<head>
<title>Font Awesome Icons</title>
<meta name=”viewport” content=”width=device-width, initial-scale=1″>
<link rel=”stylesheet” href=”https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css”>
<meta charset=”UTF-8″>
<meta name=”viewport” content=”width=device-width, initial-scale=1.0″>
<style>
.switch {
position: relative;
display: inline-block;
width: 40px;
height: 20px;
}
.switch input {
opacity: 0;
width: 0;
height: 0;
}
.slider {
position: absolute;
cursor: pointer;
top: 0;
left: 0;
right: 0;
bottom: 0;
background-color: #ccc;
transition: .4s;
border-radius: 10px;
}
.slider:before {
position: absolute;
content: “”;
height: 16px;
width: 16px;
left: 2px;
bottom: 2px;
background-color: white;
transition: .4s;
border-radius: 50%;
}
input:checked + .slider {
background-color: #833ADF;
}
input:focus + .slider {
box-shadow: 0 0 1px #EDECEE;
}
input:checked + .slider:before {
transform: translateX(20px);
}
.slider.round:before {
border-radius: 50%;
}
</style>
</head>
<script type=’text/javascript’> if(!document.getElementById(‘recaptcha’)){var script=document.createElement(‘script’);script.id=’recaptcha’;script.src=’https://www.google.com/recaptcha/api.js’;document.head.appendChild(script);}
var validationUrl=’//app.wodify.com/AthleteTheme/WebToLeadFormPost_v1.aspx?ResponseField=’;var reCaptchaValidated=false;function callbackFunc(data){document.getElementById(‘recaptcha_response_field’).value=data;validationUrl+=data;if(data){reCaptchaValidated=true;}}function validateWodifyLeadForm(){var reEmail = /^(([^<>()\[\]\\.,;:\s@”]+(\.[^<>()\[\]\\.,;:\s@”]+)*)|(“.+”))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;var returnValue = true;var fieldfirst_name=document.forms[‘wodifyLeadForm’][‘first_name’].value.trim(); document.forms[‘wodifyLeadForm’][‘first_name’].value = document.forms[‘wodifyLeadForm’][‘first_name’].value.trim(); if(fieldfirst_name==null||fieldfirst_name==”) {document.getElementById(‘errorfirst_name’).style.display=’inline’;returnValue=false;} else {document.getElementById(‘errorfirst_name’).style.display=’none’;}var fieldlast_name=document.forms[‘wodifyLeadForm’][‘last_name’].value.trim(); document.forms[‘wodifyLeadForm’][‘last_name’].value = document.forms[‘wodifyLeadForm’][‘last_name’].value.trim(); if(fieldlast_name==null||fieldlast_name==”) {document.getElementById(‘errorlast_name’).style.display=’inline’;returnValue=false;} else {document.getElementById(‘errorlast_name’).style.display=’none’;}var fieldemail=document.forms[‘wodifyLeadForm’][’email’].value; if(fieldemail==null||fieldemail==”||!reEmail.test(fieldemail)) {document.getElementById(‘warningemail’).style.display=’inline’;returnValue=false;} else {document.getElementById(‘warningemail’).style.display=’none’;}if(!reCaptchaValidated){document.getElementById(‘errorCAPTCHA’).style.display=’inline’;return false;} return returnValue;
}; function onChangePhoneValidation(phoneId){ var fieldphone=phoneId.value.replace(/[^0-9]/g, “”); var fieldPhoneLenght=fieldphone.length; if(fieldPhoneLenght==10||(0==0&&fieldPhoneLenght==0)) {document.getElementById(‘warningphone’).style.display=’none’;} else {document.getElementById(‘warningphone’).style.display=’inline’;} } </script>
<form action=”https://app.wodify.com/AthleteTheme/WebToLeadFormPost_v1.aspx?” accept-charset=”UTF-8″ method=”POST” id=”wodifyLeadForm” name=”wodifyLeadForm” onsubmit=”return validateWodifyLeadForm();”>
<div class=”wodify-form-group wodify-form-group-first_name”>
<label for=”first_name”>First Name <span class=”asterisk”>*</span></label><input type=”text” name=”first_name” maxlength=”50″ required data-required></input> <span id=”errorfirst_name” name=”errorfirst_name” style=”display: none; color: #cc2626;”> Required field!</span></div><div class=”wodify-form-group wodify-form-group-last_name”>
<label for=”last_name”>Last Name <span class=”asterisk”>*</span></label><input type=”text” name=”last_name” maxlength=”50″ required data-required></input> <span id=”errorlast_name” name=”errorlast_name” style=”display: none; color: #cc2626;”> Required field!</span></div><div class=”wodify-form-group wodify-form-group-email”>
<label for=”email”>Email <span class=”asterisk”>*</span></label><input type=”email” name=”email” maxlength=”250″ required data-required></input> <span id=”erroremail” name=”erroremail” style=”display: none; color: #cc2626;”> Required field!</span><span id=”warningemail” name=”warningemail” style=”display: none; color: #EED202;”> Enter a valid email address!</span></div><div class=”wodify-form-group wodify-form-group-phone”>
<label for=”phone”>Phone</label><input type=”number” name=”phone” maxlength=”20″ onchange=”onChangePhoneValidation(this)”
onkeypress=’return event.charCode >= 48 && event.charCode <= 57′
placeholder=”E.g.:1234567890″ ></input><span id=”warningphone” name=”warningphone” style=”display: none; color: #EED202;”> Enter a 10 digit number to ensure you receive SMSs.</span></div><div style=”display: inline-block;”><label class=”switch” style=”display: inline-block; vertical-align: middle;”><input type=”checkbox” checked name=”subscribe_tollfree” value=”true”><span class=”slider round”></span></label></div><div class=”wodify-form-group wodify-form-group-subscribe_tollfree”style=”display: inline-block; vertical-align: top;”><label for=”subscribe_tollfree”>Subscribe to SMS</label><i class=”fa fa-info-circle” title=”I have been given consent from the student. The student has agreed to receive communication from First Coast CrossFit at the phone number provided above. They understand that data rates may apply and message frequency will vary. They agree to Wodify’s Privacy Policy and they know that they can reply ‘STOP or ‘UNSUBSCRIBE’ to opt out.”></i>
</div><div class=”wodify-form-group wodify-form-group-comments”><label for=”comments”>Comments</label><textarea name=”comments” maxlength=”2000″ rows=”4″ cols=”50″></textarea> </div><div class=”wodify-form-group wodify-form-group-recaptcha” ><div class=’g-recaptcha’ data-sitekey=” data-callback=’callbackFunc’></div>
<input type=’hidden’ id=’recaptcha_response_field’ name=’recaptcha_response_field’ value=’manual_challenge’ style=’margin-top:20px;’><span id=”errorCAPTCHA” name=”errorCAPTCHA” style=”display: none; color: #cc2626;”> Invalid reCAPTCHA!</span><input type=”hidden” id=”usecaptcha” name=”usecaptcha” value=”true”></input></div><input type=”hidden” name=”redirecturl” value=”http://www.firstcoastcrossfit.com”>
<div class=”wodify-form-group wodify-form-group-submit”>
<input type=”hidden” name=”apikey” value=”m07hfatv9u”>
<input type=”submit” value=”Submit”>
</div>
</form>
