<div class="row">
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Check in</label><div class="icon-addon">
                                                        [date* date-317 class:form-control class:hasDatepicker]
                                                        <label class="glyphicon fa fa-calendar" title="Date from"></label>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <div class="form-group">
                                                    <label>Check out</label><div class="icon-addon">
                                                        [date* date-280 class:form-control class:hasDatepicker "Date"]
                                                        <label class="glyphicon fa fa-calendar" title="Date to"></label>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-sm-6">
                                                <label>Adults</label><div class="input-group number-spinner">
                                                    [number* number-983 class:form-control class:text-center]
                                                </div>
                                            </div>
                                            <div class=" col-sm-6">
                                                <label>Children</label><div class="input-group number-spinner">
                                                    [number number-999 class:form-control class:text-center]
                                                </div>
                                            </div>
                                            <div class="col-sm-12">
                                                <div class="form-group">
                                                    <label>Name</label>
                                                    [text* text-529 class:form-control placeholder "Enter your Name"]
                                                </div>
                                            </div>
                                            <div class="col-sm-12">
                                                <div class="form-group">
                                                    <label>Email</label>
                                                    [email email-718 class:form-control placeholder "Enter Your Email"]
                                                </div>
                                            </div>
                                            <div class="col-sm-12">
                                                <div class="form-group">
                                                    <label>Phone</label>
                                                    [tel tel-344 class:form-control placeholder "Phone Number"]
                                                </div>
                                            </div>
                                            <div class="col-sm-12">
                                                <div class="form-group">
                                                    [quiz quiz-797 class:form-control "Are you human? 3 + 1 =|4"]
                                                </div>
                                            </div>
                                        </div>[submit class:thm-btn class:btn-block "Book Now"]