<form-template> <fields> <field type="text" subtype="text" required="true" label="First and Last Name" class="form-control text-input" name="text-1659640730681"></field> <field type="text" subtype="text" required="true" label="Email Address" class="form-control text-input" name="text-1659640760170"></field> <field type="text" subtype="text" label="Home Phone" class="form-control text-input" name="text-1659640789424"></field> <field type="text" subtype="text" label="Cell Phone" class="form-control text-input" name="text-1659640803912"></field> <field type="text" subtype="text" required="true" label="Street or Civic Address" class="form-control text-input" name="text-1659640834433"></field> <field type="text" subtype="text" label="Town, Province and Postal Code" class="form-control text-input" name="text-1659640853895"></field> <field type="text" subtype="text" label="I would like to receive notifications on the following: You may choose one or subscribe to all by checking all the boxes you wish to receive notifications." class="form-control text-input" name="text-1659640892490"></field> <field type="checkbox-group" class="checkbox-group" name="checkbox-group-1659640929966"> <option value="(Council Meetings, Bylaws and Policies, Taxes and Assessment, Finance, Public Notices) " selected="true">General Government Services</option> <option value="(Snow Removal, Street Sweeping, Street Maintenance and Repair, Road Closure)">Transportation Services</option> <option value="(Boil Water Advisory, Water Main Break Repair, Sewer Repair, Water Interruption)">Waterworks Services</option> <option value=" (Garbage, Recycle, Landfill)">Environmental Health Services</option> <option value="(Animal Control, Pest Control, Bylaw Enforcement)">Protective Services </option> <option value="(Permits, Licensing, Economic Development)">Planning and Development Services </option> <option value=" (Cooperative Place, Curling Rink, Swimming Pool, Parks, Sportsgrounds, Golf Course, Interpretive Centre, Museum, Regional Park) ">Recreation, Culture and Tourism</option> </field> <field type="text" subtype="text" label="I authorize the Town of Wynyard to contact me by: (You may choose one, two or all options)" class="form-control text-input" name="text-1659641197395"></field> <field type="checkbox-group" class="checkbox-group" name="checkbox-group-1659641295227"> <option selected="true">Email</option> <option value="option-2">Text Message</option> <option>Voice Call</option> </field> </fields> </form-template> Submit Submitting...