{"id":2649,"date":"2024-09-11T01:36:26","date_gmt":"2024-09-10T17:36:26","guid":{"rendered":"https:\/\/nexusresort.com\/?page_id=2649"},"modified":"2026-05-25T14:06:55","modified_gmt":"2026-05-25T06:06:55","slug":"reservation","status":"publish","type":"page","link":"https:\/\/nexusresort.com\/en\/reservation\/","title":{"rendered":"Reservation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2649\" class=\"elementor elementor-2649\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a182d19 e-con-full e-flex e-con e-parent\" data-id=\"a182d19\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-10f420c e-flex e-con-boxed e-con e-parent\" data-id=\"10f420c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d06cc01 elementor-widget elementor-widget-heading\" data-id=\"d06cc01\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SPA RESERVATION FORM<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d36bbe4 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d36bbe4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b9d064a e-flex e-con-boxed e-con e-parent\" data-id=\"b9d064a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d637568 elementor-widget elementor-widget-shortcode\" data-id=\"d637568\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-2744\"><form id=\"wpforms-form-2744\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2744\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/2649\" data-token=\"bd848dd338d3692b2fb61b96406157bf\" data-token-time=\"1792195064\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-2744-field_47-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"47\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_46-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"46\"><div id=\"wpforms-2744-field_46\" aria-errormessage=\"wpforms-2744-field_46-error\"><h3>Spa Treatment & Spa-Party Menu:<\/h3><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_48-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"48\"><div id=\"wpforms-2744-field_48\" aria-errormessage=\"wpforms-2744-field_48-error\"><h3>Enter Guest Information<\/h3><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2744-field_31-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"31\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_2-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Signature Therapy<\/legend><ul id=\"wpforms-2744-field_2\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Borneo Relax 60mins\" aria-errormessage=\"wpforms-2744-field_2_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_2_1\">Borneo Relax 60mins<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_2_2\" name=\"wpforms[fields][2][]\" value=\"Dari Borneo Hot Stone Massage 90mins\" aria-errormessage=\"wpforms-2744-field_2_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_2_2\">Dari Borneo Hot Stone Massage 90mins<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_2_4\" name=\"wpforms[fields][2][]\" value=\"Dari Borneo 60mins\" aria-errormessage=\"wpforms-2744-field_2_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_2_4\">Dari Borneo 60mins<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_2_3\" name=\"wpforms[fields][2][]\" value=\"Relax by the sea 60mins\" aria-errormessage=\"wpforms-2744-field_2_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_2_3\">Relax by the sea 60mins<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_2_5\" name=\"wpforms[fields][2][]\" value=\"Herbal Harmony 60mins\" aria-errormessage=\"wpforms-2744-field_2_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_2_5\">Herbal Harmony 60mins<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_17\">Title<\/label><select id=\"wpforms-2744-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\"><option value=\"Mr\" >Mr<\/option><option value=\"Ms\" >Ms<\/option><option value=\"Mrs\" >Mrs<\/option><option value=\"Sir\" >Sir<\/option><option value=\"Dr\" >Dr<\/option><option value=\"Mdm\" >Mdm<\/option><option value=\"Professor\" >Professor<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_34-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2744-field_34\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][34][first]\" aria-errormessage=\"wpforms-2744-field_34-error\" required><label for=\"wpforms-2744-field_34\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2744-field_34-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][34][last]\" aria-errormessage=\"wpforms-2744-field_34-last-error\" required><label for=\"wpforms-2744-field_34-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2744-field_33-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"33\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_4-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Body Therapy<\/legend><ul id=\"wpforms-2744-field_4\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_4_1\" name=\"wpforms[fields][4][]\" value=\"Borneo Sun Soother 60mins\" aria-errormessage=\"wpforms-2744-field_4_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_4_1\">Borneo Sun Soother 60mins<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_4_2\" name=\"wpforms[fields][4][]\" value=\"Marine Algae Mud Wrap 60mins\" aria-errormessage=\"wpforms-2744-field_4_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_4_2\">Marine Algae Mud Wrap 60mins<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_4_4\" name=\"wpforms[fields][4][]\" value=\"Borneo Sea Salt Glow 60mins\" aria-errormessage=\"wpforms-2744-field_4_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_4_4\">Borneo Sea Salt Glow 60mins<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_4_3\" name=\"wpforms[fields][4][]\" value=\"Tropical Organic Coffee Scrub 60mins\" aria-errormessage=\"wpforms-2744-field_4_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_4_3\">Tropical Organic Coffee Scrub 60mins<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_35-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_35\">Phone<\/label><input type=\"tel\" id=\"wpforms-2744-field_35\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][35]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-2744-field_35-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_36-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_36\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2744-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" spellcheck=\"false\" aria-errormessage=\"wpforms-2744-field_36-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2744-field_37-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"37\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_5-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Hands &amp; Feet Therapy<\/legend><ul id=\"wpforms-2744-field_5\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_5_1\" name=\"wpforms[fields][5][]\" value=\"Classic Mani 60mins\" aria-errormessage=\"wpforms-2744-field_5_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_5_1\">Classic Mani 60mins<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_5_3\" name=\"wpforms[fields][5][]\" value=\"Ultimate Foot Treatment 90mins\" aria-errormessage=\"wpforms-2744-field_5_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_5_3\">Ultimate Foot Treatment 90mins<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_5_5\" name=\"wpforms[fields][5][]\" value=\"Classic Pedi 60mins\" aria-errormessage=\"wpforms-2744-field_5_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_5_5\">Classic Pedi 60mins<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_18-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_18\">Number Of Persons<\/label><select id=\"wpforms-2744-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\"><option value=\"One Person \u4e00\u4eba\" >One Person \u4e00\u4eba<\/option><option value=\"Two Person \u4e24\u4eba\" >Two Person \u4e24\u4eba<\/option><option value=\"Three Person \u4e09\u4eba\" >Three Person \u4e09\u4eba<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_6-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Aromatherapy Facial<\/legend><ul id=\"wpforms-2744-field_6\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_6_1\" name=\"wpforms[fields][6][]\" value=\"Aroma Bliss Facial 60mins\" aria-errormessage=\"wpforms-2744-field_6_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_6_1\">Aroma Bliss Facial 60mins<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_6_3\" name=\"wpforms[fields][6][]\" value=\"Aroma Pamper Facial 90mins\" aria-errormessage=\"wpforms-2744-field_6_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_6_3\">Aroma Pamper Facial 90mins<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_19-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_19\">Preferred Treatment Date &amp; Time<\/label><select id=\"wpforms-2744-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\"><option value=\"Today\" >Today<\/option><option value=\"Tomorrow\" >Tomorrow<\/option><option value=\"Specific Date Below\" >Specific Date Below<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_7-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Wellness Package<\/legend><ul id=\"wpforms-2744-field_7\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Being Borneo 100mins\" aria-errormessage=\"wpforms-2744-field_7_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_7_1\">Being Borneo 100mins<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_7_2\" name=\"wpforms[fields][7][]\" value=\"Borneo Detox 150mins\" aria-errormessage=\"wpforms-2744-field_7_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_7_2\">Borneo Detox 150mins<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_7_3\" name=\"wpforms[fields][7][]\" value=\"Borneo Retreats 120mins\" aria-errormessage=\"wpforms-2744-field_7_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_7_3\">Borneo Retreats 120mins<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_20\">Any Special Request<\/label><textarea id=\"wpforms-2744-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-2744-field_20-error\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2744-field_38-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"38\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Foot Massage<\/legend><ul id=\"wpforms-2744-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2744-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Borneo Foot Reflexology 30\/60mins\" aria-errormessage=\"wpforms-2744-field_8_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_8_1\">Borneo Foot Reflexology 30\/60mins<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_21-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Just Arrived On Long Haul Flight?<\/legend><ul id=\"wpforms-2744-field_21\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2744-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" aria-errormessage=\"wpforms-2744-field_21_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2744-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" aria-errormessage=\"wpforms-2744-field_21_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_21_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Will You Be Staying In The Hotel?<\/legend><ul id=\"wpforms-2744-field_22\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2744-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes\" aria-errormessage=\"wpforms-2744-field_22_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_22_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2744-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" aria-errormessage=\"wpforms-2744-field_22_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2744-field_22_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2744-field_39-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"39\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2744-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_40\">Name On Hotel Reservation<\/label><input type=\"text\" id=\"wpforms-2744-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-2744-field_40-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2744-field_43-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"43\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_44-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_44\">Check-In Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2744-field_44\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][44][date]\" aria-errormessage=\"wpforms-2744-field_44-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2744-field_45-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_45\">Check-Out Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2744-field_45\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][45][date]\" aria-errormessage=\"wpforms-2744-field_45-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2744-field_52-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-2744-field_52\">Notes:<\/label><textarea id=\"wpforms-2744-field_52\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52]\" aria-errormessage=\"wpforms-2744-field_52-error\" ><\/textarea><\/div><div id=\"wpforms-2744-field_53-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"53\"><fieldset><legend class=\"wpforms-field-label\">Date \/ Time<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2744-field_53\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][53][date]\" aria-errormessage=\"wpforms-2744-field_53-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" 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