Education in the community

{"contact_email":"murihikulearningconnections@gmail.com","showCustomForm":"on","custom_form_html":"<div class=\"custom-form-steps\" data-total-steps=\"1\"><div class=\"custom-form-step step-1\" data-step=\"1\"><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3>Education In The Community<\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"textarea\"><div class=\"form-group\"><label for=\"textarea-1721991586079\">Name and Contact Number<\/label><span>*<\/span><textarea  name=\"textarea-1721991586079\" placeholder=\"Name and Contact Number\" class=\"form-control\" rows=\"2\" required data-msg-required=\"This field is required.\"><\/textarea><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"email\"><div class=\"form-group\"><label for=\"email-1721991593230\">Contact Email<\/label><span>*<\/span><input type=\"email\"  name=\"email-1721991593230\" placeholder=\"Contact Email\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"datePicker\"><div class=\"form-group\"><label for=\"datePicker-1721991609272\">Todays Date<\/label><span>*<\/span><div class=\"input-group f-b-date-timePicker\"><div data-related-id=\"datePicker-1721991609272\" class=\"fake-input form-control date-time-picker\" data-date-format=\"m\/d\/Y\"><span class=\"s123-calendar-handler-placeholder\">Todays Date<\/span><\/div><input type=\"hidden\" data-id=\"datePicker-1721991609272\" name=\"datePicker-1721991609272\" value=\"\" required data-msg-required=\"This field is required.\"><span class=\"input-group-addon f-b-date-timePicker-icon s123-calendar-handler-icon\"><i class=\"svg-m s123-icon-converter \" data-icon-name=\"calendar\" style=\" mask: url('https:\/\/images.cdn-files-a.com\/ready_uploads\/svg\/calendar.svg?v=2'); -webkit-mask: url('https:\/\/images.cdn-files-a.com\/ready_uploads\/svg\/calendar.svg?v=2');\" data-ie11-classes=\"\" alt=\"calendar\"> <\/i><\/span><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"textarea\"><div class=\"form-group\"><label for=\"textarea-1745660302123\">Information on the EITC session you would like to host.<\/label><span>*<\/span><textarea  name=\"textarea-1745660302123\" placeholder=\"Information on the EITC session you would like to host.\" class=\"form-control\" rows=\"10\" required data-msg-required=\"This field is required.\"><\/textarea><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"textarea\"><div class=\"form-group\"><label for=\"textarea-1721991617700\">Additional Information (optional)<\/label><span>*<\/span><textarea  name=\"textarea-1721991617700\" placeholder=\"Additional Information (optional)\" class=\"form-control\" rows=\"10\" required data-msg-required=\"This field is required.\"><\/textarea><\/div><\/div><\/div><\/div><button type=\"submit\" class=\"btn btn-primary btn-block submit-single-step-btn\" aria-label=\"Send Request\">Send Request<\/button><\/div>","thankYouMsg":"","buttonNum":0}