{"id":1449,"date":"2016-12-19T23:53:25","date_gmt":"2016-12-19T23:53:25","guid":{"rendered":"https:\/\/destinationyoga.co.uk\/?page_id=1449"},"modified":"2017-01-05T10:30:16","modified_gmt":"2017-01-05T10:30:16","slug":"yoga-profile","status":"publish","type":"page","link":"https:\/\/destinationyoga.co.uk\/yoga-profile\/","title":{"rendered":"Create your yoga profile"},"content":{"rendered":"\n                <div class='gf_browser_safari gform_wrapper' id='gform_wrapper_6' style='display:none'><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_6' id='gform_6'  action='\/wp-json\/wp\/v2\/pages\/1449#gf_6'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Yoga Profile Form<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id='field_6_68'  class='gfield field_sublabel_hidden_label field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_6_68'>\n                            \n                            <span id='input_6_68_3_container' class='name_first' >\n                                                    <input type='text' name='input_68.3' id='input_6_68_3' value='' aria-label='First name'    aria-invalid=\"false\" placeholder='First Name*'\/>\n                                                    <label for='input_6_68_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_68_6_container' class='name_last' >\n                                                    <input type='text' name='input_68.6' id='input_6_68_6' value='' aria-label='Last name'    aria-invalid=\"false\" placeholder='Surname*'\/>\n                                                    <label for='input_6_68_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_6_11'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_11' >Mobile Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_6_11' type='text' value='' class='medium'    placeholder='Mobile Number*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_73'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_73' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_73' id='input_6_73' type='text' value='' class='medium'   placeholder='Email*' aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_6_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_3' >Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_3' id='input_6_3' type='text' value='' class='datepicker medium dmy datepicker_with_icon'   placeholder='Date of Birth*' aria-describedby='input_6_3_date_format' \/>\n                            <span id='input_6_3_date_format' class='screen-reader-text'>Date Format: DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_3' class='gform_hidden' value='https:\/\/destinationyoga.co.uk\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_6_6'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Sex<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_6'><li class='gchoice_6_6_0'><input name='input_6' type='radio' value='Male'  id='choice_6_6_0'    \/><label for='choice_6_6_0' id='label_6_6_0'>Male<\/label><\/li><li class='gchoice_6_6_1'><input name='input_6' type='radio' value='Female'  id='choice_6_6_1'    \/><label for='choice_6_6_1' id='label_6_6_1'>Female<\/label><\/li><li class='gchoice_6_6_2'><input name='input_6' type='radio' value='Prefer not to say'  id='choice_6_6_2'    \/><label for='choice_6_6_2' id='label_6_6_2'>Prefer not to say<\/label><\/li><\/ul><\/div><\/li><li id='field_6_72'  class='gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_72' >Date of Travel<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_72' id='input_6_72' type='text' value='' class='datepicker medium dmy datepicker_with_icon'   placeholder='Date of Travel' aria-describedby='input_6_72_date_format' \/>\n                            <span id='input_6_72_date_format' class='screen-reader-text'>Date Format: DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_72' class='gform_hidden' value='https:\/\/destinationyoga.co.uk\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_6_15'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Person to contact in case of emergency:<\/h2><\/li><li id='field_6_69'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_69' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_6_69' type='text' value='' class='medium'    placeholder='Name*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_71'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_71' >Phone Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_6_71' type='text' value='' class='medium'    placeholder='Phone Number*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_70'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_70' >Mobile Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_6_70' type='text' value='' class='medium'    placeholder='Mobile Number*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_16'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Travel Details<\/h2><\/li><li id='field_6_17'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Are you travelling on our recommended flights?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_17'><li class='gchoice_6_17_0'><input name='input_17' type='radio' value='yes'  id='choice_6_17_0'    \/><label for='choice_6_17_0' id='label_6_17_0'>yes<\/label><\/li><li class='gchoice_6_17_1'><input name='input_17' type='radio' value='no'  id='choice_6_17_1'    \/><label for='choice_6_17_1' id='label_6_17_1'>no<\/label><\/li><li class='gchoice_6_17_2'><input name='input_17' type='radio' value='not yet decided'  id='choice_6_17_2'    \/><label for='choice_6_17_2' id='label_6_17_2'>not yet decided<\/label><\/li><\/ul><\/div><\/li><li id='field_6_57'  class='gfield gsection split-start exclude field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Col Start<\/h2><\/li><li id='field_6_45'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><strong>Please provide details of your departure flights.<\/strong><\/li><li id='field_6_48'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_48' >Departure Flight Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_6_48' type='text' value='' class='medium'    placeholder='Flight Number*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_44'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_44' >Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_44' id='input_6_44' type='text' value='' class='datepicker medium dmy datepicker_with_icon'   placeholder='Date*' aria-describedby='input_6_44_date_format' \/>\n                            <span id='input_6_44_date_format' class='screen-reader-text'>Date Format: DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_44' class='gform_hidden' value='https:\/\/destinationyoga.co.uk\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_6_50'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Departure Time<span class='gfield_required'>*<\/span><\/label><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_6_50'>\n                            <input type='text' maxlength='2' name='input_50[]' id='input_6_50_1' value=''    \/> <i>:<\/i>\n                            <label for='input_6_50_1' class='hidden_sub_label screen-reader-text'>HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='text' maxlength='2' name='input_50[]' id='input_6_50_2' value=''    \/>\n                            <label for='input_6_50_2' class='hidden_sub_label screen-reader-text'>MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                \n                                <select name='input_50[]' id='input_6_50_3'   aria-label='AM\/PM'>\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                           <\/div>\n                    <\/div><\/li><li id='field_6_51'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Arrival Time<span class='gfield_required'>*<\/span><\/label><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_6_51'>\n                            <input type='text' maxlength='2' name='input_51[]' id='input_6_51_1' value=''    \/> <i>:<\/i>\n                            <label for='input_6_51_1' class='hidden_sub_label screen-reader-text'>HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='text' maxlength='2' name='input_51[]' id='input_6_51_2' value=''    \/>\n                            <label for='input_6_51_2' class='hidden_sub_label screen-reader-text'>MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                \n                                <select name='input_51[]' id='input_6_51_3'   aria-label='AM\/PM'>\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                           <\/div>\n                    <\/div><\/li><li id='field_6_55'  class='gfield gsection split-end exclude field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Col End<\/h2><\/li><li id='field_6_59'  class='gfield gsection split-start exclude field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Col Start<\/h2><\/li><li id='field_6_46'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><strong>Please provide details of your return flights.<\/strong><\/li><li id='field_6_58'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_58' >Return Flight Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_6_58' type='text' value='' class='medium'    placeholder='Flight Number*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_65'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_65' >Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_65' id='input_6_65' type='text' value='' class='datepicker medium dmy datepicker_with_icon'   placeholder='Date*' aria-describedby='input_6_65_date_format' \/>\n                            <span id='input_6_65_date_format' class='screen-reader-text'>Date Format: DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_65' class='gform_hidden' value='https:\/\/destinationyoga.co.uk\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_6_66'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Departure Time<span class='gfield_required'>*<\/span><\/label><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_6_66'>\n                            <input type='text' maxlength='2' name='input_66[]' id='input_6_66_1' value=''    \/> <i>:<\/i>\n                            <label for='input_6_66_1' class='hidden_sub_label screen-reader-text'>HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='text' maxlength='2' name='input_66[]' id='input_6_66_2' value=''    \/>\n                            <label for='input_6_66_2' class='hidden_sub_label screen-reader-text'>MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                \n                                <select name='input_66[]' id='input_6_66_3'   aria-label='AM\/PM'>\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                           <\/div>\n                    <\/div><\/li><li id='field_6_67'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Arrival Time<span class='gfield_required'>*<\/span><\/label><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_6_67'>\n                            <input type='text' maxlength='2' name='input_67[]' id='input_6_67_1' value=''    \/> <i>:<\/i>\n                            <label for='input_6_67_1' class='hidden_sub_label screen-reader-text'>HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='text' maxlength='2' name='input_67[]' id='input_6_67_2' value=''    \/>\n                            <label for='input_6_67_2' class='hidden_sub_label screen-reader-text'>MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                \n                                <select name='input_67[]' id='input_6_67_3'   aria-label='AM\/PM'>\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                           <\/div>\n                    <\/div><\/li><li id='field_6_61'  class='gfield gsection split-end exclude field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Col End<\/h2><\/li><li id='field_6_19'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Please confirm your Outbound transfer:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_19'><li class='gchoice_6_19_0'><input name='input_19' type='radio' value='Please arrange a taxi for me'  id='choice_6_19_0'    \/><label for='choice_6_19_0' id='label_6_19_0'>Please arrange a taxi for me<\/label><\/li><li class='gchoice_6_19_1'><input name='input_19' type='radio' value='Please arrange the group airport transfer for me'  id='choice_6_19_1'    \/><label for='choice_6_19_1' id='label_6_19_1'>Please arrange the group airport transfer for me<\/label><\/li><li class='gchoice_6_19_2'><input name='input_19' type='radio' value='I will be hiring a car'  id='choice_6_19_2'    \/><label for='choice_6_19_2' id='label_6_19_2'>I will be hiring a car<\/label><\/li><\/ul><\/div><\/li><li id='field_6_20'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Please confirm your Inbound transfer:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_20'><li class='gchoice_6_20_0'><input name='input_20' type='radio' value='Please arrange a taxi for me'  id='choice_6_20_0'    \/><label for='choice_6_20_0' id='label_6_20_0'>Please arrange a taxi for me<\/label><\/li><li class='gchoice_6_20_1'><input name='input_20' type='radio' value='Please arrange the group airport transfer for me'  id='choice_6_20_1'    \/><label for='choice_6_20_1' id='label_6_20_1'>Please arrange the group airport transfer for me<\/label><\/li><li class='gchoice_6_20_2'><input name='input_20' type='radio' value='I will be hiring a car'  id='choice_6_20_2'    \/><label for='choice_6_20_2' id='label_6_20_2'>I will be hiring a car<\/label><\/li><\/ul><\/div><\/li><li id='field_6_21'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Travel Insurance Details<\/h2><\/li><li id='field_6_22'  class='gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_22' >Insurance company name<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_6_22' type='text' value='' class='medium'    placeholder='Insurance company name'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_23'  class='gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_23' >Insurance policy number<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_6_23' type='text' value='' class='medium'    placeholder='Insurance policy number:'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_24'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_6_24' >Insurance company emergency telephone number<\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_6_24' type='text' value='' class='medium'  placeholder='Insurance company emergency telephone number:'  aria-invalid=\"false\"  \/><\/div><\/li><li id='field_6_25'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Medical details and physical activity readiness<\/h2><\/li><li id='field_6_26'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' >This section of the form has been designed to identify anyone for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.<\/li><li id='field_6_27'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have any medical issues or injuries that you should inform us about?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_27'><li class='gchoice_6_27_0'><input name='input_27' type='radio' value='yes'  id='choice_6_27_0'    \/><label for='choice_6_27_0' id='label_6_27_0'>yes<\/label><\/li><li class='gchoice_6_27_1'><input name='input_27' type='radio' value='no'  id='choice_6_27_1'    \/><label for='choice_6_27_1' id='label_6_27_1'>no<\/label><\/li><\/ul><\/div><\/li><li id='field_6_28'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_28' >Please specify<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_6_28' class='textarea medium'    placeholder='Please specify*' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_6_29'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Is there a good physical reason, not mentioned here, why you should not practice yoga even if you wanted to?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_29'><li class='gchoice_6_29_0'><input name='input_29' type='radio' value='yes'  id='choice_6_29_0'    \/><label for='choice_6_29_0' id='label_6_29_0'>yes<\/label><\/li><li class='gchoice_6_29_1'><input name='input_29' type='radio' value='no'  id='choice_6_29_1'    \/><label for='choice_6_29_1' id='label_6_29_1'>no<\/label><\/li><\/ul><\/div><\/li><li id='field_6_30'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_30' >Please specify<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_6_30' class='textarea medium'    placeholder='Please specify*' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_6_31'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Diet<\/h2><\/li><li id='field_6_32'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have any allergies?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_32'><li class='gchoice_6_32_0'><input name='input_32' type='radio' value='yes'  id='choice_6_32_0'    \/><label for='choice_6_32_0' id='label_6_32_0'>yes<\/label><\/li><li class='gchoice_6_32_1'><input name='input_32' type='radio' value='no'  id='choice_6_32_1'    \/><label for='choice_6_32_1' id='label_6_32_1'>no<\/label><\/li><\/ul><\/div><\/li><li id='field_6_33'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_33' >If Yes, please state what you are allergic to.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_6_33' class='textarea medium'    placeholder='If Yes, please state what you are allergic to*' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_6_34'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have any special dietary requirements?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_34'><li class='gchoice_6_34_0'><input name='input_34' type='radio' value='yes'  id='choice_6_34_0'    \/><label for='choice_6_34_0' id='label_6_34_0'>yes<\/label><\/li><li class='gchoice_6_34_1'><input name='input_34' type='radio' value='no'  id='choice_6_34_1'    \/><label for='choice_6_34_1' id='label_6_34_1'>no<\/label><\/li><\/ul><\/div><\/li><li id='field_6_35'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_35' >If yes, please describe them here<span class='gfield_required'>*<\/span><\/label><div class='ginput_container 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