{"id":59354,"date":"2025-04-28T13:22:46","date_gmt":"2025-04-28T20:22:46","guid":{"rendered":"https:\/\/bajapetwellcare.com\/?page_id=59354"},"modified":"2025-09-23T15:23:09","modified_gmt":"2025-09-23T22:23:09","slug":"enrollment","status":"publish","type":"page","link":"https:\/\/bajapetwellcare.com\/en\/inscripcion\/","title":{"rendered":"Enrollment"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1745872129816\">\n<div class=\"wpb_column vc_column_container vc_col-sm-12\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element\" >\n<div class=\"wpb_wrapper\">\n<h4><strong>Mexsalud Mascotas Annual Membership \u2013 $55.00 USD<\/strong><\/h4>\n<p><strong><span style=\"color: #ff0000;\">*Once the form is completed, you will be redirected to the shopping cart.<\/span><\/strong><\/p>\n<\/p><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"vc_row wpb_row vc_row-fluid\">\n<div class=\"wpb_column vc_column_container vc_col-sm-9\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element\" >\n<div class=\"wpb_wrapper\">\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-58839 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-58839\" data-uid=\"69e26822b2d5b\"><\/div>\n<form\n\t\t\t\tid=\"forminator-module-58839\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-58839 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"58839\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69e26822b2d5b\" action=\"\"\n\t\t\t><\/p>\n<div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div>\n<div class=\"forminator-row\">\n<div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\">\n<div class=\"forminator-field\">\n<h2 class=\"forminator-title\">Owner Information<\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\">\n<div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\">\n<div class=\"forminator-col forminator-col-md-6\">\n<div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69e26822b2d5b\" id=\"forminator-field-first-name-1_69e26822b2d5b-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"E.g. John\" id=\"forminator-field-first-name-1_69e26822b2d5b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div>\n<\/div>\n<div class=\"forminator-col forminator-col-md-6\">\n<div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69e26822b2d5b\" id=\"forminator-field-last-name-1_69e26822b2d5b-label\" class=\"forminator-label\">Last Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"E.g. Doe\" id=\"forminator-field-last-name-1_69e26822b2d5b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e26822b2d5b\" id=\"forminator-field-phone-1_69e26822b2d5b-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_69e26822b2d5b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e26822b2d5b\" id=\"forminator-field-email-1_69e26822b2d5b-label\" class=\"forminator-label\">Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69e26822b2d5b\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-text-1_69e26822b2d5b\" id=\"forminator-field-text-1_69e26822b2d5b-label\" class=\"forminator-label\">Social Network<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"E.g. facebook.com\/BajaPetBySIMNSA\" id=\"forminator-field-text-1_69e26822b2d5b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\">\n<div class=\"forminator-field\">\n<h2 class=\"forminator-title\">Pet Information<\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-text-2_69e26822b2d5b\" id=\"forminator-field-text-2_69e26822b2d5b-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"E.g. Bruno\" id=\"forminator-field-text-2_69e26822b2d5b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-form-58839__field--select-1_69e26822b2d5b\" id=\"forminator-form-58839__field--select-1_69e26822b2d5b-label\" class=\"forminator-label\">Species<\/label><select  id=\"forminator-form-58839__field--select-1_69e26822b2d5b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"canino\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-58839__field--select-1_69e26822b2d5b-label\"><option value=\"canino\" selected=\"selected\" data-calculation=\"0\">Canine<\/option><option value=\"felino\"  data-calculation=\"0\">Feline<\/option><\/select><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-text-3_69e26822b2d5b\" id=\"forminator-field-text-3_69e26822b2d5b-label\" class=\"forminator-label\">Breed <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-3_69e26822b2d5b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-form-58839__field--select-2_69e26822b2d5b\" id=\"forminator-form-58839__field--select-2_69e26822b2d5b-label\" class=\"forminator-label\">Sex<\/label><select  id=\"forminator-form-58839__field--select-2_69e26822b2d5b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-58839__field--select-2_69e26822b2d5b-label\"><option value=\"macho\"  data-calculation=\"0\">Male<\/option><option value=\"hembra\"  data-calculation=\"0\">Female<\/option><\/select><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-form-58839__field--select-3_69e26822b2d5b\" id=\"forminator-form-58839__field--select-3_69e26822b2d5b-label\" class=\"forminator-label\">Status<\/label><select  id=\"forminator-form-58839__field--select-3_69e26822b2d5b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-58839__field--select-3_69e26822b2d5b-label\"><option value=\"fertil\"  data-calculation=\"0\">Fertile<\/option><option value=\"esterilizado\"  data-calculation=\"0\">Spayed\/Neutered<\/option><\/select><\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row\">\n<div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\">\n<div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69e26822b2d5b\" id=\"forminator-field-date-1-picker_69e26822b2d5b-label\" class=\"forminator-label\">Date of Birth<\/label><\/p>\n<div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_69e26822b2d5b\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row forminator-hidden\">\n<div id=\"paypal-1\" class=\"forminator-field-paypal  forminator-col-12\"><input type=\"hidden\" name=\"paypal-1\" id=\"forminator-paypal-1-field_69e26822b2d5b\" class=\"forminator-paypal-input\" data-is-payment=\"true\" data-payment-type=\"paypal\" data-currency=\"usd\" data-amount-type=\"fixed\" data-amount=\"55\" data-label=\"\" data-locale=\"en\" value=\"\" \/><\/div>\n<\/div>\n<p><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" name=\"payment_gateway_total\" value=\"\" \/><\/p>\n<div class=\"forminator-row forminator-paypal-row\">\n<div class=\"forminator-col forminator-col-12\">\n<div class=\"forminator-field\">\n<div id=\"paypal-button-container-58839_69e26822b2d5b\" class=\"paypal-1-payment forminator-button-paypal\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"forminator-row forminator-row-last\">\n<div class=\"forminator-col\">\n<div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit form-boton-enviar\">Send &amp; Pay<\/button><\/div>\n<\/div>\n<\/div>\n<p><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"76327003c6\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/59354\" \/><input type=\"hidden\" name=\"form_id\" value=\"58839\"><input type=\"hidden\" name=\"page_id\" value=\"59354\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/bajapetwellcare.com\/en\/inscripcion\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<p>&nbsp;<\/p>\n<\/p><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wpb_column vc_column_container vc_col-sm-3\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Membres\u00eda Mexsalud Mascotas Anual &#8211; $55.00 dlls *Al terminar de llenar el formulario se redireccionar\u00e1 al carrito de compra. Datos de PropietarioNombre *Apellido *N\u00famero Telef\u00f3nico *Email *Red SocialDatos de MascotaNombre *EspecieCaninoFelinoRaza *SexoMachoHembraEstadoFertilEsterilizadoFecha de nacimientoEnviar y Pagar &nbsp;<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-59354","page","type-page","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/bajapetwellcare.com\/en\/wp-json\/wp\/v2\/pages\/59354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bajapetwellcare.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bajapetwellcare.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bajapetwellcare.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bajapetwellcare.com\/en\/wp-json\/wp\/v2\/comments?post=59354"}],"version-history":[{"count":0,"href":"https:\/\/bajapetwellcare.com\/en\/wp-json\/wp\/v2\/pages\/59354\/revisions"}],"wp:attachment":[{"href":"https:\/\/bajapetwellcare.com\/en\/wp-json\/wp\/v2\/media?parent=59354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}