09:52","guid":{"rendered":"http:\/\/schuylerhumane.org\/?page_id=1214"},"modified":"2025-01-22T15:16:24","modified_gmt":"2025-01-22T20:16:24","slug":"spay-neuter-clinic-information","status":"publish","type":"page","link":"https:\/\/schuylerhumane.org\/hssc\/spay-neuter-clinic-information\/","title":{"rendered":"Spay\/Neuter Clinic Information"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_4' ><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/hssc\/wp-json\/wp\/v2\/pages\/1214'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Spay\/Neuter Clinic Client Information<\/h3>\n                            <span class='gform_description'>Thank you for your interest in the Humane Society of Schuyler County's spay\/neuter clinics for income-eligible residents of Schuyler County and surrounding area.\r\n\r\nPlease provide us with the following information and we will be in touch with you about scheduling and clinic procedures.\r\n\r\nThank you for spaying or neutering your pet!<\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_above description_above'><li id='field_4_19'  class='gfield gsection field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Information About You<\/h2><div class='gsection_description' id='gfield_description_4_19'>Please provide us with the requested contact information and best way to stay in touch with you<\/div><\/li><li id='field_4_1'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_4_1'>\n                            \n                            <span id='input_4_1_3_container' class='name_first' >\n                                                    <label for='input_4_1_3' >First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_4_1_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" placeholder='First Name'\/>\n                                                <\/span>\n                            \n                            <span id='input_4_1_6_container' class='name_last' >\n                                                            <label for='input_4_1_6' >Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_4_1_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" placeholder='Last Name'\/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_4_2'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_4_2' >\n                         <span class='ginput_full address_line_1' id='input_4_2_1_container' >\n                                        <label for='input_4_2_1' id='input_4_2_1_label' >Street Address<\/label>\n                                        <input type='text' name='input_2.1' id='input_4_2_1' value=''   placeholder='Street Address' aria-required=\"true\"\/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_4_2_2_container' >\n                                        <label for='input_4_2_2' id='input_4_2_2_label' >Address Line 2<\/label>\n                                        <input type='text' name='input_2.2' id='input_4_2_2' value=''   placeholder='Address Line 2'\/>\n                                    <\/span><span class='ginput_left address_city' id='input_4_2_3_container' >\n                                    <label for='input_4_2_3' id='input_4_2_3_label' >City<\/label>\n                                    <input type='text' name='input_2.3' id='input_4_2_3' value=''   placeholder='City' aria-required=\"true\"\/>\n                                 <\/span><span class='ginput_right address_state' id='input_4_2_4_container' >\n                                        <label for='input_4_2_4' id='input_4_2_4_label' >State<\/label>\n                                        <select name='input_2.4' id='input_4_2_4'     aria-required=\"true\"><option value='' >State<\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' selected='selected'>New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip' id='input_4_2_5_container' >\n                                    <label for='input_4_2_5' id='input_4_2_5_label' >ZIP Code<\/label>\n                                    <input type='text' name='input_2.5' id='input_4_2_5' value=''   placeholder='Zip \/ Postal Code' aria-required=\"true\"\/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_4_2_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_4_22'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_22' >County<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_4_22'>In which county do you live?<\/div><div class='ginput_container ginput_container_text'><input name='input_22' id='input_4_22' type='text' value='' class='medium' maxlength='25' aria-describedby=\"gfield_description_4_22\"   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_3'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_3' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_4_3' type='text' value='' class='medium'  placeholder='(555) 555-5555' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_4_4'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_4' >Email<\/label><div class='gfield_description' id='gfield_description_4_4'>Please provide us with an email address if you have one and check it regularly. If you don't use email, we will contact you by telephone.<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_4_4' type='text' value='' class='medium'   placeholder='Email'  aria-invalid=\"false\" aria-describedby=\"gfield_description_4_4\"\/>\n                        <\/div><\/li><li id='field_4_33'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Contact<\/label><div class='gfield_description' id='gfield_description_4_33'>How would you like us to contact you?<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_33'><li class='gchoice_4_33_1'>\n\t\t\t\t\t\t\t\t<input name='input_33.1' type='checkbox'  value='Telephone'  id='choice_4_33_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_33_1' id='label_4_33_1'>Telephone<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_33_2'>\n\t\t\t\t\t\t\t\t<input name='input_33.2' type='checkbox'  value='Email'  id='choice_4_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_33_2' id='label_4_33_2'>Email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_33_3'>\n\t\t\t\t\t\t\t\t<input name='input_33.3' type='checkbox'  value='Postal Service'  id='choice_4_33_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_33_3' id='label_4_33_3'>Postal Service<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_4_23'  class='gfield gsection field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Eligibility<\/h2><div class='gsection_description' id='gfield_description_4_23'>These questions will help us verify your income eligibility for our spay\/neuter clinic. Even if you do not receive benefits, you may still be eligible for this program.<\/div><\/li><li id='field_4_24'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_24' >Household<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_4_24'>How many persons live in your household?<\/div><div class='ginput_container ginput_container_number'><input name='input_24' id='input_4_24' type='text'    value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_4_24\"\/><\/div><\/li><li id='field_4_26'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Assistance<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_4_26'>Does anyone in your household receive any financial assistance? You may be eligible for additional assistance if you send proof of benefits to lday@schuylerhumane.org, text it to \u202a(607) 301-0130\u202c or bring it with you at drop off<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_26'><li class='gchoice_4_26_1'>\n\t\t\t\t\t\t\t\t<input name='input_26.1' type='checkbox'  value='SNAP'  id='choice_4_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_1' id='label_4_26_1'>SNAP<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_26_2'>\n\t\t\t\t\t\t\t\t<input name='input_26.2' type='checkbox'  value='HEAP'  id='choice_4_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_2' id='label_4_26_2'>HEAP<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_26_3'>\n\t\t\t\t\t\t\t\t<input name='input_26.3' type='checkbox'  value='WIC'  id='choice_4_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_3' id='label_4_26_3'>WIC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_26_4'>\n\t\t\t\t\t\t\t\t<input name='input_26.4' type='checkbox'  value='SSI\/SSD'  id='choice_4_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_4' id='label_4_26_4'>SSI\/SSD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_26_5'>\n\t\t\t\t\t\t\t\t<input name='input_26.5' type='checkbox'  value='Unemployment'  id='choice_4_26_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_5' id='label_4_26_5'>Unemployment<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_26_6'>\n\t\t\t\t\t\t\t\t<input name='input_26.6' type='checkbox'  value='Workers compensation'  id='choice_4_26_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_6' id='label_4_26_6'>Workers compensation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_26_7'>\n\t\t\t\t\t\t\t\t<input name='input_26.7' type='checkbox'  value='Other'  id='choice_4_26_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_7' id='label_4_26_7'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_26_8'>\n\t\t\t\t\t\t\t\t<input name='input_26.8' type='checkbox'  value='None'  id='choice_4_26_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_8' id='label_4_26_8'>None<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_4_28'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_28' >Household Income<\/label><div class='gfield_description' id='gfield_description_4_28'>What is the yearly income of your household? You do not have to answer this question, but it may help us determine eligibility if you are not receiving financial assistance.<\/div><div class='ginput_container ginput_container_number'><input name='input_28' id='input_4_28' type='text'    value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_4_28\"\/><\/div><\/li><li id='field_4_31'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Alternatives<\/label><div class='gfield_description' id='gfield_description_4_31'>Would you have been able to spay or neuter your pet without this program?<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_31'><li class='gchoice_4_31_1'>\n\t\t\t\t\t\t\t\t<input name='input_31.1' type='checkbox'  value='Yes'  id='choice_4_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_1' id='label_4_31_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_31_2'>\n\t\t\t\t\t\t\t\t<input name='input_31.2' type='checkbox'  value='No'  id='choice_4_31_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_2' id='label_4_31_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_4_18'  class='gfield gsection field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Information About Your Pet<\/h2><div class='gsection_description' id='gfield_description_4_18'>Please provide us with as much information as you can about your pet. This will help us with scheduling and ensuring that we have the right supplies for surgery.<\/div><\/li><li id='field_4_8'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_8' >Your Pet&#039;s Name<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_4_8' type='text' value='' class='medium'    placeholder='Your Pet&#039;s Name'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_34'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Species<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_34'><li class='gchoice_4_34_1'>\n\t\t\t\t\t\t\t\t<input name='input_34.1' type='checkbox'  value='Dog'  id='choice_4_34_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_34_1' id='label_4_34_1'>Dog<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_34_2'>\n\t\t\t\t\t\t\t\t<input name='input_34.2' type='checkbox'  value='Cat'  id='choice_4_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_34_2' id='label_4_34_2'>Cat<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_34_3'>\n\t\t\t\t\t\t\t\t<input name='input_34.3' type='checkbox'  value='Feral Cat'  id='choice_4_34_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_34_3' id='label_4_34_3'>Feral Cat<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_4_12'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_12' >Age<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_4_12'>Please enter your best estimate of your pet's age<\/div><div class='ginput_container ginput_container_text'><input name='input_12' id='input_4_12' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_12\"  placeholder='Your Pet&#039;s Age' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_35'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Sex<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_35'><li class='gchoice_4_35_1'>\n\t\t\t\t\t\t\t\t<input name='input_35.1' type='checkbox'  value='Male'  id='choice_4_35_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_1' id='label_4_35_1'>Male<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_35_2'>\n\t\t\t\t\t\t\t\t<input name='input_35.2' type='checkbox'  value='Female'  id='choice_4_35_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_2' id='label_4_35_2'>Female<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_35_3'>\n\t\t\t\t\t\t\t\t<input name='input_35.3' type='checkbox'  value='Unknown'  id='choice_4_35_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_3' id='label_4_35_3'>Unknown<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_4_13'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_13' >Weight<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_4_13'>Please enter your best estimate of your pet's weight<\/div><div class='ginput_container ginput_container_text'><input name='input_13' id='input_4_13' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_13\"  placeholder='Your Pet&#039;s Weight' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_29'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_29' >Color<\/label><div class='gfield_description' id='gfield_description_4_29'>Dog or cat's color<\/div><div class='ginput_container ginput_container_text'><input name='input_29' id='input_4_29' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_29\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_30'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_30' >Breed<\/label><div class='gfield_description' id='gfield_description_4_30'>Breed, especially for dogs.  You don't have to be precise - a generic breed such as retriever, hound, beagle, shepherd, or pit bull is fine.<\/div><div class='ginput_container ginput_container_text'><input name='input_30' id='input_4_30' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_30\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_36'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Distemper (DHLPP) vaccination<\/label><div class='gfield_description' id='gfield_description_4_36'>Please choose the status of your pet's distemper vaccination.  If you have a distemper vaccination certificate, please bring it with you.  <\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_36'><li class='gchoice_4_36_1'>\n\t\t\t\t\t\t\t\t<input name='input_36.1' type='checkbox'  value='Never vaccinated'  id='choice_4_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_1' id='label_4_36_1'>Never vaccinated<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_36_2'>\n\t\t\t\t\t\t\t\t<input name='input_36.2' type='checkbox'  value='Previous vaccination'  id='choice_4_36_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_2' id='label_4_36_2'>Previous vaccination<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_36_3'>\n\t\t\t\t\t\t\t\t<input name='input_36.3' type='checkbox'  value='Up To Date on vaccination'  id='choice_4_36_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_3' id='label_4_36_3'>Up To Date on vaccination<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_4_37'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Rabies vaccination status<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_4_37'>Please choose the status of your pet's rabies vaccination. If your pet has had a recent rabies vaccination, please send a copy to lday@schuylerhumane.org or text a photo of the certificate to 607-301-0130, or bring it with you at drop off.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_37'><li class='gchoice_4_37_1'>\n\t\t\t\t\t\t\t\t<input name='input_37.1' type='checkbox'  value='Never vaccinated'  id='choice_4_37_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_37_1' id='label_4_37_1'>Never vaccinated<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_37_2'>\n\t\t\t\t\t\t\t\t<input name='input_37.2' type='checkbox'  value='Previous vaccination'  id='choice_4_37_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_37_2' id='label_4_37_2'>Previous vaccination<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_4_37_3'>\n\t\t\t\t\t\t\t\t<input name='input_37.3' type='checkbox'  value='Up To Date on vaccinations'  id='choice_4_37_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_37_3' id='label_4_37_3'>Up To Date on vaccinations<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_4_17'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_4_17' >Additional information<\/label><div class='gfield_description' id='gfield_description_4_17'>What else should we know about your pet?  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