<form-template> <fields> <field type="text" subtype="text" required="true" label="Contact Name" class="form-control text-input" name="text-1671824740806" value="Contact Name"></field> <field type="text" subtype="email" required="true" label="Email" class="form-control text-input" name="text-1671824758590" value="Email"></field> <field type="text" subtype="text" required="true" label="Address" class="form-control text-input" name="text-1671824780517" value="Address"></field> <field type="text" subtype="text" label="Telephone Number" class="form-control text-input" name="text-1671824798053" value="Telephone Number"></field> <field type="textarea" label="In Memorium Name/s" class="form-control text-area" name="textarea-1671824840365"></field> <field type="checkbox-group" label="Proposed Location" class="checkbox-group" name="checkbox-group-1671824873301"> <option value="Donovan Park" selected="true">Donovan Park</option> <option value="Downtown">Downtown</option> <option value="Walking Trail">Walking Trail</option> <option value="Bell Park">Bell Park</option> <option value="Scofield Park">Scofield Park</option> </field> <field type="textarea" required="true" label="Proposed Text for Memorial Plaque" description="Four lines,20 word maximum " class="form-control text-area" name="textarea-1671824976749"></field> <field type="paragraph" subtype="output" label="Send to: Town of Kipling, Box 299 , Kipling, SK S0G 2S0 or Email: kiptown@sasktel.net" class="paragraph"></field> </fields> </form-template> Submit Submitting...