Enquire Today
If you would like to receive more information about Holly Lea Village or arrange a visit, please complete the form below. Note: If you are making an employment enquiry, please click here.
{"data":[],"config":{"id":43,"content_id":null,"name":"Enquiry Form","type":"form","position":227,"active":1,"created_at":"2019-10-23T22:58:59.000000Z","updated_at":"2025-11-02T23:08:35.000000Z","content":"<p>If you would like to receive more information about Holly Lea Village or arrange a visit, please complete the form below. <strong>Note:<\/strong> If you are making an employment enquiry, please <strong><a href=\"https:\/\/www.hollylea.co.nz\/about\/careers\">click here.<\/a><\/strong><\/p>","description":"Enquire Today","sharpspring_url":"https:\/\/app-3QN8JU2KRI.marketingautomation.services\/webforms\/receivePostback\/MzawMDE1NzI3BgA\/","sharpspring_endpoint":"03aa10e8-1334-4c17-9a7f-a6d5b363a41f","template":"Register Modal","image":{"id":564,"parent_id":542,"name":"pattern-f2.svg","description":null,"folder":null,"storage":"assets","size":33332,"extension":"svg","mime_type":"image\/svg+xml","width":194,"height":184,"keywords":null,"usage":{"panels.43":"Enquiry Form","panels.245":"Holly Lea Care Centre"},"created_at":"2020-12-11T02:41:04.000000Z","updated_at":"2025-11-19T23:28:27.000000Z","value":null,"_meta":null,"node_path":[{"id":542,"name":"Patterns","parent_id":null},{"id":564,"name":"pattern-f2.svg","parent_id":542}],"readonly":null,"link":"\/asset\/564.svg","readable_size":"32.55 kB","secured":false,"secured_token":"eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJzdG9yYWdlcyI6WyJzZWN1cmVfYXNzZXRzIl0sImZpbGUiOjU2NH0.wY2XOsCohGSPZx3v7H0nM42iyZyZLClRMSq0I_BpHUw","full_path":"542\/564"},"image_background_colour_preset":"Gilt","fields":[{"id":39,"panel_id":43,"name":"first-name","title":"First name","data_type":"input-text","required":1,"auto_populated":null,"values":null,"position":39,"active":1,"created_at":"2025-11-02T22:54:53.000000Z","updated_at":"2025-11-02T23:08:28.000000Z","refs":null,"placeholder":null,"default_value":null},{"id":40,"panel_id":43,"name":"last-name","title":"Last name","data_type":"input-text","required":1,"auto_populated":null,"values":null,"position":40,"active":1,"created_at":"2025-11-02T22:55:07.000000Z","updated_at":"2025-11-02T23:08:32.000000Z","refs":null,"placeholder":null,"default_value":null},{"id":41,"panel_id":43,"name":"email","title":"Email address","data_type":"input-email","required":1,"auto_populated":null,"values":null,"position":41,"active":1,"created_at":"2025-11-02T22:55:23.000000Z","updated_at":"2025-11-02T23:08:33.000000Z","refs":null,"placeholder":null,"default_value":null},{"id":42,"panel_id":43,"name":"phone","title":"Phone number","data_type":"input-text","required":0,"auto_populated":null,"values":null,"position":42,"active":1,"created_at":"2025-11-02T22:55:36.000000Z","updated_at":"2025-11-02T23:08:33.000000Z","refs":null,"placeholder":null,"default_value":null},{"id":43,"panel_id":43,"name":"enquiry-type","title":"What best describes your enquiry?","data_type":"selectbox","required":1,"auto_populated":null,"values":"Sales Enquiry|sales-enquiry\nEmployment Enquiry|employment-enquiry\nOther|other","position":43,"active":1,"created_at":"2025-11-02T22:56:00.000000Z","updated_at":"2025-11-06T14:15:23.000000Z","refs":null,"placeholder":null,"default_value":null},{"id":44,"panel_id":43,"name":"care-type","title":"Are you looking for?","data_type":"selectbox","required":1,"auto_populated":null,"values":"Independent Living|independent-living\nServiced Apartment (Assisted Living)|serviced-apartment\nCare|care\nOther|other","position":44,"active":1,"created_at":"2025-11-02T22:56:23.000000Z","updated_at":"2025-11-02T23:08:34.000000Z","refs":null,"placeholder":null,"default_value":null},{"id":45,"panel_id":43,"name":"enquiry-for","title":"Who are you enquiring for?","data_type":"selectbox","required":1,"auto_populated":null,"values":"Myself|myself\nMyself and a Partner|myself-partner\nFamily Member or Friend|family-friend\nOther|other","position":45,"active":1,"created_at":"2025-11-02T22:56:51.000000Z","updated_at":"2025-11-03T10:29:49.000000Z","refs":null,"placeholder":null,"default_value":null},{"id":48,"panel_id":43,"name":"description","title":"How can we be of assistance?","data_type":"textarea","required":1,"auto_populated":null,"values":null,"position":48,"active":1,"created_at":"2025-11-02T22:58:00.000000Z","updated_at":"2025-11-02T22:58:33.000000Z","refs":null,"placeholder":null,"default_value":null}]}}
