Swim Lessons Instructor Contact Form

Swim Lessons Instructor Contact FormDaveGeier2017-10-30T18:47:43-04:00

Swim Team Instructor Contact Form

[wpforms id="3166" title="false" description="false"]

<div class="wpforms-container wpforms-container-full" id="wpforms-3166"><form id="wpforms-form-3166" class="wpforms-validate wpforms-form" data-formid="3166" method="post" enctype="multipart/form-data" action="/swim-lessons-instructor-contact-form/"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-field-container"><div id="wpforms-3166-field_0-container" class="wpforms-field wpforms-field-name" data-field-id="0"><label class="wpforms-field-label" for="wpforms-3166-field_0">Name <span class="wpforms-required-label">*</span></label><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-3166-field_0" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][0][first]" required><label for="wpforms-3166-field_0" class="wpforms-field-sublabel after ">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-3166-field_0-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][0][last]" required><label for="wpforms-3166-field_0-last" class="wpforms-field-sublabel after ">Last</label></div></div></div><div id="wpforms-3166-field_2-container" class="wpforms-field wpforms-field-email" data-field-id="2"><label class="wpforms-field-label" for="wpforms-3166-field_2">Email <span class="wpforms-required-label">*</span></label><input type="email" id="wpforms-3166-field_2" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][2]" required></div><div id="wpforms-3166-field_3-container" class="wpforms-field wpforms-field-phone" data-field-id="3"><label class="wpforms-field-label" for="wpforms-3166-field_3">Phone <span class="wpforms-required-label">*</span></label><input type="tel" id="wpforms-3166-field_3" class="wpforms-field-medium wpforms-field-required wpforms-masked-input" data-inputmask="'mask': '(999) 999-9999'" data-rule-us-phone-field="true" name="wpforms[fields][3]" required></div><div id="wpforms-3166-field_6-container" class="wpforms-field wpforms-field-checkbox wpforms-list-2-columns" data-field-id="6"><label class="wpforms-field-label" for="wpforms-3166-field_6">Interested In: <span class="wpforms-required-label">*</span></label><ul id="wpforms-3166-field_6" class="wpforms-field-required"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-3166-field_6_1" name="wpforms[fields][6][]" value="Aquatics" required ><label class="wpforms-field-label-inline" for="wpforms-3166-field_6_1">Aquatics</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-3166-field_6_2" name="wpforms[fields][6][]" value="Strength & Toning" required ><label class="wpforms-field-label-inline" for="wpforms-3166-field_6_2">Strength & Toning</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-3166-field_6_3" name="wpforms[fields][6][]" value="Racquet Sports" required ><label class="wpforms-field-label-inline" for="wpforms-3166-field_6_3">Racquet Sports</label></li><li class="choice-6 depth-1"><input type="checkbox" id="wpforms-3166-field_6_6" name="wpforms[fields][6][]" value="Cardio" required ><label class="wpforms-field-label-inline" for="wpforms-3166-field_6_6">Cardio</label></li><li class="choice-5 depth-1"><input type="checkbox" id="wpforms-3166-field_6_5" name="wpforms[fields][6][]" value="Functional Training" required ><label class="wpforms-field-label-inline" for="wpforms-3166-field_6_5">Functional Training</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-3166-field_6_4" name="wpforms[fields][6][]" value="Other" required ><label class="wpforms-field-label-inline" for="wpforms-3166-field_6_4">Other</label></li></ul></div><div id="wpforms-3166-field_4-container" class="wpforms-field wpforms-field-textarea" data-field-id="4"><label class="wpforms-field-label" for="wpforms-3166-field_4">Any other questions or comments:</label><textarea id="wpforms-3166-field_4" class="wpforms-field-medium" name="wpforms[fields][4]" ></textarea></div></div><div class="wpforms-field wpforms-field-hp"><label for="wpforms-3166-field-hp" class="wpforms-field-label">Email</label><input type="text" name="wpforms[hp]" id="wpforms-3166-field-hp" class="wpforms-field-medium"></div><div class="wpforms-recaptcha-container" ><div class="g-recaptcha" data-sitekey="6LdilbQUAAAAABW8-Ky2avssNU4WaAjKR5GOllBc"></div><input type="text" name="g-recaptcha-hidden" class="wpforms-recaptcha-hidden" style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;" required></div><div class="wpforms-submit-container" ><input type="hidden" name="wpforms[id]" value="3166"><input type="hidden" name="wpforms[author]" value="1"><input type="hidden" name="wpforms[post_id]" value="2787"><button type="submit" name="wpforms[submit]" class="wpforms-submit om-trigger-conversion" id="wpforms-submit-3166" value="wpforms-submit" aria-live="assertive" data-alt-text="Sending..." data-submit-text="Submit">Submit</button></div></form></div>