Complete a partially built form

The attached file contains a form in progress. It's not a complicated form, but it does contain checkboxes, radio buttons, and standard input fields. It also has a rudimentary CAPTCHA. The form is PHP driven, and I prefer that it not be changed. If you disagree, then tell me why.

This form, when working correctly, has a nice behaviour for handling validation. There is a coloured panel that slides into view with the validation error message.

The PHP processing file needs code written to handle fields that were not originally in the form. I'm not adept at this, nor do I have time. The only fields on this form that are not mandatory are the checkboxes at the top of the form, the arrival and departure dates, and the group size. All other fields are required and must validate.

If I choose you, your job is to go through the form thoroughly and ensure that everything works. Styling is not required. I will do that once the form is completely functional.

Skills: Javascript, PHP

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About the Employer:
( 21 reviews ) Q-Cove, Canada

Project ID: #5520566

Awarded to:


Hi, Experienced Web Developer. I checked the form. I uploaded it to my server and have checked the codes: [login to view URL] I can complete the PHP coding on this. I can start now. Price is negoti More

$49 USD in 0 days
(167 Reviews)

18 freelancers are bidding on average $104 for this job


Hello! I am interest your project. I hope to work with you. I have enough experience about web developing for 5+years. My ranking is top 8th in freelancer. If you want, I can help you to check my previou More

$206 USD in 3 days
(124 Reviews)

I can help you again, but first we need to make sure that we are on the same page. So please contact me through PM first.

$84 USD in 3 days
(102 Reviews)

Hi, Hire an expert agency for PHP & WordPress. Please review portfolio UR/Demo [login to view URL] We are highly experienced in Responsive Wordpress/Joomla Web development, Landing Page design, WordPress Plugin Custom More

$144 USD in 2 days
(93 Reviews)

Hey Friend, Myself having has 10 + years experience of web site development. Expert in Custom programming in php / Mysql / Jquery / Wordpress/ Joomla / OSC / OpenCart. Ready to start the work immediately. I More

$54 USD in 2 days
(83 Reviews)

A proposal has not yet been provided

$160 USD in 2 days
(54 Reviews)

Hi, Offering over 8+ years of experience in we development, can complete this task in mentioned time frame and budget. Available on skype and email for daily reporting and walk through. Thanks, Rob

$66 USD in 3 days
(18 Reviews)

Hi I will do it as per your requirements. I have more than 4 years of exp in this field. thank you

$122 USD in 1 day
(48 Reviews)

Hello sir, I am a programmer with 4 years of work experiences. I'm familiar with html, html5, css, php, wordpress, cakephp, jQuery, javascript, ajax, mysql and yii framework. I am expert in jQuery. Please give More

$84 USD in 3 days
(30 Reviews)

Hello, I have extensive work experience in javascript, jquesry and PHP so, i can do this work. I read requirement and i have some questions that i want to ask you. Looking forward your reply. Regar More

$155 USD in 3 days
(7 Reviews)

Hello Denis, I have gone through the form. We have already worked earlier. You have seen my work and quality. I will complete all validation and give you final form. Let me know when we can discuss about that. More

$103 USD in 3 days
(3 Reviews)

Hello! I have seen your site. I am a skilful PHP and Javascript expert. I have read your project carefully and i realized your purpose well. I can satisfy all of your needs. I have rich experiences in project simi More

$111 USD in 2 days
(3 Reviews)

Hi Gusswah, I'm a new member of freelancer, and I'm interested in your project. I have read your description carefully. Right now, I can discuss and work on your job. I will work hard, Thanks.

$90 USD in 3 days
(2 Reviews)

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$50 USD in 3 days
(2 Reviews)

This is a fairly simple job. I could have this done within 24 hours, but I do want to give myself some room in case it takes longer and you ask for more or something different other than what you have described. I' More

$111 USD in 2 days
(0 Reviews)

Hello Employer! I am a full-time computer science student in SoCal looking to make some extra cash. I would love to help you with your form! I typically prefer to use PHP over mySQL or javascript whenever possible, so More

$100 USD in 5 days
(0 Reviews)

Hi, Dear Sir/Madam, We are MatrixStudio which is a freelance webdesign / graphic design company based on Sri Lanka. We are qualified and experienced in this subject and have a vast knowledge in latest technologie More

$40 USD in 2 days
(0 Reviews)

I have done such forms with PHP processing more than a hundred times, some simple and some complicated ones, as well. Here is one I did several years ago for my lawyer directory site: [login to view URL] More

$140 USD in 1 day
(0 Reviews)