<!-- Note : - You can modify the font style and form style to suit your website. - Code lines with comments “Do not remove this code” are required for the form to work properly, make sure that you do not remove these lines of code. - The Mandatory check script can modified as to suit your business needs. - It is important that you test the modified form before going live.-->
<div id="crmWebToEntityForm" style="width: 600px; margin: auto;"><form accept-charset="UTF-8" action="https://crm.zoho.com/crm/WebToLeadForm" method="POST" name="WebToLeads1513294000000098006"><!-- Do not remove this code. -->
<input style="display: none;" name="xnQsjsdp" type="text" value="8090017c4bd29868d26538cb58edc3d3b0537a31b1490228b2d87436e48b38c5" />
<input id="zc_gad" name="zc_gad" type="hidden" value="" />
<input style="display: none;" name="xmIwtLD" type="text" value="30c31191529271084615e483ace669a71d6ab3466083a05934fc87a25565cf8d" />
<input style="display: none;" name="actionType" type="text" value="TGVhZHM=" />

<input style="display: none;" name="returnURL" type="text" value="http://worldschool.com.br" />
<!-- Do not remove this code. -->
<table style="width: 600px; background-color: white; color: black;">
<tbody>
<tr>
<td style="text-align: left; color: black; font-family: Arial; font-size: 14px;" colspan="2"><b>Agende uma visita</b></td>
</tr>
<tr>
<td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Nome<span style="color: red;">*</span></td>
<td style="width: 250px;"><input style="width: 250px;" maxlength="80" name="Last Name" type="text" /></td>
</tr>
<tr>
<td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">E-mail</td>
<td style="width: 250px;"><input style="width: 250px;" maxlength="100" name="Email" type="text" /></td>
</tr>
<tr>
<td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Telefone</td>
<td style="width: 250px;"><input style="width: 250px;" maxlength="30" name="Phone" type="text" /></td>
</tr>
<tr>
<td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Nome e idade da criança</td>
<td><textarea style="width: 250;" maxlength="1000" name="Description">&nbsp;</textarea></td>
</tr>
<tr>
<td style="text-align: center; padding-top: 15px;" colspan="2"><input style="font-size: 12px; color: #131307;" type="submit" value="Submeter" />
<input style="font-size: 12px; color: #131307;" type="reset" value="Reiniciar" /></td>
</tr>
</tbody>
</table>
<script>// <![CDATA[
 	  var mndFileds=new Array('Last Name');
 	  var fldLangVal=new Array('Nome');
		var name='';
		var email='';

 	  function checkMandatory() {
		for(i=0;i<mndFileds.length;i++) {
		  var fieldObj=document.forms['WebToLeads1513294000000098006'][mndFileds[i]];
		  if(fieldObj) {
			if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {
			 if(fieldObj.type =='file')
				{ 
				 alert('Por favor, selecione um arquivo para fazer o upload'); 
				 fieldObj.focus(); 
				 return false;
				} 
			alert(fldLangVal[i] +' não pode ficar em branco'); 
   	   	  	  fieldObj.focus();
   	   	  	  return false;
			}  else if(fieldObj.nodeName=='SELECT') {
  	   	   	 if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {
				alert(fldLangVal[i] +' não pode ser vazio'); 
				fieldObj.focus();
				return false;
			   }
			} else if(fieldObj.type =='checkbox'){
 	 	 	 if(fieldObj.checked == false){
				alert('Please accept  '+fldLangVal[i]);
				fieldObj.focus();
				return false;
			   } 
			 } 
			 try {
			     if(fieldObj.name == 'Last Name') {
				name = fieldObj.value;
 	 	 	    }
			} catch (e) {}
		    }
		}
	     }
	   
// ]]></script>

</form></div>