Member/Guest Feedback Form Let us know how we are doing! <form-template> <fields> <field type="text" subtype="text" required="true" label="First Name" class="form-control text-input" name="text-1620757874971" value="First Name"></field> <field type="text" subtype="text" required="true" label="Last Name" class="form-control text-input" name="text-1620757873772" value="Last Name"></field> <field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1620757872553" value="Phone Number"></field> <field type="text" subtype="email" required="true" label="Email" class="form-control text-input" name="text-1620757871340" value="Email"></field> <field type="date" required="true" label="Date Field" class="form-control calendar" name="date-1650550393292"></field> <field type="select" required="true" label="What is your feedback regarding?" class="form-control select" name="select-1620757937685"> <option value="Child Minding">Child Minding</option> <option value="Food Services">Food Services</option> <option value="Facility">Facility</option> <option value="Guest Services">Guest Services</option> <option value="Health & Safety">Health & Safety</option> <option value="Memberships/Admission">Memberships/Admission</option> <option value="Outdoor Aquatic Centre">Outdoor Aquatic Centre</option> <option value="Programs">Programs</option> <option value="Room Rentals">Room Rentals</option> <option value="Other">Other</option> </field> <field type="textarea" required="true" label="Comments/Concerns" class="form-control text-area" name="textarea-1620758088108" value="Comments/Concerns"></field> <field type="header" subtype="h3" label="FOIP Statement" class="header"></field> <field type="paragraph" subtype="p" label="Personal information collected through this online comment form will be used for the sole purpose of providing input and assisting in the evaluation and administration of programs and services provided by the Town of Blackfalds. This personal information is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act (FOIP) and is protected under the FOIP Act. If you have questions regarding or concerns about the collection and use of this information, please contact the Town of Blackfalds FOIP Coordinator at 403.885.6370 or by email at foip@blackfalds.ca." class="paragraph"></field> </fields> </form-template> Submit Submitting...
