<div class="scfForm">
<link href="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/content/themes/base/all.css" rel="stylesheet">
<link href="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/content/Fields.css" rel="stylesheet">
<link href="/sitecore%20modules/shell/Web%20Forms%20for%20Marketers/themes/Custom.css" rel="stylesheet">
<form action="/form/Index?wffm.FormItemId=b748cb48-d822-45ea-b8fc-02f0198e776b&wffm.Id=b748cb48-d822-45ea-b8fc-02f0198e776b" class="text-left" data-wffm="{B748CB48-D822-45EA-B8FC-02F0198E776B}" data-wffm-ajax="True" enctype="multipart/form-data" id="wffmb748cb48d82245eab8fc02f0198e776b" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden" value="J7qdaSkoVUWVK9C1V639SRBFnI3nU3Vd5hrKLWLhNRRz_NBsTjID9gGWYJJyzvGDQqaaQVG0ZVeKphpEUUVW5NLoS60drrGlwtqoClvTuz41">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Id" type="hidden" value="b748cb48-d822-45ea-b8fc-02f0198e776b">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_FormItemId" name="wffmb748cb48d82245eab8fc02f0198e776b.FormItemId" type="hidden" value="{B748CB48-D822-45EA-B8FC-02F0198E776B}">
<h2>Demo form</h2>
<p>The text you enter here is displayed directly below the form name. This could be, for example, a description, some instructions, or any other information.</p>
<div class="has-error has-feedback">
<div class="validation-summary-valid" data-valmsg-summary="true">
<ul class="list-group">
<li style="display:none"></li>
</ul>
</div>
</div>
<fieldset>
<legend>Simple types</legend>
<p>The text you enter here is displayed at the top of this section.</p>
<div class="row">
<div class="col-md-12">
<div class="required-field scfSingleLineTextBorder form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_0__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[0].Id" type="hidden" value="{C8FBF8EC-D885-4C13-B753-F3C7CF7F25F8}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_0__Value">Single-Line Text</label>
<input class=" form-control text-box single-line" data-val="true" data-val-length="The Single-Line Text field must be a string with a minimum length of 0 and a maximum length of 256." data-val-length-max="256" data-val-required="The Single-Line Text field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_0__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[0].Value" placeholder="" style="" type="text" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[0].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field can contain one line of input and accepts all types of text. Entries in this field are limited to 255 characters by default.</span>
</div>
<div class="required-field scfMultiLineTextBorder form-group has-feedback">
<label class="control-label" for="wffmcb07976d1d9a45599f71c0d1e3dc739d_Sections_0__Fields_0__Value">Multi-Line Text</label>
<textarea class="form-control" cols="1" data-val="true" data-val-length="The Topic(s) field must be a string with a minimum length of 0 and a maximum length of 256." data-val-length-max="256" data-val-required="The Topic(s) field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmcb07976d1d9a45599f71c0d1e3dc739d_Sections_0__Fields_0__Value" name="wffmcb07976d1d9a45599f71c0d1e3dc739d.Sections[0].Fields[0].Value" rows="4"></textarea>
<span class="help-block">This is field is similar to a Single-Line Text field except multiple lines of text are displayed. Height is determined by the number specified in the "rows" attribute.</span>
</div>
<div class="required-field scfPasswordBorder form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_1__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[1].Id" type="hidden" value="{2ED999FB-86FC-481D-B38A-B74DA993EA84}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_1__Value">Password</label>
<input class=" form-control text-box single-line password" data-val="true" data-val-length="The Password field must be a string with a minimum length of 6 and a maximum length of 256." data-val-length-max="256" data-val-length-min="6" data-val-required="The Password field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[1].Value" placeholder="" style="" type="password" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[1].Value" data-valmsg-replace="true"></span>
<span class="help-block">This is field is similar to a Single-Line Text field. The input entered into this field is masked.</span>
</div>
<div class="required-field scfNumberBorder form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_2__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[2].Id" type="hidden" value="{98BD4531-9BB7-41FD-AD26-334311A6C35B}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_2__Value">Number</label>
<input class=" form-control text-box single-line" data-val="true" data-val-range="The number in Number must be at least 0 and no more than 2147483647." data-val-range-max="2147483647" data-val-range-min="0" data-val-range-tracking="{844BBD40-91F6-42CE-8823-5EA4D089ECA2}" data-val-regex="Field contains an invalid number." data-val-regex-pattern="^[-,+]{0,1}\d*\.{0,1}\d+$" data-val-required="The Number field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_2__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[2].Value" placeholder="" style="" type="text" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[2].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field is used to collect data in numerical format.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_3__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[3].Id" type="hidden" value="{B2A0FFDF-14DD-45E4-A6DC-4E6D4E921ACB}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_3__Value">E-mail</label>
<input class=" form-control text-box single-line" data-val="true" data-val-length="The E-mail field must be a string with a minimum length of 0 and a maximum length of 256." data-val-length-max="256" data-val-regex="The E-mail field contains an invalid email address." data-val-regex-pattern="^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,17}$" data-val-required="The E-mail field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_3__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[3].Value" placeholder="" style="" type="email" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[3].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field only accepts valid email addresses. A valid email address must contain @ and ‘.’. The email domain must contain 2 or more characters.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_4__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[4].Id" type="hidden" value="{8C93EACC-5AC7-4036-AD12-7457870D22AD}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_4__Value">Telephone</label>
<input class=" form-control text-box single-line" data-val="true" data-val-length="The Telephone field must be a string with a minimum length of 0 and a maximum length of 256." data-val-length-max="256" data-val-regex="The value of the Telephone field is not valid." data-val-regex-pattern="^\+?\s{0,}\d{0,}\s{0,}(\(\s{0,}\d{1,}\s{0,}\)\s{0,}|\d{0,}\s{0,}-?\s{0,})\d{2,}\s{0,}-?\s{0,}\d{2,}\s{0,}(-?\s{0,}\d{2,}|\s{0,})\s{0,}$" data-val-regex-tracking="{844BBD40-91F6-42CE-8823-5EA4D089ECA2}" data-val-required="The Telephone field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_4__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[4].Value" placeholder="" style="" type="tel" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[4].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field is used for telephone numbers. A valid telephone number allows (but doesn’t require) the following characters: "+", "(", ")" "-", the space character and digits.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_5__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[5].Id" type="hidden" value="{838B86FC-B1AF-48DD-B2B1-2AEBE7DE05B9}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_5__Value">SMS/MMS Telephone</label>
<input class=" form-control text-box single-line" data-val="true" data-val-length="The SMS/MMS Telephone field must be a string with a minimum length of 0 and a maximum length of 256." data-val-length-max="256" data-val-regex="The value of the SMS/MMS Telephone field is not valid." data-val-regex-pattern="^\+?\d{3,}" data-val-regex-tracking="{844BBD40-91F6-42CE-8823-5EA4D089ECA2}" data-val-required="The SMS/MMS Telephone field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_5__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[5].Value" placeholder="" style="" type="tel" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[5].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field checks that the value entered is a valid sms/mms telephone number. A valid sms/mms telephone number allows (but doesn’t require) the following characters: "+" and digits.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_6__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[6].Id" type="hidden" value="{376FBB96-4F22-4749-AD27-B3A48EE21146}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_6__Value">Credit Card</label>
<input class=" form-control text-box single-line" data-val="true" data-val-creditcard="The Value field is not a valid credit card number." data-val-length="The Credit Card field must be a string with a minimum length of 0 and a maximum length of 256." data-val-length-max="256" data-val-required="The Credit Card field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_6__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[6].Value" placeholder="" style="" type="text" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[6].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field allows the user to enter a credit card number and verifies that the number is in the right format for that card type.</span>
</div>
<div class="form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[7].Id" type="hidden" value="{6372C388-8EBF-41C7-88CD-DA7A6389B8F7}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Value">Date</label>
<input class="wfmDatebox" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[7].Value" type="hidden" value="">
<div class="row">
<div class="col-xs-4 col-sm-4 col-md-4 col-lg-4">
<div class="input-group" style="width:100%">
<div class="input-group-addon"></div>
<select class="form-control" data-tracking="false" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Day" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[7].Day">
<option selected="selected" value=""></option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
</div>
</div>
<div class="col-xs-4 col-sm-4 col-md-4 col-lg-4">
<div class="input-group" style="width:100%">
<div class="input-group-addon"></div>
<select class="form-control" data-tracking="false" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Month" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[7].Month">
<option selected="selected" value=""></option>
<option value="1">Jan</option>
<option value="2">Feb</option>
<option value="3">Mar</option>
<option value="4">Apr</option>
<option value="5">May</option>
<option value="6">Jun</option>
<option value="7">Jul</option>
<option value="8">Aug</option>
<option value="9">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
</div>
</div>
<div class="col-xs-4 col-sm-4 col-md-4 col-lg-4">
<div class="input-group" style="width:100%">
<div class="input-group-addon"></div>
<select class="form-control" data-tracking="false" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Year" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[7].Year">
<option selected="selected" value=""></option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
</select>
</div>
</div>
</div>
<script type="text/javascript">
typeof WffmFieldsData == "undefined" && (window.WffmFieldsData = {});
window.WffmFieldsData.wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Value = {
dayId: "wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Day",
monthId: "wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Month",
yearId: "wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_7__Year"
}
</script>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[7].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field contains 3 list boxes that are used to select a day, a month, and a year.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_8__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[8].Id" type="hidden" value="{357AAE84-05BB-4D2A-B6F7-E14207A342BC}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_8__Value">File Upload</label>
<input data-val="true" data-val-required="The File Upload field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_8__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[8].Value" type="file" value="">
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[8].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field displays a text box and a Browse button that users can use to select the file that they want to upload.</span>
</div>
<div class="form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_9__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[9].Id" type="hidden" value="{DB715737-F8C6-44BE-B4D6-024A520A2973}">
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The Value field is required." id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_0__Fields_9__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[9].Value" type="checkbox" value="true">
<input name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[9].Value" type="hidden" value="false">
Checkbox
</label>
</div>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[0].Fields[9].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field displays a checkbox that the user can select.</span>
</div>
</div>
</div>
</fieldset>
<fieldset>
<legend>List types</legend>
<p>The text you enter here is displayed at the top of this section.</p>
<div class="row">
<div class="col-md-12">
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_0__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[0].Id" type="hidden" value="{08D57C45-21FC-49E2-9CCE-688B9CF8D84E}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_0__Value">Drop List</label>
<select class="form-control" data-val="true" data-val-required="The Drop List field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_0__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[0].Value">
<option value=""></option>
<option value="item 1">item 1</option>
<option value="item "">item "</option>
<option value="item '">item '</option>
<option value="item *">item *</option>
<option value="item /">item /</option>
<option value="item">item</option>
</select>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[0].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field contains a drop-down list where users can select an option from a list.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Id" type="hidden" value="{A03A7FD0-2839-49F9-934B-C9DFEDBF88FE}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Value">Radio Buttons List</label>
<div class="radio">
<table>
<tbody>
<tr>
<td>
<label>
<input data-val="true" data-val-required="The Radio Buttons List field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Value" type="radio" value="content">
content
</label>
</td>
</tr>
<tr>
<td>
<label>
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Value" type="radio" value="layout">
layout
</label>
</td>
</tr>
<tr>
<td>
<label>
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Value" type="radio" value="media library">
media library
</label>
</td>
</tr>
<tr>
<td>
<label>
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Value" type="radio" value="social">
social
</label>
</td>
</tr>
<tr>
<td>
<label>
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Value" type="radio" value="system">
system
</label>
</td>
</tr>
<tr>
<td>
<label>
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Value" type="radio" value="templates">
templates
</label>
</td>
</tr>
</tbody>
</table>
</div>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[1].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field contains a group of radio buttons.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_2__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[2].Id" type="hidden" value="{70CF2127-DB3D-4D43-8A21-9040D0E6C7A2}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_2__Value">List Box</label>
<select class="form-control" data-val="true" data-val-ischecked="The List Box field is required." data-val-ischecked-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_2__Value" multiple="multiple" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[2].Value">
<option value="value 1">value 1</option>
<option selected="selected" value="value with "">value with "</option>
<option selected="selected" value="value with '">value with '</option>
<option selected="selected" value="You can select a few values at the same time here">You can select a few values at the same time here</option>
</select>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[2].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field contains a list box where users can select one or more options from a list.</span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Id" type="hidden" value="{BF96DE82-E745-47BA-A64D-E97FC7106102}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Value">Checkbox List</label>
<div class=" checkbox">
<table>
<tbody>
<tr>
<td>
<label>
<input type="checkbox" value="content" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Value">
content
</label>
</td>
<td>
<label>
<input type="checkbox" value="social" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Value">
social
</label>
</td>
</tr>
<tr>
<td>
<label>
<input type="checkbox" value="layout" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Value" checked="">
layout
</label>
</td>
<td>
<label>
<input type="checkbox" value="system" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Value">
system
</label>
</td>
</tr>
<tr>
<td>
<label>
<input type="checkbox" value="media library" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Value" checked="">
media library
</label>
</td>
<td>
<label>
<input type="checkbox" value="templates" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_1__Fields_3__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Value">
templates
</label>
</td>
</tr>
</tbody>
</table>
</div>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[1].Fields[3].Value" data-valmsg-replace="true"></span>
<span class="help-block">This field contains a group of check boxes. The user can select one or more of these check boxes.</span>
</div>
</div>
</div>
</fieldset>
<div class="required-field scfCheckBoxListBorder form-group has-feedback"><input id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Id" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Id" type="hidden" value="{657DCD7C-903C-419C-8070-D697A31B7E8A}"><label class="control-label" for="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value">Please indicate which event you are running</label><div class="scfCheckBoxListBorder checkbox"> <table class="scfCheckBoxListBorder">
<tbody><tr>
<td>
<label> <input type="checkbox" value="Basketball" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Basketball</label> </td>
<td>
<label> <input type="checkbox" value="Fencing" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Fencing</label> </td>
</tr>
<tr>
<td>
<label> <input type="checkbox" value="Rugby" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Rugby</label> </td>
<td>
<label> <input type="checkbox" value="Krav Maga" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Krav Maga</label> </td>
</tr>
<tr>
<td>
<label> <input type="checkbox" value="Golf" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Golf</label> </td>
<td>
<label> <input type="checkbox" value="Hand Cycling" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Hand Cycling</label> </td>
</tr>
<tr>
<td>
<label> <input type="checkbox" value="Scuba Diving" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Scuba Diving</label> </td>
<td>
<label> <input type="checkbox" value="Managing Wheelchairs" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Managing Wheelchairs</label> </td>
</tr>
<tr>
<td>
<label> <input type="checkbox" value="Bocce" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Bocce</label> </td>
<td>
<label> <input type="checkbox" value="Swimming" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Swimming</label> </td>
</tr>
<tr>
<td>
<label> <input type="checkbox" value="Dance" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Dance</label> </td>
<td>
<label> <input type="checkbox" value="Other" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Other</label> </td>
</tr>
<tr>
<td>
<label> <input type="checkbox" value="Tennis" id="wffma54ae20acfcd49dd85ea5c16d8b03b70_Sections_0__Fields_13__Value" name="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value">
Tennis</label> </td>
</tr>
</tbody></table>
</div><span class="field-validation-valid help-block" data-valmsg-for="wffma54ae20acfcd49dd85ea5c16d8b03b70.Sections[0].Fields[13].Value" data-valmsg-replace="true"></span></div>
<fieldset>
<legend>Complex Types</legend>
<p>The text you enter here is displayed at the top of this section.</p>
<div class="row">
<div class="col-md-12">
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_0__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[0].Id" type="hidden" value="{C18CEDBE-CB3F-4954-9AC1-371B750F977F}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_0__Value">Password</label>
<input class=" form-control text-box single-line password" data-val="true" data-val-length="The Password-Confirmation field must be a string with a minimum length of 6 and a maximum length of 256." data-val-length-max="256" data-val-length-min="6" data-val-required="The Password-Confirmation field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_0__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[0].Value" placeholder="" style="" type="password" value="">
<span class="help-block">This field is used to enter a password, which is compared to the Confirm Password field.</span>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[0].Value" data-valmsg-replace="true"></span>
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_0__Confirmation">Confirmation</label>
<input class=" form-control text-box single-line password" data-val="true" data-val-equalto="The Password and Confirmation fields must be the same." data-val-equalto-other="*.Value" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_0__Confirmation" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[0].Confirmation" placeholder="" style="" type="password" value="">
<span class="help-block">This field confirms that its value is that same as the Password field above.</span>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[0].Confirmation" data-valmsg-replace="true"></span>
</div>
<div class="required-field form-group has-feedback">
<input id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_1__Id" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[1].Id" type="hidden" value="{DED557C3-B05E-47E5-8253-9672DBB89964}">
<label class="control-label" for="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_1__Value">Type the text shown</label>
<input data-val="true" data-val-length="The Type the text shown field must be a string with a minimum length of 0 and a maximum length of 0." data-val-length-max="0" data-val-required="The Type the text shown field is required." data-val-required-tracking="{7E86B2F5-ACEC-4C60-8922-4EB5AE5D9874}" id="wffmb748cb48d82245eab8fc02f0198e776b_Sections_2__Fields_1__Value" name="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[1].Value" type="hidden" value="">
<div class="g-recaptcha" data-sitekey="6Lfhfj8UAAAAAJnBtJf1NVivw0tmnFaj8ie70d1e" data-theme="light" data-type="image"></div>
<script src="https://www.google.com/recaptcha/api.js"></script>
<span class="field-validation-valid help-block" data-valmsg-for="wffmb748cb48d82245eab8fc02f0198e776b.Sections[2].Fields[1].Value" data-valmsg-replace="true"></span>
</div>
</div>
</div>
</fieldset>
<p>The text you enter here is displayed at the end of the form.</p>
<div class="form-submit-border"><input class="btn btn-default" type="submit" value="Submit"></div>
</form>
<script src="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/libs/jquery/jquery-2.1.3.min.js"></script>
<script src="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/libs/jquery/jquery-ui-1.11.3.min.js"></script>
<script src="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/libs/jquery/jquery.validate.min.js"></script>
<script src="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/libs/jquery/jquery.validate.unobtrusive.min.js"></script>
<script src="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/libs/bootstrap/bootstrap.min.js"></script>
<script src="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/wffm.min.js"></script>
<script src="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/main.min.js"></script>
</div>
