
<label> Your Name
[text* your-name autocomplete:name] </label>
<label> Your Age
[number* your-age min:1 max:120] </label>
<label> Your Phone Number
[tel* your-phone autocomplete:tel] </label>
<label>
[checkbox* pledge-consent use_label_element "Yes, I sign the pledge to help prevent violence in Shelby County"] </label>
[submit "Submit"]