{"id":4924,"date":"2017-09-26T14:56:32","date_gmt":"2017-09-26T18:56:32","guid":{"rendered":"https:\/\/spa-quebec.ca\/ancien-site\/?page_id=4924"},"modified":"2022-01-16T16:34:16","modified_gmt":"2022-01-16T21:34:16","slug":"signalement","status":"publish","type":"page","link":"https:\/\/spa-quebec.ca\/ancien-site\/signalement\/","title":{"rendered":"Signalement"},"content":{"rendered":"<style type=\"text\/css\"><\/style><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_21' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_21'  action='\/ancien-site\/wp-json\/wp\/v2\/pages\/4924' data-formid='21' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_21' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_21_28\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">INFORMATION SUR L&#039;ANIMAL<\/h2><\/li><li id=\"field_21_1\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_1'>Date de la perte de l&#039;animal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_1' id='input_21_1' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='jj\/mm\/aaaa' aria-describedby=\"input_21_1_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_21_1_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_1' class='gform_hidden' value='https:\/\/spa-quebec.ca\/ancien-site\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_21_68\" class=\"gfield gfield--type-time gfield--input-type-time gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Heure de la perte de votre animal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_21_68'>\n                            <input type='number' maxlength='2' name='input_68[]' id='input_21_68_1' value=''  min='0' max='24' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_21_68_1'>Heures<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_68[]' id='input_21_68_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_21_68_2'>Minutes<\/label>\n                        <\/div>\n                        \n                    <\/div><\/div><\/li><li id=\"field_21_2\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_2'>Ville de la perte de l&#039;animal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_21_2' class='medium gfield_select'  aria-describedby=\"gfield_description_21_2\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='Arr. 1 La Cit\u00e9-Limoilou' >Arr. 1 La Cit\u00e9-Limoilou<\/option><option value='Arr. 2 Les Rivi\u00e8res\/Vanier' >Arr. 2 Les Rivi\u00e8res\/Vanier<\/option><option value='Arr. 2 Les Rivi\u00e8res\/Qu\u00e9bec' >Arr. 2 Les Rivi\u00e8res\/Qu\u00e9bec<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Ste-Foy' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Ste-Foy<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Sillery' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Sillery<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Cap Rouge' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Cap Rouge<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Champigny-Chauveau' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Champigny-Chauveau<\/option><option value='Arr. 4 Charlesbourg' >Arr. 4 Charlesbourg<\/option><option value='Arr. 5 Beauport' >Arr. 5 Beauport<\/option><option value='Arr. 6 La-Haute-St-Charles Lac St-Charles' >Arr. 6 La-Haute-St-Charles Lac St-Charles<\/option><option value='Arr. 6 La-Haute-St-Charles Loretteville' >Arr. 6 La-Haute-St-Charles Loretteville<\/option><option value='Arr. 6 La-Haute-St-Charles Qu\u00e9bec' >Arr. 6 La-Haute-St-Charles Qu\u00e9bec<\/option><option value='Arr. 6 La-Haute-St-Charles St-\u00c9mile' >Arr. 6 La-Haute-St-Charles St-\u00c9mile<\/option><option value='Arr. 6 La-Haute-St-Charles Val B\u00e9lair' >Arr. 6 La-Haute-St-Charles Val B\u00e9lair<\/option><option value='Ange-Gardien' >Ange-Gardien<\/option><option value='Boischatel' >Boischatel<\/option><option value='Ch\u00e2teau Richer' >Ch\u00e2teau Richer<\/option><option value='Fossambault-sur-le-Lac' >Fossambault-sur-le-Lac<\/option><option value='Lac-Beauport' >Lac-Beauport<\/option><option value='Lac Delage' >Lac Delage<\/option><option value='Neuville' >Neuville<\/option><option value='Saint-Agapit' >Saint-Agapit<\/option><option value='Saint-Augustin' >Saint-Augustin<\/option><option value='Saint-Basile' >Saint-Basile<\/option><option value='Saint-Gabriel' >Saint-Gabriel<\/option><option value='Saint-Gilles' >Saint-Gilles<\/option><option value='Sainte-Anne-de Beaupr\u00e9' >Sainte-Anne-de Beaupr\u00e9<\/option><option value='Sainte-Brigitte' >Sainte-Brigitte<\/option><option value='Sainte-Catherine-de-la-Jacques-Cartier' >Sainte-Catherine-de-la-Jacques-Cartier<\/option><option value='Shannon' >Shannon<\/option><option value='Stoneham et Tewkesbury' >Stoneham et Tewkesbury<\/option><option value='Village Huron' >Village Huron<\/option><option value='- Autres -' >- Autres -<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_21_2'>Faites un choix SVP<\/div><\/li><li id=\"field_21_52\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_52'>Sp\u00e9cifier la ville<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_21_52' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_3'>\n\t\t\t<li class='gchoice gchoice_21_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='Chien'  id='choice_21_3_0'    \/>\n\t\t\t\t<label for='choice_21_3_0' id='label_21_3_0' class='gform-field-label gform-field-label--type-inline'>Chien<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='Chat'  id='choice_21_3_1'    \/>\n\t\t\t\t<label for='choice_21_3_1' id='label_21_3_1' class='gform-field-label gform-field-label--type-inline'>Chat<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='Autre'  id='choice_21_3_2'    \/>\n\t\t\t\t<label for='choice_21_3_2' id='label_21_3_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sexe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_12'>\n\t\t\t<li class='gchoice gchoice_21_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='M\u00e2le'  id='choice_21_12_0'    \/>\n\t\t\t\t<label for='choice_21_12_0' id='label_21_12_0' class='gform-field-label gform-field-label--type-inline'>M\u00e2le<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Femelle'  id='choice_21_12_1'    \/>\n\t\t\t\t<label for='choice_21_12_1' id='label_21_12_1' class='gform-field-label gform-field-label--type-inline'>Femelle<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_11\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_11'>Nom de l&#039;animal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_21_11' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_4\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_4'>Race<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_21_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_14\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_14'>\u00c2ge<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_21_14' type='text' value='' class='medium'  aria-describedby=\"gfield_description_21_14\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_21_14'>(Pr\u00e9cisez en semaines, mois ou ann\u00e9es) <\/div><\/li><li id=\"field_21_13\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_13'>Poids<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_21_13' type='text' value='' class='medium'  aria-describedby=\"gfield_description_21_13\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_21_13'>(Indiquez le poids approximatif en livres) <\/div><\/li><li id=\"field_21_72\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_72'>Couleur (Chien)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_21_72' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Noir' >Noir<\/option><option value='Blanc' >Blanc<\/option><option value='Bleu' >Bleu<\/option><option value='Brun' >Brun<\/option><option value='Roux' >Roux<\/option><option value='Blond' >Blond<\/option><option value='Tricolore' >Tricolore<\/option><option value='Bring\u00e9' >Bring\u00e9<\/option><option value='Silver' >Silver<\/option><option value='Cr\u00e8me' >Cr\u00e8me<\/option><option value='Noir et feu' >Noir et feu<\/option><option value='Brun et feu' >Brun et feu<\/option><option value='Roux et blanc' >Roux et blanc<\/option><option value='Brun et blanc' >Brun et blanc<\/option><option value='Noir et blanc' >Noir et blanc<\/option><option value='Bring\u00e9 et blanc' >Bring\u00e9 et blanc<\/option><option value='Bleu et blanc' >Bleu et blanc<\/option><option value='Arlequin' >Arlequin<\/option><option value='Cr\u00e8me et blanc' >Cr\u00e8me et blanc<\/option><option value='Fauve masqu\u00e9' >Fauve masqu\u00e9<\/option><option value='Gris' >Gris<\/option><option value='Tachet\u00e9 noir et blanc' >Tachet\u00e9 noir et blanc<\/option><option value='Tachet\u00e9 brun et blanc' >Tachet\u00e9 brun et blanc<\/option><option value='Tachet\u00e9 cr\u00e8me et blanc' >Tachet\u00e9 cr\u00e8me et blanc<\/option><option value='Rouge tricolore' >Rouge tricolore<\/option><option value='Rouge merle' >Rouge merle<\/option><option value='Bleu merle' >Bleu merle<\/option><option value='Merle Tricolore' >Merle Tricolore<\/option><option value='Noir et sable' >Noir et sable<\/option><option value='Noir et silver' >Noir et silver<\/option><option value='Fum\u00e9' >Fum\u00e9<\/option><option value='Gris et blanc' >Gris et blanc<\/option><option value='Bleu mouchet\u00e9' >Bleu mouchet\u00e9<\/option><option value='Brun mouchet\u00e9' >Brun mouchet\u00e9<\/option><option value='Rouge mouchet\u00e9' >Rouge mouchet\u00e9<\/option><option value='Noir mouchet\u00e9' >Noir mouchet\u00e9<\/option><\/select><\/div><\/li><li id=\"field_21_73\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_73'>Couleur (Chat)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_21_73' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Blanc' >Blanc<\/option><option value='Bleu et blanc' >Bleu et blanc<\/option><option value='Bleu fume' >Bleu fume<\/option><option value='Bleu point' >Bleu point<\/option><option value='Bleu' >Bleu<\/option><option value='Brown spotted\u00a0\u00a0(Brun tachet\u00e9)' >Brown spotted\u00a0\u00a0(Brun tachet\u00e9)<\/option><option value='Brun et blanc' >Brun et blanc<\/option><option value='Brun' >Brun<\/option><option value='Calico (noir, roux et blanc)' >Calico (noir, roux et blanc)<\/option><option value='Calico dilu\u00e9 (bleu, cr\u00e8me et blanc)' >Calico dilu\u00e9 (bleu, cr\u00e8me et blanc)<\/option><option value='Chinchillas (blanc fum\u00e9)' >Chinchillas (blanc fum\u00e9)<\/option><option value='Chocolat point' >Chocolat point<\/option><option value='\u00c9caille de tortue (noir et roux)' >\u00c9caille de tortue (noir et roux)<\/option><option value='\u00c9caille de tortue dilu\u00e9 (Bleu et cr\u00e8me' >\u00c9caille de tortue dilu\u00e9 (Bleu et cr\u00e8me<\/option><option value='Fauve' >Fauve<\/option><option value='Li\u00e8vre' >Li\u00e8vre<\/option><option value='Lilac point' >Lilac point<\/option><option value='Noir et blanc' >Noir et blanc<\/option><option value='Noir' >Noir<\/option><option value='Red\/Flame point' >Red\/Flame point<\/option><option value='Seal point' >Seal point<\/option><option value='Silver spotted\u00a0\u00a0(Bleu tachet\u00e9)' >Silver spotted\u00a0\u00a0(Bleu tachet\u00e9)<\/option><option value='Smokey (Noir fum\u00e9)' >Smokey (Noir fum\u00e9)<\/option><option value='Snow spotted\u00a0\u00a0(Blanc tachet\u00e9)' >Snow spotted\u00a0\u00a0(Blanc tachet\u00e9)<\/option><option value='Tabby bleu et blanc' >Tabby bleu et blanc<\/option><option value='Tabby bleu' >Tabby bleu<\/option><option value='Tabby brun et blanc' >Tabby brun et blanc<\/option><option value='Tabby brun' >Tabby brun<\/option><option value='Tabby noir' >Tabby noir<\/option><option value='Tabby point' >Tabby point<\/option><option value='Tabby roux\/cr\u00e8me et blanc' >Tabby roux\/cr\u00e8me et blanc<\/option><option value='Tabby roux\/Cr\u00e8me' >Tabby roux\/Cr\u00e8me<\/option><option value='Torbie (Tabby calico)' >Torbie (Tabby calico)<\/option><option value='Torbie dilu\u00e9 (tabby calico dilu\u00e9)' >Torbie dilu\u00e9 (tabby calico dilu\u00e9)<\/option><\/select><\/div><\/li><li id=\"field_21_71\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_71'>Couleur (Autre)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_21_71' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Noir' >Noir<\/option><option value='Blanc' >Blanc<\/option><option value='Gris' >Gris<\/option><option value='Li\u00e8vre' >Li\u00e8vre<\/option><option value='Cr\u00e8me' >Cr\u00e8me<\/option><option value='Tricolore' >Tricolore<\/option><option value='Blanc et noir' >Blanc et noir<\/option><option value='Brun et blanc' >Brun et blanc<\/option><option value='Cr\u00e8me et blanc' >Cr\u00e8me et blanc<\/option><option value='Brun et noir' >Brun et noir<\/option><option value='Roux et blanc' >Roux et blanc<\/option><option value='Lilac' >Lilac<\/option><option value='Roux' >Roux<\/option><option value='Lilac point' >Lilac point<\/option><option value='Red\/flame point' >Red\/flame point<\/option><option value='Seal point' >Seal point<\/option><option value='Chocolat point' >Chocolat point<\/option><option value='Arlequin' >Arlequin<\/option><option value='Brun masqu\u00e9' >Brun masqu\u00e9<\/option><option value='Chichillas' >Chichillas<\/option><option value='Smokey' >Smokey<\/option><option value='Gris et roux' >Gris et roux<\/option><option value='Bring\u00e9' >Bring\u00e9<\/option><option value='Jaune' >Jaune<\/option><option value='Bleu' >Bleu<\/option><option value='Bleu et blanc' >Bleu et blanc<\/option><option value='Gris, jaune et rouge' >Gris, jaune et rouge<\/option><option value='Rouge, orange, jaune et vert' >Rouge, orange, jaune et vert<\/option><option value='Vert' >Vert<\/option><option value='Gris' >Gris<\/option><option value='Noir jaune, vert' >Noir jaune, vert<\/option><option value='Rouge et vert' >Rouge et vert<\/option><option value='Rose' >Rose<\/option><option value='Blanc' >Blanc<\/option><option value='Bleu, jaune, vert, rouge' >Bleu, jaune, vert, rouge<\/option><option value='Noir vert rouge' >Noir vert rouge<\/option><\/select><\/div><\/li><li id=\"field_21_50\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_50'>Tigr\u00e9 ou Non-Tigr\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_50' id='input_21_50' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='Tigr\u00e9' >Tigr\u00e9<\/option><option value='Non-tigr\u00e9' >Non-tigr\u00e9<\/option><\/select><\/div><\/li><li id=\"field_21_6\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_6'>Oreilles<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_21_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='Taill\u00e9es' >Taill\u00e9es<\/option><option value='Cass\u00e9es' >Cass\u00e9es<\/option><option value='Pendantes' >Pendantes<\/option><option value='Dress\u00e9es' >Dress\u00e9es<\/option><\/select><\/div><\/li><li id=\"field_21_17\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_17'>Queue<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_21_17' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='Longue' >Longue<\/option><option value='Courte' >Courte<\/option><option value='Roul\u00e9e' >Roul\u00e9e<\/option><option value='Coup\u00e9e' >Coup\u00e9e<\/option><\/select><\/div><\/li><li id=\"field_21_15\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_15'>Poils<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_21_15' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='Courts' >Courts<\/option><option value='Mi-longs' >Mi-longs<\/option><option value='Longs' >Longs<\/option><option value='Ras\u00e9' >Ras\u00e9<\/option><\/select><\/div><\/li><li id=\"field_21_55\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_55'>Est-il d\u00e9griff\u00e9?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_21_55' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='2 pattes' >2 pattes<\/option><option value='4 pattes' >4 pattes<\/option><option value='Non' >Non<\/option><\/select><\/div><\/li><li id=\"field_21_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Est-il st\u00e9rilis\u00e9?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_7'>\n\t\t\t<li class='gchoice gchoice_21_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Oui'  id='choice_21_7_0'    \/>\n\t\t\t\t<label for='choice_21_7_0' id='label_21_7_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='Non'  id='choice_21_7_1'    \/>\n\t\t\t\t<label for='choice_21_7_1' id='label_21_7_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_56\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_56'>Portait-il un collier?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_21_56' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='Oui' >Oui<\/option><option value='Non' >Non<\/option><\/select><\/div><\/li><li id=\"field_21_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gf_left_half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_19'>Description du collier<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_21_19' class='textarea medium'  aria-describedby=\"gfield_description_21_19\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_21_19'>(mat\u00e9riel et couleur) <\/div><\/li><li id=\"field_21_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_21'>Autres d\u00e9tails (signes distinctifs)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_21_21' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_21_22\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_22'>No de micropuce<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_21_22' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_23\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_23'>No de licence de la ville<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_21_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_24\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_24'>Ville de la licence<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_21_24' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Faites un choix si l&#039;animal poss\u00e8de une licence' >Faites un choix si l&#039;animal poss\u00e8de une licence<\/option><option value='Ange-Gardien' >Ange-Gardien<\/option><option value='Boischatel' >Boischatel<\/option><option value='Ch\u00e2teau Richer' >Ch\u00e2teau Richer<\/option><option value='Fossambault-sur-le-Lac' >Fossambault-sur-le-Lac<\/option><option value='Lac-Beauport' >Lac-Beauport<\/option><option value='Lac Delage' >Lac Delage<\/option><option value='Neuville' >Neuville<\/option><option value='Qu\u00e9bec - La Cit\u00e9-Limoilou' >Qu\u00e9bec - La Cit\u00e9-Limoilou<\/option><option value='Qu\u00e9bec - Les Rivi\u00e8res\/Vanier' >Qu\u00e9bec - Les Rivi\u00e8res\/Vanier<\/option><option value='Qu\u00e9bec - Les Rivi\u00e8res\/Qu\u00e9bec' >Qu\u00e9bec - Les Rivi\u00e8res\/Qu\u00e9bec<\/option><option value='Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Ste-Foy' >Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Ste-Foy<\/option><option value='Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Sillery' >Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Sillery<\/option><option value='Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Cap Rouge' >Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Cap Rouge<\/option><option value='Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Champigny-Chauveau' >Qu\u00e9bec - Ste-Foy-Sillery-Cap Rouge Champigny-Chauveau<\/option><option value='Qu\u00e9bec - Charlesbourg' >Qu\u00e9bec - Charlesbourg<\/option><option value='Qu\u00e9bec - Beauport' >Qu\u00e9bec - Beauport<\/option><option value='Qu\u00e9bec - La-Haute-St-Charles Lac St-Charles' >Qu\u00e9bec - La-Haute-St-Charles Lac St-Charles<\/option><option value='Qu\u00e9bec - La-Haute-St-Charles Loretteville' >Qu\u00e9bec - La-Haute-St-Charles Loretteville<\/option><option value='Qu\u00e9bec - La-Haute-St-Charles Qu\u00e9bec' >Qu\u00e9bec - La-Haute-St-Charles Qu\u00e9bec<\/option><option value='Qu\u00e9bec - La-Haute-St-Charles St-\u00c9mile' >Qu\u00e9bec - La-Haute-St-Charles St-\u00c9mile<\/option><option value='Qu\u00e9bec - La-Haute-St-Charles Val B\u00e9lair' >Qu\u00e9bec - La-Haute-St-Charles Val B\u00e9lair<\/option><option value='Saint-Agapit' >Saint-Agapit<\/option><option value='Saint-Augustin' >Saint-Augustin<\/option><option value='Saint-Basile' >Saint-Basile<\/option><option value='Saint-Gabriel' >Saint-Gabriel<\/option><option value='Saint-Gilles' >Saint-Gilles<\/option><option value='Shannon' >Shannon<\/option><option value='Ste-Anne-de Beaupr\u00e9' >Ste-Anne-de Beaupr\u00e9<\/option><option value='Sainte-Brigitte' >Sainte-Brigitte<\/option><option value='Sainte-Catherine-de-la-Jacques-Cartier' >Sainte-Catherine-de-la-Jacques-Cartier<\/option><option value='Stoneham et Tewkesbury' >Stoneham et Tewkesbury<\/option><option value='- Autres -' >- Autres -<\/option><\/select><\/div><\/li><li id=\"field_21_25\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_25'>Ann\u00e9e de la licence<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_21_25' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_26\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_26'>No de tatouage<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_21_26' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_27\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_27'>Endroit du tatouage<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_21_27' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_47\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_47'>Num\u00e9ro de m\u00e9daille v\u00e9t\u00e9rinaire<\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_21_47' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_48\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_48'>Ann\u00e9e de m\u00e9daille v\u00e9t\u00e9rinaire<\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_21_48' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_10\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_10'>Joindre une photo de l&#039;animal<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_10' id='input_21_10' type='file' class='medium' aria-describedby=\"gfield_upload_rules_21_10\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_21_10'>Taille max. des fichiers\u00a0: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_21_10'><\/div> <\/div><\/li><li id=\"field_21_42\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >La photo de votre animal est un outil essentiel servant \u00e0 faciliter son identification parmi les dizaines d'animaux qui entrent au refuge chaque jour et pour lesquels nous recherchons leur propri\u00e9taire. Dans l'impossibilit\u00e9 de fournir une photo de votre animal, nous vous sugg\u00e9rons de venir confirmer sa description avec un pr\u00e9pos\u00e9 du refuge. \n<br><br>\nSaviez-vous qu'il peut y avoir 8 chats noirs, m\u00e2les, non castr\u00e9s au refuge au m\u00eame moment et qu'en 2013, ce sont pr\u00e8s de 3 000 citoyens qui ont fait un avis de recherche pour un animal perdu. Plus votre description est pr\u00e9cise, plus les chances de voir rapidement votre animal revenir \u00e0 la maison sont \u00e9lev\u00e9es! \n<\/li><li id=\"field_21_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">INFORMATIONS SUR LE PROPRI\u00c9TAIRE DE L&#039;ANIMAL<\/h2><\/li><li id=\"field_21_32\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Nous vous prions de vous r\u00e9f\u00e9rer aussi \u00e0 votre ville si la SPA de Qu\u00e9bec n'est pas votre fourri\u00e8re officielle. Pour consulter les municipalit\u00e9s desservies par la SPA, <a href=\"http:\/\/spadequebec.com\/a-propos\/municipalites-desservies\/\">cliquez ici<\/a>.\n\nCes informations resteront confidentielles.\nElles seront utilis\u00e9es dans le cas o\u00f9 un animal aurait \u00e9t\u00e9 retrouv\u00e9.\n<\/li><li id=\"field_21_60\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_60'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_21_60' type='text' value='' class='medium'  aria-describedby=\"gfield_description_21_60\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_21_60'>Pr\u00e9nom<\/div><\/li><li id=\"field_21_59\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_59'>Nom de famille<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_21_59' type='text' value='' class='medium'  aria-describedby=\"gfield_description_21_59\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_21_59'>Nom<\/div><\/li><li id=\"field_21_61\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_61'>Num\u00e9ro civique<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_21_61' type='text' value='' class='medium'  aria-describedby=\"gfield_description_21_61\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_21_61'>Nom<\/div><\/li><li id=\"field_21_62\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_62'>Num\u00e9ro d&#039;appartement<\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_21_62' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_64\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_64'>Pr\u00e9fixe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_64' id='input_21_64' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Route' >Route<\/option><option value='Rue' >Rue<\/option><option value='Avenue' >Avenue<\/option><option value='Boulevard' >Boulevard<\/option><option value='Chemin' >Chemin<\/option><option value='Carr\u00e9' >Carr\u00e9<\/option><option value='Carrefour' >Carrefour<\/option><option value='Rang' >Rang<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/li><li id=\"field_21_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_38'>Nom de rue<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_21_38' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_39\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_39'>Ville<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_21_39' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_70\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_70'>Arrondissement (si ville Qu\u00e9bec)<\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_21_70' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Faites un choix SVP' >Faites un choix SVP<\/option><option value='Arr. 1 La Cit\u00e9-Limoilou' >Arr. 1 La Cit\u00e9-Limoilou<\/option><option value='Arr. 2 Les Rivi\u00e8res\/Vanier' >Arr. 2 Les Rivi\u00e8res\/Vanier<\/option><option value='Arr. 2 Les Rivi\u00e8res\/Qu\u00e9bec' >Arr. 2 Les Rivi\u00e8res\/Qu\u00e9bec<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Ste-Foy' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Ste-Foy<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Sillery' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Sillery<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Cap Rouge' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Cap Rouge<\/option><option value='Arr. 3 Ste-Foy-Sillery-Cap Rouge Champigny-Chauveau' >Arr. 3 Ste-Foy-Sillery-Cap Rouge Champigny-Chauveau<\/option><option value='Arr. 4 Charlesbourg' >Arr. 4 Charlesbourg<\/option><option value='Arr. 5 Beauport' >Arr. 5 Beauport<\/option><option value='Arr. 6 La-Haute-St-Charles Lac St-Charles' >Arr. 6 La-Haute-St-Charles Lac St-Charles<\/option><option value='Arr. 6 La-Haute-St-Charles Loretteville' >Arr. 6 La-Haute-St-Charles Loretteville<\/option><option value='Arr. 6 La-Haute-St-Charles Qu\u00e9bec' >Arr. 6 La-Haute-St-Charles Qu\u00e9bec<\/option><option value='Arr. 6 La-Haute-St-Charles St-\u00c9mile' >Arr. 6 La-Haute-St-Charles St-\u00c9mile<\/option><option value='Arr. 6 La-Haute-St-Charles Val B\u00e9lair' >Arr. 6 La-Haute-St-Charles Val B\u00e9lair<\/option><\/select><\/div><\/li><li id=\"field_21_40\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_40'>Code Postal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_21_40' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_65\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_65'>Province<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_21_65' type='text' value='Qu\u00e9bec' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_66\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_66'>Pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_21_66' type='text' value='Canada' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_36\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_36'>T\u00e9l\u00e9phone 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_36' id='input_21_36' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_37\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_37'>T\u00e9l\u00e9phone 2<\/label><div class='ginput_container ginput_container_phone'><input name='input_37' id='input_21_37' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_67\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_67'>E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_21_67' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_21_43\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Nous autorisez-vous \u00e0 divulguer vos coordonn\u00e9es si un citoyen trouve un animal correspondant au v\u00f4tre (nom et T\u00e9l\u00e9phone uniquement). Si vous ne cochez pas la case suivante, nous ne divulgerons pas vos coordonn\u00e9es. <\/li><li id=\"field_21_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Confirmation de l&#039;\u00e9nonc\u00e9<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_21_31'><li class='gchoice gchoice_21_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='J&#039;accepte que mes coordonn\u00e9es soient divulg\u00e9es (nom et num\u00e9ro de t\u00e9l\u00e9phone uniquement)'  id='choice_21_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_31_1' id='label_21_31_1' class='gform-field-label gform-field-label--type-inline'>J'accepte que mes coordonn\u00e9es soient divulg\u00e9es (nom et num\u00e9ro de t\u00e9l\u00e9phone uniquement)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_44\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Mon avis est valide pour deux(2) semaines uniquement. Pour renouveler mon avis, je dois composer le 418 527-9104, deux(2) semaines suivant l'envoi de cet avis. Je comprends, que certains frais sont li\u00e9s \u00e0 la r\u00e9clamation d'un animal \u00e0 la SPA.<\/li><li id=\"field_21_30\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Confirmation de l&#039;\u00e9nonc\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_21_30'><li class='gchoice gchoice_21_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Je confirme avoir pris connaissance de l&#039;\u00e9nonc\u00e9 ci-dessus.'  id='choice_21_30_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_30_1' id='label_21_30_1' class='gform-field-label gform-field-label--type-inline'>Je confirme avoir pris connaissance de l'\u00e9nonc\u00e9 ci-dessus.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_51\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_51'>CAPTCHA<\/label><div id='input_21_51' class='ginput_container ginput_recaptcha' data-sitekey='6Lfy-TcUAAAAADBA8zAQVQy4VJm-fIWIuWFSeqF5'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_21' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer le formulaire'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_21' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_21' id='gform_theme_21' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_21' id='gform_style_settings_21' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_21' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='21' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_21' 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