<h3 class="title">YOUR DETAILS</h3>
[select menu-664 placeholder "Please Choose one" "Select Option 1" "Select Option 1" "Select Option 1"]

<div class="vc_row">
	<div class="vc_col-sm-6">
		[text* F-name placeholder "First Name *"] 
	</div>
	<div class="vc_col-sm-6">
		[text* L-name placeholder "Last Name *"]	
	</div>
</div>

<div class="vc_row" style="margin-top:20px;">
	<div class="vc_col-sm-6">
		[email* E-email placeholder "Email *"]
	</div>
	<div class="vc_col-sm-6">
		[tel* p-phone placeholder "Phone *"]
	</div>
</div>


<h3 class="title">YOUR CHILD'S DETAILS</h3>
[select menu-764 placeholder "Please Choose one" "Select Option 1" "Select Option 1" "Select Option 1"]

<div class="vc_row">
	<div class="vc_col-sm-6">
		[text* C-F-name placeholder "Child's firstname*"] 
	</div>
	<div class="vc_col-sm-6">
		[text* C-L-name placeholder "Child's lastname *"]	
	</div>
</div>

<div class="vc_row" style="margin-top:30px;">
<div class="vc_col-sm-6">
  [submit "Submit Form"]
</div>	
</div>