<div class="row">
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Name</label>
                                                    [text* text-468 class:form-control placeholder "Enter your Name"]
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Email</label>
                                                    [email* email-381 class:form-control placeholder "Enter Your Email"] 
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="row">
                                                    <div class="col-md-6 col-sm-6 col-xs-6">
                                                        <div class="form-group">
                                                            <label>Adults</label><div class="input-group number-spinner">
                                                                [number* number-295 class:form-control]
                                                            </div>
                                                        </div>
                                                    </div>
                                                    <div class="col-md-6 col-sm-6 col-xs-6">
                                                        <div class="form-group">
                                                            <label>Children</label><div class="input-group number-spinner">
                                                                [number* number-610 class:form-control]
                                                            </div>
                                                        </div>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Phone</label>
                                                    [tel tel-381 class:form-control placeholder "Phone Number"]
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Check in</label><div class="icon-addon">
                                                        [date* date-533 class:form-control placeholder "Date"]
<label class="glyphicon fa fa-calendar" title="email"></label>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Check out</label><div class="icon-addon">
                                                        [date* date-281 class:form-control placeholder "Date"]
                                                        <label class="glyphicon fa fa-calendar" title="email"></label>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Room type</label><div class="select-filters">
                                                        [select* menu-512 "elect room type" "Single Room" "Double Room" "Luxury Double Room"]<select name="room_type" id="sort-price">
                                                        </select>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    [quiz quiz-303 class:form-control "Are you human? 3 + 1 = | 4"]
                                                </div>
                                            </div>
                                        </div>
[submit class:thm-btn "Book Now"]