Appointment Form – Serene Nest Care

${ parent.decodeEntities(`Name`) } { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-your-name" as=${html``} />

${ parent.decodeEntities(`Phone`) } parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-phone" as=${html``} />

${ parent.decodeEntities(`Email`) } parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-email" as=${html``} />

${ parent.decodeEntities(`Select Service`) } <${props.Select} className=${"mf-input mf-input-select " + ( validation.errors['mf-doctor'] ? 'mf-invalid' : '' )} classNamePrefix="mf_select" name="mf-doctor" placeholder="${ parent.decodeEntities(`Select Service`) } " isSearchable=${false} options=${[{"label":"Room Cleaning","value":"value-1","isDisabled":false},{"label":"Window Cleaning","value":"value-1","isDisabled":false},{"label":"Toilet Cleaning","value":"value-1","isDisabled":false},{"label":"Garden Cleaning","value":"value-1","isDisabled":false},{"label":"Kitchen Cleaning","value":"value-1","isDisabled":false}]} value=${parent.getValue("mf-doctor") ? [{"label":"Room Cleaning","value":"value-1","isDisabled":false},{"label":"Window Cleaning","value":"value-1","isDisabled":false},{"label":"Toilet Cleaning","value":"value-1","isDisabled":false},{"label":"Garden Cleaning","value":"value-1","isDisabled":false},{"label":"Kitchen Cleaning","value":"value-1","isDisabled":false}].filter(item => item.value === parent.getValue("mf-doctor"))[0] : []} onChange=${(e)=> parent.handleSelect(e, "mf-doctor")} ref=${() => { register({ name: "mf-doctor" }, parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false})); if ( parent.getValue("mf-doctor") === '' && false ) { parent.setValue( 'mf-doctor', '', true ); parent.handleChange({ target: { name: 'mf-doctor', value: '' } }); } }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-doctor" as=${html``} />

${ parent.decodeEntities(`Date`) } <${props.Flatpickr} name="mf-date" className="mf-input mf-date-input mf-left-parent " placeholder="${ parent.decodeEntities(`dd/mm/yy`) } " options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}} value=${parent.getValue('mf-date')} onInput=${parent.handleDateTime} aria-invalid=${validation.errors['mf-date'] ? 'true' : 'false'} ref=${el => props.DateWidget( el, '', {"message":"This field is required.","required":false}, register, parent )} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-date" as=${html``} />

${ parent.decodeEntities(`Time`) } <${props.Flatpickr} name="mf-time" className="mf-input mf-date-input mf-time-input mf-left-parent " placeholder="${ parent.decodeEntities(`-- : --`) } " options=${{"enableTime":true,"dateFormat":"h:i K","noCalendar":true,"time_24hr":false,"static":true}} value=${parent.getValue('mf-time')} onInput=${parent.handleDateTime} aria-invalid=${validation.errors['mf-time'] ? 'true' : 'false'} ref=${ el => { if( el && el.node.nextSibling ) { if( el.props.value.trim().length ) { el.node.nextSibling.classList.add('value-found'); }else { el.node.nextSibling.classList.remove('value-found'); } } register({ name: "mf-time" }, parent.activateValidation({"message":"This field is required.","required":false})) } } /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-time" as=${html``} />

${ parent.decodeEntities(`Message`) } <${validation.ErrorMessage} errors=${validation.errors} name="mf-message" as=${html``} />

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