Sitecore Form

<div class="sitecore-form" data-module="sitecoreForm">
    <script src="https://code.jquery.com/jquery-3.4.1.slim.min.js"
        integrity="sha256-pasqAKBDmFT4eHoN2ndd6lN370kFiGUFyTiUHWhU7k8=" crossorigin="anonymous"></script>
    <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery-validate/1.19.1/jquery.validate.min.js"></script>
    <script
        src="https://cdnjs.cloudflare.com/ajax/libs/jquery-validation-unobtrusive/3.2.11/jquery.validate.unobtrusive.min.js"></script>
    <form class="sitecore-form__form"
        action="/formbuilder?sc_mode=preview&amp;sc_itemid=%7BBD09B1DB-1815-4DD7-81B2-88FFE787A196%7D&amp;sc_lang=en&amp;sc_site=website&amp;sc_debug=0&amp;sc_trace=0&amp;sc_prof=0&amp;sc_ri=0&amp;sc_rb=0&amp;fxb.FormItemId=10c99076-d248-4ef8-8b25-a4145d614241&amp;fxb.HtmlPrefix=fxb.0585bf04-d031-4e0b-bccc-b949f6e35492"
        data-ajax="true" data-ajax-method="Post" data-ajax-mode="replace-with"
        data-ajax-success="$.validator.unobtrusive.parse(&#39;#fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_10c99076-d248-4ef8-8b25-a4145d614241&#39;);$.fxbFormTracker.parse(&#39;#fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_10c99076-d248-4ef8-8b25-a4145d614241&#39;);"
        data-ajax-update="#fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_10c99076-d248-4ef8-8b25-a4145d614241"
        data-sc-fxb="10c99076-d248-4ef8-8b25-a4145d614241" enctype="multipart/form-data"
        id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_10c99076-d248-4ef8-8b25-a4145d614241" method="post">
        <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_FormSessionId"
            name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.FormSessionId" type="hidden"
            value="68620baf-2633-4b9c-923e-082e782369b3" />
        <input name="__RequestVerificationToken" type="hidden"
            value="LyKCos6e4VZLBnPLSj3a87_ewCmjYXT_LPkF1n1yBObSjFt95ZtPpJT4jImBi11J3_MK7S4iaiLCglxgBYecdd-cRhxDNepKbTDW_BK8Duo1" />
        <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_FormItemId"
            name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.FormItemId" type="hidden"
            value="10c99076-d248-4ef8-8b25-a4145d614241" />
        <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_PageItemId"
            name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.PageItemId" type="hidden"
            value="889c9401-b9bc-4d3e-ad80-eb050a693d18" />
        <p data-sc-field-key="E40B9B5F6F244915B7E18A0BD7EA4F7F" class="sitecore-form__text ">Enter your details</p>
        <!-- Dropdown List -->
        <div class="sitecore-form__field-wrapper sitecore-form__field-wrapper--dropdown">
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_Index_011f89c7-9820-4f52-a37a-c21e45721722"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields.Index" type="hidden"
                value="011f89c7-9820-4f52-a37a-c21e45721722" />
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_011f89c7-9820-4f52-a37a-c21e45721722__ItemId"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[011f89c7-9820-4f52-a37a-c21e45721722].ItemId"
                type="hidden" value="011f89c7-9820-4f52-a37a-c21e45721722" />
            <label for="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_011f89c7-9820-4f52-a37a-c21e45721722__Value"
                class="sitecore-form__label">Title*</label>
            <select id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_011f89c7-9820-4f52-a37a-c21e45721722__Value"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[011f89c7-9820-4f52-a37a-c21e45721722].Value"
                class="sitecore-form__dropdown" data-sc-tracking="True" data-sc-field-name="Dropdown List"
                data-sc-field-key="AEA6FDA238B84B5FA6C8EE9AE0FFB389">
                <option value="State 1" selected="selected">Select your title</option>
                <option value="State 2">Mr</option>
                <option value="State 3">Ms</option>
            </select>
            <span class="field-validation-valid"
                data-valmsg-for="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[011f89c7-9820-4f52-a37a-c21e45721722].Value"
                data-valmsg-replace="true"></span>
        </div>
        <!-- Input[Text] -->
        <div class="sitecore-form__field-wrapper">
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_Index_e1fa4958-b15a-4fba-adc7-dc6fe60a30d8"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields.Index" type="hidden"
                value="e1fa4958-b15a-4fba-adc7-dc6fe60a30d8" />
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_e1fa4958-b15a-4fba-adc7-dc6fe60a30d8__ItemId"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[e1fa4958-b15a-4fba-adc7-dc6fe60a30d8].ItemId"
                type="hidden" value="e1fa4958-b15a-4fba-adc7-dc6fe60a30d8" />
            <label for="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_e1fa4958-b15a-4fba-adc7-dc6fe60a30d8__Value"
                class="sitecore-form__label">First name*</label>
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_e1fa4958-b15a-4fba-adc7-dc6fe60a30d8__Value"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[e1fa4958-b15a-4fba-adc7-dc6fe60a30d8].Value"
                class="sitecore-form__input" type="text" value="" maxlength="255" placeholder="Sirius Black"
                data-sc-tracking="True" data-sc-field-name="Single-Line Text"
                data-sc-field-key="6FE807BD7A89483FB6CB333FC4214117" data-val-required="First name is required"
                data-val="true" />
            <span class="field-validation-valid"
                data-valmsg-for="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[e1fa4958-b15a-4fba-adc7-dc6fe60a30d8].Value"
                data-valmsg-replace="true"></span>
        </div>
        <!-- Input[Text] -->
        <div class="sitecore-form__field-wrapper">
            <input id="fxb_e9c3e80f-a11e-4a1f-8a0c-801e11986ff9_FormItemId"
                name="fxb.e9c3e80f-a11e-4a1f-8a0c-801e11986ff9.FormItemId" type="hidden"
                value="10585058-4ff4-467a-bf91-5b2cf6ca0061">
            <input id="fxb_e9c3e80f-a11e-4a1f-8a0c-801e11986ff9_PageItemId"
                name="fxb.e9c3e80f-a11e-4a1f-8a0c-801e11986ff9.PageItemId" type="hidden"
                value="2a8654fe-3008-44f6-adc1-0a308f9c5791">
            <input id="fxb_e9c3e80f-a11e-4a1f-8a0c-801e11986ff9_Fields_Index_c0b00035-799c-439a-acb8-744d899f15d4"
                name="fxb.e9c3e80f-a11e-4a1f-8a0c-801e11986ff9.Fields.Index" type="hidden"
                value="c0b00035-799c-439a-acb8-744d899f15d4">
            <input id="fxb_e9c3e80f-a11e-4a1f-8a0c-801e11986ff9_Fields_c0b00035-799c-439a-acb8-744d899f15d4__ItemId"
                name="fxb.e9c3e80f-a11e-4a1f-8a0c-801e11986ff9.Fields[c0b00035-799c-439a-acb8-744d899f15d4].ItemId"
                type="hidden" value="c0b00035-799c-439a-acb8-744d899f15d4">
            <label for="fxb_e9c3e80f-a11e-4a1f-8a0c-801e11986ff9_Fields_c0b00035-799c-439a-acb8-744d899f15d4__Value"
                class="">Last name*</label>
            <input id="fxb_e9c3e80f-a11e-4a1f-8a0c-801e11986ff9_Fields_c0b00035-799c-439a-acb8-744d899f15d4__Value"
                name="fxb.e9c3e80f-a11e-4a1f-8a0c-801e11986ff9.Fields[c0b00035-799c-439a-acb8-744d899f15d4].Value"
                class="sitecore-form__input" type="text" value="" maxlength="255" placeholder="I'm required"
                data-sc-tracking="True" data-sc-field-name="Single-Line Text"
                data-sc-field-key="D3DCACF91E6646C6A31B1340C4FFB9F6" data-val-required="Last name is required"
                data-val="true">
            <span class="field-validation-valid"
                data-valmsg-for="fxb.e9c3e80f-a11e-4a1f-8a0c-801e11986ff9.Fields[c0b00035-799c-439a-acb8-744d899f15d4].Value"
                data-valmsg-replace="true"></span>
        </div>
        <!-- Input[Email] -->
        <div class="sitecore-form__field-wrapper">
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_Index_fe5e7a27-6ac4-4b79-8645-69969b8b3a13"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields.Index" type="hidden"
                value="fe5e7a27-6ac4-4b79-8645-69969b8b3a13" />
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_fe5e7a27-6ac4-4b79-8645-69969b8b3a13__ItemId"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[fe5e7a27-6ac4-4b79-8645-69969b8b3a13].ItemId"
                type="hidden" value="fe5e7a27-6ac4-4b79-8645-69969b8b3a13" />
            <label for="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_fe5e7a27-6ac4-4b79-8645-69969b8b3a13__Value"
                class="sitecore-form__label">Email address*</label>
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_fe5e7a27-6ac4-4b79-8645-69969b8b3a13__Value"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[fe5e7a27-6ac4-4b79-8645-69969b8b3a13].Value"
                class="sitecore-form__input" type="email" value="" maxlength="255" placeholder="my-email@example.com"
                data-sc-tracking="True" data-sc-field-name="Email" data-sc-field-key="091C7060A03649D6928B8723AB756BEF"
                data-val-regex="Email contains an invalid email address."
                data-val-regex-pattern="^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,17}$"
                data-val-required="Email address is required" data-val="true" />
            <span class="field-validation-valid"
                data-valmsg-for="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[fe5e7a27-6ac4-4b79-8645-69969b8b3a13].Value"
                data-valmsg-replace="true"></span>
        </div>
        <div class="sitecore-form__field-wrapper">
            <label for="fxb_6d1d425e-e265-461d-90b5-210e5b3df845_Fields_da99d89c-7339-4201-8773-4421db737045__Value"
                class="sitecore-form__label ">Textarea</label>
            <textarea id="fxb_6d1d425e-e265-461d-90b5-210e5b3df845_Fields_da99d89c-7339-4201-8773-4421db737045__Value"
                name="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[da99d89c-7339-4201-8773-4421db737045].Value"
                class="sitecore-form__input" rows="10" maxlength="512" placeholder="" data-sc-tracking="True"
                data-sc-field-name="Multiple-Line Text" data-sc-field-key="8D2575545207480094FD85EFEF249A77"></textarea>
            <span class="field-validation-valid"
                data-valmsg-for="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[da99d89c-7339-4201-8773-4421db737045].Value"
                data-valmsg-replace="true"></span>
        </div>
        <!-- Dropdown List -->
        <div class="sitecore-form__field-wrapper sitecore-form__field-wrapper--dropdown">
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_Index_011f89c7-9820-4f52-a37a-c21e45721722"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields.Index" type="hidden"
                value="011f89c7-9820-4f52-a37a-c21e45721722" />
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_011f89c7-9820-4f52-a37a-c21e45721722__ItemId"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[011f89c7-9820-4f52-a37a-c21e45721722].ItemId"
                type="hidden" value="011f89c7-9820-4f52-a37a-c21e45721722" />
            <label for="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_011f89c7-9820-4f52-a37a-c21e45721722__Value"
                class="sitecore-form__label">Country</label>
            <select id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_011f89c7-9820-4f52-a37a-c21e45721722__Value"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[011f89c7-9820-4f52-a37a-c21e45721722].Value"
                class="sitecore-form__dropdown" data-sc-tracking="True" data-sc-field-name="Dropdown List"
                data-sc-field-key="AEA6FDA238B84B5FA6C8EE9AE0FFB389">
                <option value="State 1" selected="selected">United Kingdom</option>
                <option value="State 2">Germany</option>
                <option value="State 3">Denmark</option>
            </select>
            <span class="field-validation-valid"
                data-valmsg-for="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[011f89c7-9820-4f52-a37a-c21e45721722].Value"
                data-valmsg-replace="true"></span>
        </div>
        <div class="sitecore-form__field-wrapper">
            <label for="fxb_6d1d425e-e265-461d-90b5-210e5b3df845_Fields_4632aaf8-b1fb-4e60-bcd0-248ed35aac9d__Value"
                class="sitecore-form__label ">Label</label>
            <input type="hidden"
                name="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[4632aaf8-b1fb-4e60-bcd0-248ed35aac9d].Value">
            <select id="fxb_6d1d425e-e265-461d-90b5-210e5b3df845_Fields_4632aaf8-b1fb-4e60-bcd0-248ed35aac9d__Value"
                name="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[4632aaf8-b1fb-4e60-bcd0-248ed35aac9d].Value"
                size="4" class="" data-sc-tracking="True" data-sc-field-name="List Box"
                class="sitecore-form__multi-select" data-sc-field-key="7FA15A8FC884461B840A8CFA25102A30">
                <option value="Test 1">Test 1</option>
                <option value="Test 2">Test 2</option>
            </select>
            <span class="field-validation-valid"
                data-valmsg-for="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[4632aaf8-b1fb-4e60-bcd0-248ed35aac9d].Value"
                data-valmsg-replace="true"></span>
        </div>
        <!-- Checkbox List -->
        <div class="sitecore-form__field-wrapper sitecore-form__field-wrapper--checkbox-list">
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_Index_767f28df-186e-4708-96f0-fab62b6bb346"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields.Index" type="hidden"
                value="767f28df-186e-4708-96f0-fab62b6bb346" />
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_Fields_767f28df-186e-4708-96f0-fab62b6bb346__ItemId"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[767f28df-186e-4708-96f0-fab62b6bb346].ItemId"
                type="hidden" value="767f28df-186e-4708-96f0-fab62b6bb346" />
            <p class="sitecore-form__checkbox-title">Checkbox List</p>
            <input type="hidden"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[767f28df-186e-4708-96f0-fab62b6bb346].Value" />
            <div class="sitecore-form__checkbox-wrapper">
                <input type="checkbox" class="sitecore-form__checkbox"
                    name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[767f28df-186e-4708-96f0-fab62b6bb346].Value"
                    value="TI Checkbox List" data-sc-tracking="True" data-sc-field-name="TI Checkbox List"
                    data-sc-field-key="A7A92386659044DEB91E31588F61D0B3" />
                <label for="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[767f28df-186e-4708-96f0-fab62b6bb346].Value"
                    class="sitecore-form__label">Yes, please send me free email newsletters from Tourism Ireland,
                    including regular updates on holiday ideas and deals. </label>
            </div>
            <div class="sitecore-form__checkbox-wrapper">
                <input type="checkbox" class="sitecore-form__checkbox"
                    name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[767f28df-186e-4708-96f0-fab62b6bb346].Value"
                    value="TI Checkbox List 2" data-sc-tracking="True" data-sc-field-name="TI Checkbox List"
                    data-sc-field-key="A7A92386659044DEB91E31588F61D0B3" />
                <label for="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[767f28df-186e-4708-96f0-fab62b6bb346].Value"
                    class="sitecore-form__label">Yes, I have read the terms &amp;conditions</label>
            </div>
            <span class="field-validation-valid"
                data-valmsg-for="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.Fields[767f28df-186e-4708-96f0-fab62b6bb346].Value"
                data-valmsg-replace="true"></span>
        </div>
        <div class="sitecore-form__field-wrapper  sitecore-form__field-wrapper--radio-button-list">
            <p class="sitecore-form__radio-button-title">Radio Button List</p>
            <div class="sitecore-form__radio-button-wrapper">
                <input type="radio" class="sitecore-form__radio-button"
                    name="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[fff89f32-e188-4510-9d85-b712a76edf7f].Value"
                    value="Test 1" data-sc-tracking="True" data-sc-field-name="Radio Button List"
                    data-sc-field-key="644FCAE940724292822F746A8EFFDA1B">
                <label class="sitecore-form__label">Option 1</label>
            </div>
            <div class="sitecore-form__radio-button-wrapper">
                <input type="radio" class="sitecore-form__radio-button"
                    name="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[fff89f32-e188-4510-9d85-b712a76edf7f].Value"
                    value="Test 2" data-sc-tracking="True" data-sc-field-name="Radio Button List"
                    data-sc-field-key="644FCAE940724292822F746A8EFFDA1B">
                <label class="sitecore-form__label">Option 2</label>
            </div>
            <span class="field-validation-valid"
                data-valmsg-for="fxb.6d1d425e-e265-461d-90b5-210e5b3df845.Fields[fff89f32-e188-4510-9d85-b712a76edf7f].Value"
                data-valmsg-replace="true"></span>
        </div>
        <div class="sitecore-form__checkbox-wrapper">
        <input type="checkbox" id="fxb_076d37f9-7502-4f77-918e-2980b48d3fc0_Fields_24b9b216-18c7-471a-9d64-bc64e6554af4__Value" name="fxb.076d37f9-7502-4f77-918e-2980b48d3fc0.Fields[24b9b216-18c7-471a-9d64-bc64e6554af4].Value" class="sitecore-form__checkbox input-validation-error" value="true" data-sc-tracking="True" data-sc-field-name="tandc" data-sc-field-key="AD25A683FF324E4DA27AB1E0085BABA1" data-val-ischecked="Yes, I have read the terms &amp; conditions. is required." data-val-required="The Value field is required." data-val="true" aria-required="true" aria-describedby="fxb.076d37f9-7502-4f77-918e-2980b48d3fc0.Fields[24b9b216-18c7-471a-9d64-bc64e6554af4].Value-error" aria-invalid="true">
        <label class="sitecore-form__label " for="fxb_076d37f9-7502-4f77-918e-2980b48d3fc0_Fields_24b9b216-18c7-471a-9d64-bc64e6554af4__Value" name="fxb.076d37f9-7502-4f77-918e-2980b48d3fc0.Fields[24b9b216-18c7-471a-9d64-bc64e6554af4].Value">Yes, I have read the terms &amp; conditions.</label>
        <span class="field-validation-error" data-valmsg-for="fxb.076d37f9-7502-4f77-918e-2980b48d3fc0.Fields[24b9b216-18c7-471a-9d64-bc64e6554af4].Value" data-valmsg-replace="true"><span id="fxb.076d37f9-7502-4f77-918e-2980b48d3fc0.Fields[24b9b216-18c7-471a-9d64-bc64e6554af4].Value-error" class="">Yes, I have read the terms &amp; conditions. is required.</span></span>
        </div>
        <!-- Hidden input for Buzzscore / Story 4385 -->
        <div class="sitecore-form__field-wrapper">
            <input id="fxb_97746562-57e5-4573-b70f-16d6d300fde7_Fields_bc93c14e-6e9e-4f6d-b09e-ee3b981560bd__Value" name="fxb.97746562-57e5-4573-b70f-16d6d300fde7.Fields[bc93c14e-6e9e-4f6d-b09e-ee3b981560bd].Value" type="hidden" value="" data-sc-field-name="quiz" data-sc-field-key="7F4001DB6E4845C887AE6C604D614192">
        </div>
        <!-- Submit Button (Submit Button) -->
        <div class="sitecore-form__field-wrapper">
            <button class="button-p1 button-p1--with-icon"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.5975aef2-e269-4555-9828-b25f0092c2d3"
                data-sc-field-key="E1147F949A714F1495A652E3B6B46AF2">Participate</button>
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_NavigationButtons"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.NavigationButtons" type="hidden"
                value="5975aef2-e269-4555-9828-b25f0092c2d3" />
            <input id="fxb_0585bf04-d031-4e0b-bccc-b949f6e35492_5975aef2-e269-4555-9828-b25f0092c2d3"
                name="fxb.0585bf04-d031-4e0b-bccc-b949f6e35492.5975aef2-e269-4555-9828-b25f0092c2d3" type="hidden"
                value="0" />
        </div>
        <!-- Script - Submit Form -->
        <script type="text/javascript" default-src="none">
            (function ($) {
                var $formEl = $("form[data-sc-fxb='10c99076-d248-4ef8-8b25-a4145d614241']");
                if ($formEl.length && typeof $formEl.init_fxbConditions === 'function') {
                    var options = {};
                    $formEl.init_fxbConditions(options);
                }
            })(jQuery)
        </script>
    </form>
</div>