www.cdsrs.ca Open in urlscan Pro
198.185.159.145  Public Scan

Form analysis
3 forms found in the DOM

GET /search

<form class="Header-search-form" action="/search" method="get">
  <input class="Header-search-form-input" name="q" type="text" spellcheck="false" value="" autocomplete="off" placeholder="Search">
  <button class="Header-search-form-submit" type="submit" data-test="template-search">
    <svg class="Icon Icon--search--small" viewBox="0 0 15 15">
      <use xlink:href="/assets/ui-icons.svg#search-icon--small"></use>
    </svg>
    <svg class="Icon Icon--search" viewBox="0 0 20 20">
      <use xlink:href="/assets/ui-icons.svg#search-icon"></use>
    </svg>
  </button>
</form>

POST

<form class="newsletter-form" data-form-id="5b1317d2758d4674dd5fcd8c" autocomplete="on" method="POST" novalidate="" onsubmit="return (function (form) {
    Y.use('squarespace-form-submit', 'node', function usingFormSubmit(Y) {
      (new Y.Squarespace.FormSubmit(form)).submit({
        formId: '5b1317d2758d4674dd5fcd8c',
        collectionId: '5b1317d2758d4674dd5fcd8b',
        objectName: 'page-5b1317d2758d4674dd5fcd8b'
      });
    });
    return false;
  })(this);">
  <header class="newsletter-form-header">
    <h2 class="newsletter-form-header-title">Sign up with your email address to receive news and updates.</h2>
    <div class="newsletter-form-header-description"></div>
  </header>
  <div class="newsletter-form-body">
    <div class="newsletter-form-fields-wrapper form-fields" style="vertical-align: middle;">
      <fieldset id="name-yui_3_17_2_9_1477680944356_7778" class="newsletter-form-name-fieldset form-item fields name required" style="vertical-align: bottom;">
        <div class="newsletter-form-field-wrapper field first-name">
          <label class="newsletter-form-field-label title">First Name</label>
          <input class="newsletter-form-field-element field-element field-control" name="fname" x-autocompletetype="given-name" type="text" spellcheck="false" placeholder="First Name" maxlength="30" data-title="First">
        </div>
        <div class="newsletter-form-field-wrapper field last-name">
          <label class="newsletter-form-field-label title">Last Name</label>
          <input class="newsletter-form-field-element field-element field-control" name="lname" x-autocompletetype="surname" type="text" spellcheck="false" placeholder="Last Name" maxlength="30" data-title="Last">
        </div>
      </fieldset>
      <div id="email-yui_3_17_2_9_1477680944356_7777" class="newsletter-form-field-wrapper form-item field email required" style="vertical-align: bottom;">
        <label class="newsletter-form-field-label title" for="email-yui_3_17_2_9_1477680944356_7777-field">Email Address</label>
        <input id="email-yui_3_17_2_9_1477680944356_7777-field" class="newsletter-form-field-element field-element" name="email" x-autocompletetype="email" autocomplete="email" type="email" spellcheck="false" placeholder="Email Address">
      </div>
    </div>
    <div data-animation-role="button" class="newsletter-form-button-wrapper submit-wrapper" style="vertical-align: middle;">
      <button class="
            newsletter-form-button
            sqs-system-button
            sqs-editable-button-layout
            sqs-editable-button-style
            sqs-editable-button-shape
            sqs-button-element--primary
          " type="submit" value="Sign Up">
        <span class="newsletter-form-spinner sqs-spin light large"></span>
        <span class="newsletter-form-button-label">Sign Up</span>
        <span class="newsletter-form-button-icon"></span>
      </button>
    </div>
  </div>
  <div class="newsletter-form-footnote">
    <p>We respect your privacy.</p>
  </div>
  <div class="hidden form-submission-text">Thank you!</div>
  <div class="hidden form-submission-html" data-submission-html=""></div>
</form>

POST https://rhino-rhubarb.squarespace.com

<form data-form-id="5b15cee8758d4658e64dc8cb" data-success-redirect="" data-dynamic-strings="" autocomplete="on" method="POST" action="https://rhino-rhubarb.squarespace.com" novalidate="" onsubmit="return (function (form) {
  Y.use('squarespace-form-submit', 'node', function usingFormSubmit(Y) {
    (new Y.Squarespace.FormSubmit(form)).submit({
      formId: '5b15cee8758d4658e64dc8cb',
      collectionId: '',
      objectName: 'footerBlocksMiddle'
    });
  });
  return false;
})(this);">
  <div class="field-list clear">
    <fieldset id="name-yui_3_17_2_1_1528155897796_36610" class="form-item fields name required">
      <legend class="title"> Name <span class="required" aria-hidden="true">*</span>
      </legend>
      <div class="field first-name">
        <label class="caption">
          <input class="field-element field-control" name="fname" x-autocompletetype="given-name" type="text" spellcheck="false" maxlength="30" data-title="First" aria-required="true">
          <span class="caption-text">First Name</span>
        </label>
      </div>
      <div class="field last-name">
        <label class="caption">
          <input class="field-element field-control" name="lname" x-autocompletetype="surname" type="text" spellcheck="false" maxlength="30" data-title="Last" aria-required="true">
          <span class="caption-text">Last Name</span>
        </label>
      </div>
    </fieldset>
    <div id="email-yui_3_17_2_1_1528155897796_36611" class="form-item field email required">
      <label class="title" for="email-yui_3_17_2_1_1528155897796_36611-field"> Email Address <span class="required" aria-hidden="true">*</span>
      </label>
      <input class="field-element" id="email-yui_3_17_2_1_1528155897796_36611-field" name="email" type="email" autocomplete="email" spellcheck="false" aria-required="true">
    </div>
    <fieldset id="phone-yui_3_17_2_1_1528154962992_205590" class="form-item fields phone">
      <legend class="title"> Phone </legend>
      <div class="field text three-digits">
        <label class="caption">
          <input class="field-element" x-autocompletetype="phone-area-code" type="text" maxlength="3" data-title="Areacode">
          <span class="caption-text">(###)</span>
        </label>
      </div>
      <div class="field text three-digits">
        <label class="caption">
          <input class="field-element" x-autocompletetype="phone-local-prefix" type="text" maxlength="3" data-title="Prefix">
          <span class="caption-text">###</span>
        </label>
      </div>
      <div class="field text four-digits">
        <label class="caption">
          <input class="field-element" x-autocompletetype="phone-local-suffix" type="text" maxlength="4" data-title="Line">
          <span class="caption-text">####</span>
        </label>
      </div>
    </fieldset>
    <div id="text-yui_3_17_2_1_1528154962992_230023" class="form-item field text">
      <label class="title" for="text-yui_3_17_2_1_1528154962992_230023-field"> Subject </label>
      <input class="field-element text" type="text" id="text-yui_3_17_2_1_1528154962992_230023-field">
    </div>
    <div id="textarea-yui_3_17_2_1_1528155897796_36613" class="form-item field textarea required">
      <label class="title" for="textarea-yui_3_17_2_1_1528155897796_36613-field"> Message <span class="required" aria-hidden="true">*</span>
      </label>
      <textarea class="field-element " id="textarea-yui_3_17_2_1_1528155897796_36613-field" aria-required="true"></textarea>
    </div>
  </div>
  <div data-animation-role="button" class="
          form-button-wrapper
          
            form-button-wrapper--align-left
          
        ">
    <input class="button sqs-system-button sqs-editable-button sqs-button-element--primary" type="submit" value="Submit">
  </div>
  <div class="hidden form-submission-text">Thank you!</div>
  <div class="hidden form-submission-html" data-submission-html=""></div>
</form>

Text Content

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BEST PART OF LIFE.


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Programs and Services are offered to members and non-members alike. Often
provided by volunteers, we assist with some of the more challenging tasks
ranging from filling out forms to snow removal.

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Join us for a little friendly competition on the court, serious gaming at the
cribbage table, or one of the many social events including our monthly dance
party — with 40 hours of programming weekly, there is something for everyone!

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caregivers, friends and families as well as other support agencies with no
membership required. 

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(604) 793-9979 • INFO@CDSRS.CA


9291 CORBOULD STREET, CHILLIWACK, BC V2P 4A6

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