Prefix
[radio prefix class:form-check-input value:"Mr."]
[radio prefix class:form-check-input value:"Mrs."]
[radio prefix class:form-check-input value:"Ms."]
[radio prefix class:form-check-input value:"Dr."]
Full Name
[text* full_name class:form-control class:text-truncate class:bg-transparent placeholder "Full
Name"]
Email
[email* email class:form-control class:text-truncate class:bg-transparent placeholder "Email"]
year group of interest
[text* year_group class:form-control class:text-truncate class:bg-transparent placeholder "Year
group of interest"]
Preferred date of entry
[text* entry_date class:form-control class:text-truncate class:bg-transparent placeholder
"Preferred date of entry"]
DOB of your child
[text* birthdate class:form-control class:text-truncate class:bg-transparent placeholder "DOB of
your child"]
Your child nationality
[text* nationality class:form-control class:text-truncate class:bg-transparent placeholder "Your
child nationality"]
