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 and Safety">Health and 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 provided through this online form will be used for the sole purpose of providing input and assisting in the evaluation and administration of programs and services offered by the Town of Blackfalds. This information is collected under the authority of Section 4(c) of the Protection of Privacy Act and will be protected under Part 1 of the Act. Questions regarding the collection and/or use of this information may be directed to the Information Governance Coordinator at access@blackfalds.ca or by phone at 403.885.6370." class="paragraph"></field> </fields> </form-template> Submit Submitting...
