[contact-form to=’xperiencedays@bostonwineschool.com’ subject=’Xperience Days Reservation’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Password’ type=’text’ required=’1’/][contact-field label=’Student name, email%26#x002c; phone’ type=’textarea’/][contact-field label=’Wine class name’ type=’text’/][contact-field label=’Wine class date’ type=’text’/][contact-field label=’Number of tickets’ type=’text’/][contact-field label=’Does anyone in your party have a food allergy or dietary restriction we should know about?’ type=’select’ required=’1′ options=’No,Yes’/][contact-field label=’If yes%26#x002c; give details’ type=’text’/][contact-field label=’Questions%26#x002c; notes%26#x002c; comments?’ type=’textarea’/][/contact-form]