[md-form]
[md-radio label="New or Existing Client?" display="inline"] New ClientExisting Client[/md-radio]
[md-text label="Drop-off Date" outlined="yes"][/md-text]
[md-text label="Drop-off Time" outlined="yes"][/md-text]
[md-select label="Boarding Location" outlined="yes"]—Please choose an option—CityVet - AddisonCityVet - AllianceCityVet - Capitol HillCityVet - Flower MoundCityVet - FriscoCityVet - Lovers LaneCityVet - Mid-CitiesCityVet - Oak LawnCityVet - Preston ForestCityVet - Preston HollowCityVet - Preston ParkCityVet - Prosper Windsong RanchCityVet - UptownCityVet - White RockRuffit - Oak LawnRuffit - Preston Forest[/md-select]
[md-checkbox label="Save time and money by adding in our other services listed below while your pet stays with us:" display="inline"]Vet CareBathGroomDayPlay
[/md-checkbox]
[md-text label="Your Name" outlined="yes"][/md-text]
[md-text label="Phone" outlined="yes"][/md-text]
[md-text label="Email" outlined="yes"][/md-text]
[md-text label="Pet's Name" outlined="yes"][/md-text]
[/md-form]