DerekTestComplete/Form1.html at main · CaptainExtremis/DerekTestComplete · GitHub

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<!DOCTYPE html>
<h1>Dog Liscense Application</h1>
<br>
<p>Dogs must be registered in the city before April 1st each year.</p><br><p>Please fill out this form.</p>
<form id="dogappform">
    <label for="fname">Owner's First Name</label>
    <input type="text" id="fname" name="fname">
    <label for="initial">Owner's Middle Initial</label>
    <input type="text" id="initial" name="initial">
    <label for="lname">Owner's Last Name</label>
    <input type="text" id="lname" name="lname"><br>

    <label for="address">Residential Address</label>
    <input type="text" id="address" name="address">
    <label for="apartment">Residential Address</label>
    <input type="text" id="apartment" name="apartment"><br>

    <label for="email1">Primary Email</label>
    <input type="email" id="email1" name="email1">
    <label for="email2">Secondary Email</label>
    <input type="email" id="email2" name="email2"><br>

    <label for="city">City</label>
    <input type="text" id="city" name="city">
    <label for="state">State</label>
    <input type="text" id="state" name="state">
    <label for="zip">Zip</label>
    <input type="number" id="zip" name="zip"><br>

    <label for="phone1">Home Phone #</label>
    <input type="number" id="phone1" name="phone1">
    <label for="phone2">Work Phone #</label>
    <input type="number" id="phone2" name="phone2">
    <label for="phone3">Alt. Phone #</label>
    <input type="number" id="phone3" name="phone3"><br>

    <label for="dogtype">Dog Primary/Secondary Breed</label>
    <input type="text" id="dogtype" name="dogtype">
    <input list="sex">
    <datalist id="dogsex">
        <option value="Male"></option>
        <option value="Female"></option>
    </datalist>
    <input type="checkbox" id="isaltered" name="isaltered" value="Altered">
    <label for="altered">Altered</label>
    <input type="checkbox" id="unaltered" name="unaltered" value="Unaltered">
    <label for="unaltered">Unaltered</label><br>

    <label for="dogname">Dog's Name</label>
    <input type="text" id="dogtype" name="dogtype">
    <label for="dogcolor">Color(s)</label>
    <input type="text" id="dogcolor" name="dogcolor">
    <label for="dogwgt">Weight</label>
    <input type="number" id="dogwgt" name="dogwgt">
    <label for="dogage">Agw/Birthdate</label>
    <input type="date" id="dogage" name="dogage"><br>

    <label for="proof">Proof of Companionship</label>
    <input type="file" id="proof" name="proof">
    <label for="vacc">Vaccination Records</label>
    <input type="file" id="vacc" name="vacc">
    <span><small>Please provide the most recent copy of your dog's vaccination records.</small></span><br>

    <input type="submit" value="Submit">
</form>

<script>
    function
</script>