Contact form-source code


[text* first-name autocomplete:given-name placeholder "* First name"]
[text* last-name autocomplete:family-name placeholder "* Last name" ]
[email* email autocomplete:email placeholder "* Your Email" ]
[text* phone autocomplete:tel placeholder "* Your Phone" ]
[text* child-name placeholder "* Child's name"]
Date of Birth:
[date* birth-date]
location you want to contact:
[select recipient “New Westminster|info@royaleducation.ca”
“Richmond|info@royaleducation.ca”
“Vancouver|info@royaleducation.ca”
“Burnaby|burnaby@royaleducation.ca;info@royaleducation.ca”
“Langley|langley@royaleducation.ca;info@royaleducation.ca””no specific location|info@royaleducation.ca”]
[textarea message placeholder "Message"]
[quiz quiz-4711 class:no-margin-top "1+1=?|2" "1+2=?|3" "1+3=?|4" "1+4=?|5" "1+5=?|6" "1+6=?|7" "1+7=?|8" "1+8=?|9" "2+1=?|3" "2+2=?|4" "2+3=?|5" "2+4=?|6" "2+5=?|7" "2+6=?|8" "2+7=?|9" "3+1=?|4" "3+2=?|5" "3+3=?|6" "3+4=?|7" "3+5=?|8" "3+6=?|9" "4+1=?|5" "4+2=?|6" "4+3=?|7" "4+4=?|8" "4+5=?|9" "5+1=?|6" "5+2=?|7" "5+3=?|8" "5+4=?|9" "6+1=?|7" "6+2=?|8" "6+3=?|9" "7+1=?|8" "7+2=?|9" "8+1=?|9"]
[submit "SEND"]

    Date of Birth:

    location you want to contact: