<div class="row gutter-90px">
<div class="col-md-12 col-lg-6">
<div class="form-input-field">
[text* popname id:popname placeholder "Name"]
<div class="error_" id="popname_error"></div>
</div>
</div>
<div class="col-md-12 col-lg-6">
<div class="form-input-field">
[email* popemail id:popemail placeholder "Email"]
<div class="error_" id="popemail_error"></div>
</div>
</div>
<div class="col-md-12 col-lg-6">
<div class="form-input-field">
<label class="bdate-label">Birthday*</label>
[date* date id:date class:textbox-n class:m-0]
<div class="error_" id="popdate_error"></div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<p class="subscribepara">Please check this box if you wish to receive information by e-mail from London Card Show.</p>
<div class="form-input-field" style="margin-bottom: 15px;">
<div class="checkbox1">
[radio subscribes id:subscribes use_label_element default:1 "YES" "NO"]
</div>
<br clear="all">
</div>
<p class="subscribepara">By checking this box you are agreeing to receive information from London Card Show by email.</p>
<div class="checkboxnews">
[checkbox permision-checkbox class:news-check-sign id:permision-checkbox use_label_element default:1 ""]
<p class="subscribepara">By checking this box you give your child permission to sign up to the London Card Show Kids Club and that their information will be saved on our database<p>
</div>
<input type="hidden" id="sourcename" value="Kids Popup Form Submission">
</div>
<div class="error_" id="permision"></div>
</div>
<div class="row">
<div class="col-md-12">
<div class="popup-btn-text">
<div class="form-btn">
[submit id:SUBMIT class:footer-btn class:m-0 class:modal-signupnow class:sign-up-btn "SIGN UP NOW"]
</div>
<div class="form-text1">
<p>Or Contact Us Via Instagram <a href="https://www.instagram.com/londoncardshow/" target="_blank">@LondonCardShow</a>. We aim to reply to all email’s and Direct
Messages within 48 hours of receiving them
</p>
</div>
</div>
<div class="message-new" id="msgss">
</div>
</div>
</div>