document.write('<script type=\"text/javascript\" src=\"https://assets.bravenet.com/bn/js/emailfwd/bn_email_forms.min.js\"></script><link rel=\"stylesheet\" href=\"https://pub26.bravenet.com/emailfwd/v2/bnet-form.css.php?usernum=2186134233&formid=3573&formpadding=0\"><form method=\"post\" class=\"bnet-form\" enctype=\"multipart/form-data\" action=\"#bn-ajax-post:2186134233:26:3573\"><div class=\"bn-form-header\"><div class=\"bn-form-legend\"><div>BASS Chamonix/Megeve Lesson Enquiry</div></div> <div class=\"bn-form-desc\"><p>Please fill out the fields below.</p></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Name <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1\" placeholder=\"your first and last name\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Mobile Number <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1526563074576100\" placeholder=\"mobile number\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Email Address <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-2\" placeholder=\"you must enter a valid email address\" validator=\"email\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><div class=\"bn-row\"><span class=\"bn-label\">Resort <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-select\"><select name=\"Field-152681958268296[]\" multiple=\"multiple\" required=\"required\"><option value=\"Chamonix Valley\" selected=\"selected\">Chamonix Valley</option><option value=\"Megeve\">Megeve</option><option value=\"St Gervais\">St Gervais</option><option value=\"Les Contamines\">Les Contamines</option></select></span></span></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Accommodation address (if known) </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-166869511517947\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Course Start Date <span class=\"bn-required\">*</span></span> <span class=\"bn-input bn-date-input\"><input type=\"text\" name=\"Field-152656248031411\" validator=\"date\" placeholder=\"mm/dd/yyyy\" required=\"required\" value=\"\"> <span class=\"material-icons bn-date-pick\">date_range</span></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Course Title <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-152656260051218\" placeholder=\"\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Pupil names and abilities <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><textarea name=\"Field-3\" placeholder=\"Add all pupil names and abilities\" validator=\"\" required=\"required\"></textarea></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Emergency Contact Name &amp; Number <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-166869488075057\" placeholder=\"\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><div class=\"bn-row rowcb\"><span class=\"bn-label\">E-newsletter <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input type=\"radio\" name=\"Field-152656302828374\" value=\"Please add me to your e-newsletter\" checked=\"checked\"> <span class=\"bn-inner-label\">Please add me to your e-newsletter</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input type=\"radio\" name=\"Field-152656302828374\" value=\"Please do not add me to your e-newsletter\"> <span class=\"bn-inner-label\">Please do not add me to your e-newsletter</span></label></span></span></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Further comments </span> <span class=\"bn-input\"><textarea name=\"Field-152656273343850\" placeholder=\"any further questions and/or comments to add to your enquiry\" validator=\"\"></textarea></span></label></div>  <input type=\"hidden\" name=\"carboncopy\" value=\"\"> <input type=\"hidden\" name=\"thankyou\" value=\"\"> <input type=\"hidden\" name=\"thankyoutext\" value=\"Thank you for your form submission.  We will get back to your enquiry as soon as possible.');
document.write('Should for some reason you do not hear from us in 24hrs you could call us on +44 (0)20 33691003\"> <input type=\"hidden\" name=\"subject\" value=\"Ski Lesson Enquiry from BASS Chamonix Website\"><div class=\"bn-form-submit\"><button type=\"submit\" class=\"formbtn\">Submit Form</button></div> <style type=\"text/css\">.bnet-form ::-webkit-input-placeholder {');
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