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	<title>safety coach Archives - Charlie Morecraft</title>
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	<description>Safety Motivational Speaker</description>
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		<title>Safety Presentations with Motivational Safety Speaker Scott Burrows</title>
		<link>https://www.charlieonsafety.com/safety-presentations-with-motivational-safety-speaker-scott-burrows/</link>
		
		<dc:creator><![CDATA[Charlie Morecraft]]></dc:creator>
		<pubDate>Thu, 22 Sep 2022 17:16:02 +0000</pubDate>
				<category><![CDATA[Latest News]]></category>
		<category><![CDATA[safety coach]]></category>
		<category><![CDATA[Speaker's Team]]></category>
		<category><![CDATA[Change Management Speaker]]></category>
		<category><![CDATA[Educational Speaker]]></category>
		<category><![CDATA[Fleet Safety]]></category>
		<category><![CDATA[Healthcare Speaker]]></category>
		<category><![CDATA[Insurance and Financial Speaker]]></category>
		<category><![CDATA[Keynote Safety Speakers]]></category>
		<category><![CDATA[Overcoming Adversity Speaker]]></category>
		<category><![CDATA[Pharmaceutical Speaker]]></category>
		<category><![CDATA[Resilience Speaker]]></category>
		<category><![CDATA[Safety Speaker]]></category>
		<category><![CDATA[Safety Teams]]></category>
		<category><![CDATA[Scott Burrows]]></category>
		<category><![CDATA[Speaker's team]]></category>
		<guid isPermaLink="false">https://www.charlieonsafety.com/?p=2615</guid>

					<description><![CDATA[<p>We are proud to have Scott Burrows, Motivational Safety Speaker, as part of our speaker’s team! Scott Burrows Biography Scott Burrows is a motivational safety speaker who brings the concepts of Vision, Mindset and Grit to life using his life-changing story as the backdrop for organizational success. Three simple, yet powerful words that when put &#8230; </p>
<p>The post <a href="https://www.charlieonsafety.com/safety-presentations-with-motivational-safety-speaker-scott-burrows/">Safety Presentations with Motivational Safety Speaker Scott Burrows</a> appeared first on <a href="https://www.charlieonsafety.com">Charlie Morecraft</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h4>We are proud to have Scott Burrows, Motivational Safety Speaker, as part of our speaker’s team!</h4>
<p class="fv-flowplayer-feed"><a href="https://www.charlieonsafety.com/safety-presentations-with-motivational-safety-speaker-scott-burrows/" title="Click to watch the video">[This post contains video, click to play]<br /><img decoding="async" src="https://www.charlieonsafety.com/wp-content/uploads/2022/09/scott-presentation-video-splash.jpg" width="400" /></a></p>
<h3>Scott Burrows Biography</h3>
<p>Scott Burrows is a motivational safety speaker who brings the concepts of Vision, Mindset and Grit to life using his life-changing story as the backdrop for organizational success. Three simple, yet powerful words that when put into action can help your organization stand up to any challenge.</p>
<p>By the age of 19, Scott played college football at Florida State University for legendary coach Bobby Bowden and was a top-ranked kick-boxing Black Belt champion whose last fight was broadcast by ESPN. Scott&#8217;s life changed dramatically when he survived a catastrophic car accident that left him paralyzed from the chest down and diagnosed a quadriplegic. Told he would be confined to a wheelchair for the rest of his life, Scott realized his split-second decision to not wear a seat belt had altered his course forever.</p>
<p>Despite his grim diagnosis, Scott astounded his doctors and refused to be sidelined. After graduating with a degree in Finance, Scott served as a Financial Advisor. At the pinnacle of his career, Scott experienced yet another setback, a second automobile accident. Although buckled in this time, new injuries forced him to RE-evaluate, RE-invent and once again RE-ignite his life by practicing what he preaches.</p>
<p>During his nine month recovery, Scott reminisced about the overcoming adversity speakers he heard at sales and leadership conferences. Their life-changing stories inspire others to chase their dreams, regardless of obstacles or barriers. That’s when Scott decided he would make the tough decision to leave an industry he had so much passion and success in to pursue a speaking career that has taken him around the world.</p>
<p><strong>SAFETY PRESENTATIONS:</strong></p>
<h1><strong>#1 &#8211; Develop an Unstoppable Mindset: Success Strategies for Safety Teams &amp; Supervisors</strong></h1>
<p>With the alarming predominance of workplace accidents caused by human error, the importance of engaging teams and individuals with safety procedures in a way that is meaningful to them and can promote significant change is crucial. Scott details his unforgettable, life-changing story of turning a paralyzing setback into a powerful comeback that inspires teams to develop a true safety <strong>MINDSET</strong>. Scott details how easy it is to become desensitized to common safety routines, and how &#8216;just this once&#8217; can tragically impact the rest of their lives.</p>
<p>Told while using his own physical paralysis as a metaphor and blending eloquent storytelling with humor and crowd interaction, Scott leaves audiences captivated, inspired and ready to take action. Scott will impact your team by encouraging awareness, better day-to-day safety decisions and changing the way your employees view and approach their jobs. Listeners will walk away embracing workplace safety protocols as opposed to resisting or ignoring them.</p>
<ul>
<li>Examine the safety Mindset of <strong><em>poise, execution and non-resistance</em></strong></li>
<li>Learn how to create a clear Vision that entices your employees to <strong><em>follow safety procedures and</em></strong> <strong><em>promotes accountability for their teammates</em></strong></li>
<li>Understand how forgiveness, a leadership trait, <strong><em>increases employee engagement and leads to greater safety protocol adherence</em></strong></li>
<li>Find out how <strong><em>asking the ‘what’ questions </em></strong>can get you thinking differently and help prevent accidents in the workplace</li>
<li>Discover how to not let your mindset become your biggest handicap to <strong><em>increase productivity</em></strong></li>
<li>Cultivate ways to unlock your Grit that can <strong><em>improve safety performance</em></strong></li>
</ul>
<h1><strong> #2 &#8211; </strong><strong>The Mindset of Safety for Supervisors</strong></h1>
<p>Frontline safety supervisors are the linchpin for an effective safety culture and responsible for creating an environment that embraces self-awareness, accountability and non-resistance. In the midst of analyzing hazard investigations, regulatory requirements, training and maintaining a safe work environment, it is easy to lose focus, and harder still to find the daily grit to persevere in an ever-changing environment.</p>
<p>In this impactful leadership safety presentation, Scott teaches supervisors how to inspire teams to make better safety decisions while staying focused on a shared company vision that will lower your recordables.</p>
<ul>
<li>What can I do to lead by example that will demonstrate my investment in individual team members and help educate workers that even a minor accident can have a devastating effect on everyone?</li>
<li>What can I do to encourage a shared responsibility in team members to not only follow individual procedures, but to ensure teammates are also demonstrating safe behaviors in the workplace?</li>
<li>What can I do today to positively reinforce safety compliance through encouragement and reward, rather than merely negative consequences after an accident has occurred?</li>
<li>What can I do to encourage my co-workers to make better safety decisions that will safeguard company protocols so they are not overlooked by management and fellow workers?</li>
</ul>
<h1><strong>#3 &#8211; Fleet Safety: Peak Performance Strategies for Drivers</strong></h1>
<p>With vehicular accidents costing employers $60 billion per year in property damage, legal and medical expense as well as the loss of worker productivity, employee training and development will always be the key factor in keeping drivers safe, while also protecting your companies’ bottom line.</p>
<p>Nothing delivers the importance of safety better than a compelling personal story. Neuroscience studies confirm storytelling illuminates parts of the brain that are only active when a listener actually experiences something – triggering their imagination, engaging them with a deep emotional response and sealing it into subconscious memory. With these areas of the brain activated and connected by a physical and emotional response, memory retention has been shown to be up to 7 times more effective than training through facts and figures.</p>
<p><strong>Key Program Takeaways:</strong></p>
<ul>
<li>Understand the method for creating a laser-focused mindset that will help drivers minimize road distractions and heighten awareness</li>
<li>Learn how to communicate a shared company vision that will impact drivers to take safety seriously</li>
<li>Discover adaptation strategies that will increase employee buy-in and crush resistance to safety protocols</li>
</ul>
<h1>Customer Reviews</h1>
<div class="pmc-quote">
<p>“Words cannot express my appreciation to you for the presentations you gave to our associates over the course of two days. I heard nothing but positive comments. One person told me, “I don’t know what you paid Scott for our workforce safety meeting, but he was worth every penny!” I would say the standing ovations conveyed how strongly our associates felt about your presentation. You certainly helped us attain our goal of “challenging and inspiring our associates to be the best they could be every day and to make workforce safety a number one priority!” ”</p>
<h5><em>Phillips-Van Heusen Corporation<br />
</em><img decoding="async" class="alignnone wp-image-1187" src="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png" sizes="(max-width: 120px) 100vw, 120px" srcset="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png 1000w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-300x75.png 300w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-768x192.png 768w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-240x60.png 240w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-600x150.png 600w" alt="" width="120" height="30" /></h5>
</div>
<div class="pmc-quote">
<p>“Scott was amazing and had our participants on the edge of their seats. After a long day of meetings and presentations, Scott was able to capture their hearts and minds with his incredible storytelling and relatable style. We appreciated that Scott could tailor his presentation to our meeting themes and bring to life the mindset that we wanted to cultivate through his unique life story and the grit he used to overcome seemingly impossible circumstances.”</p>
<h5><em>BASF Construction Chemicals, Americas<br />
</em><img decoding="async" class="alignnone wp-image-1187" src="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png" sizes="(max-width: 120px) 100vw, 120px" srcset="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png 1000w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-300x75.png 300w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-768x192.png 768w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-240x60.png 240w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-600x150.png 600w" alt="" width="120" height="30" /></h5>
</div>
<div class="pmc-quote">
<p>“Scott quickly understood the nature of our business and some of the opportunities and challenges we were facing and was able relate that back to his experience recovering from his accident. Scott was undoubtedly the highlight as he absolutely captivated the audience and got several standing ovations. I can’t recommend Scott highly enough if you are looking for someone who can motivate your team and help relate your company’s challenges with those he has faced. Truly one of the best speakers I have had the pleasure of working with or listening to.”</p>
<h5><em>James Ford, VP, of Category Strategic Advisory, The Coca-Cola Company<br />
</em><img decoding="async" class="alignnone wp-image-1187" src="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png" sizes="(max-width: 120px) 100vw, 120px" srcset="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png 1000w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-300x75.png 300w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-768x192.png 768w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-240x60.png 240w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-600x150.png 600w" alt="" width="120" height="30" /></h5>
</div>
<div class="pmc-quote">
<p>“Scott Burrows keynote speech was incredibly inspiring and motivating for our employees in our mission to bring safety in the workplace and manage injuries to their best outcomes. Scott was unique in that he did the research on our company and interspersed keen comparisons of our company’s challenges into his own life’s lessons on safety, not being afraid to fail and never quitting. This made Scott’s captivating, challenging message an even more personal and meaningful one for our employees. I highly recommend Scott as a motivational speaker for any company, and especially a company interested in increasing their safety culture.”</p>
<h5><em>James (Jim) C. Owen President and CEO, Missouri Employers Mutual<br />
</em><img decoding="async" class="alignnone wp-image-1187" src="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png" sizes="(max-width: 120px) 100vw, 120px" srcset="https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family.png 1000w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-300x75.png 300w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-768x192.png 768w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-240x60.png 240w, https://charliemorecraft.com/wp-content/uploads/2021/03/Google-Calisthenics-Family-600x150.png 600w" alt="" width="120" height="30" /></h5>
</div>
<h1>Book presentation</h1>
<p>To inquire about Scott’s presentations please call our office at (800) 783-0796, contact us by email at info@charliemorecraft.com or fill out the form below.</p>
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/* | */
@media screen and (min-width: 480px) and (max-width: 768px) {
  .jotform-form {
    padding: 30px 0;
  }
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 479px) {
  .jotform-form {
    padding: 30px 0;
  }
}
/* | */
/* | */
@media screen and (min-width: 768px) {
  .jotform-form {
    padding: 60px 0;
  }
}
/* | */
/* | */
@media screen and (max-width: 479px) {
  .jotform-form {
    padding: 12px;
  }
}
/* | */
.supernova .form-all,
.form-all {
  background-color: #ffffff;
  border: 1px solid transparent;
}
.form-header-group {
  border-color: #e6e6e6;
}
.form-matrix-table tr {
  border-color: #e6e6e6;
}
.form-matrix-table tr:nth-child(2n) {
  background-color: #f2f2f2;
}
.form-all {
  color: #555555;
}
.form-header-group .form-header {
  color: #555555;
}
.form-header-group .form-subHeader {
  color: #6f6f6f;
}
.form-sub-label {
  color: #6f6f6f;
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html {
  color: #6f6f6f;
}
.form-checkbox-item label,
.form-radio-item label {
  color: #555555;
}
.form-line.form-line-active {
  -webkit-transition-property: all;
  -moz-transition-property: all;
  -ms-transition-property: all;
  -o-transition-property: all;
  transition-property: all;
  -webkit-transition-duration: 0.3s;
  -moz-transition-duration: 0.3s;
  -ms-transition-duration: 0.3s;
  -o-transition-duration: 0.3s;
  transition-duration: 0.3s;
  -webkit-transition-timing-function: ease;
  -moz-transition-timing-function: ease;
  -ms-transition-timing-function: ease;
  -o-transition-timing-function: ease;
  transition-timing-function: ease;
  background-color: rgba(255, 255, 224, 0);
}
/* omer */
.form-radio-item,
.form-checkbox-item {
  padding-bottom: 0px !important;
}
.form-radio-item:last-child,
.form-checkbox-item:last-child {
  padding-bottom: 0;
}
/* omer */
.form-single-column .form-checkbox-item,
.form-single-column .form-radio-item {
  width: 100%;
}
.supernova {
  height: 100%;
  background-repeat: no-repeat;
  background-attachment: scroll;
  background-position: center top;
  background-repeat: repeat;
}
.supernova {
  background-image: none;
}
#stage {
  background-image: none;
}
/* | */
.form-all {
  background-repeat: no-repeat;
  background-attachment: scroll;
  background-position: center top;
  background-repeat: repeat;
}
.form-header-group {
  background-repeat: no-repeat;
  background-attachment: scroll;
  background-position: center top;
}
.form-line {
  margin-top: 0px;
  margin-bottom: 0px;
}
.form-line {
  padding: 8px 36px;
}
.form-all .form-textbox,
.form-all .form-radio-other-input,
.form-all .form-checkbox-other-input,
.form-all .form-captcha input,
.form-all .form-spinner input,
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next,
.form-all .qq-upload-button,
.form-all .form-error-message {
  -webkit-border-radius: 6px;
  -moz-border-radius: 6px;
  border-radius: 6px;
}
.form-all .form-sub-label {
  margin-left: 3px;
}
.form-all .form-textarea {
  -webkit-border-radius: 6px;
  -moz-border-radius: 6px;
  border-radius: 6px;
}
.form-all {
  -webkit-border-radius: 6px;
  -moz-border-radius: 6px;
  border-radius: 6px;
}
.form-section:first-child {
  -webkit-border-radius: 6px 6px 0 0;
  -moz-border-radius: 6px 6px 0 0;
  border-radius: 6px 6px 0 0;
}
.form-section:last-child {
  -webkit-border-radius: 0 0 6px 6px;
  -moz-border-radius: 0 0 6px 6px;
  border-radius: 0 0 6px 6px;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
  font-size: 1em;
  padding: 9px 15px;
  font-family: "Roboto", sans-serif;
  font-size: 14px;
  font-weight: normal;
}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
  font-size: 1em;
  padding: 9px 15px;
  font-family: "Roboto", sans-serif;
  font-size: 14px;
  font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
	
}
*/
h2.form-header {
  line-height: 1.618em;
  font-size: 1.714em;
}
h2 ~ .form-subHeader {
  line-height: 1.5em;
  font-size: 1.071em;
}
.form-header-group {
  text-align: left;
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
  padding: 4px 3px 2px 3px;
}
.form-header-group {
  font-family: "Roboto", sans-serif;
}
.form-section {
  padding: 0px 0px 0px 0px;
}
.form-header-group {
  margin: 0px 0px 0px 0px;
}
.form-header-group {
  padding: 12px 36px 12px 36px;
}
.form-header-group {
  background-color: #f5f5f5;
}
.form-textbox,
.form-textarea {
  padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
  background-color: #ffffff;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
  width: 150px;
}
.form-label {
  font-family: "Roboto", sans-serif;
}
li[data-type="control_image"] div {
  text-align: left;
}
li[data-type="control_image"] img {
  border: none;
  border-width: 0px !important;
  border-style: solid !important;
  border-color: false !important;
}
.form-line-column {
  width: auto;
}
.form-line-error {
  background-color: #ffffff;
  -webkit-box-shadow: inset 0px 3px 11px -7px #ff3200;
  -moz-box-shadow: inset 0px 3px 11px -7px #ff3200;
  box-shadow: inset 0px 3px 11px -7px #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
  -webkit-transition-property: none;
  -moz-transition-property: none;
  -ms-transition-property: none;
  -o-transition-property: none;
  transition-property: none;
  -webkit-transition-duration: 0.3s;
  -moz-transition-duration: 0.3s;
  -ms-transition-duration: 0.3s;
  -o-transition-duration: 0.3s;
  transition-duration: 0.3s;
  -webkit-transition-timing-function: ease;
  -moz-transition-timing-function: ease;
  -ms-transition-timing-function: ease;
  -o-transition-timing-function: ease;
  transition-timing-function: ease;
  border: 1px solid #fff4f4;
  -moz-box-shadow: 0 0 3px #fff4f4;
  -webkit-box-shadow: 0 0 3px #fff4f4;
  box-shadow: 0 0 3px #fff4f4;
}
.form-line-error .form-error-message {
  margin: 0;
  position: absolute;
  color: #fff;
  display: inline-block;
  right: 0;
  font-size: 10px;
  position: absolute!important;
  box-shadow: none;
  top: 0px;
  line-height: 20px;
  color: #FFF;
  background: #ff3200;
  padding: 0px 5px;
  bottom: auto;
  min-width: 105px;
  -webkit-border-radius: 0;
  -moz-border-radius: 0;
  border-radius: 0;
}
.form-line-error .form-error-message img,
.form-line-error .form-error-message .form-error-arrow {
  display: none;
}
.ie-8 .form-all {
  margin-top: auto;
  margin-top: initial;
}
.ie-8 .form-all:before {
  display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
  .testOne {
    letter-spacing: 0;
  }
  .jotform-form {
    padding: 12px 0 0 0;
  }
  .form-all {
    border: 0;
    width: 94%!important;
    max-width: initial;
  }
  .form-sub-label-container {
    width: 100%;
    margin: 0;
    margin-right: 0;
    float: left;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  span.form-sub-label-container + span.form-sub-label-container {
    margin-right: 0;
  }
  .form-sub-label {
    white-space: normal;
  }
  .form-address-table td,
  .form-address-table th {
    padding: 0 1px 10px;
  }
  .form-submit-button,
  .form-submit-print,
  .form-submit-reset {
    width: 100%;
    margin-left: 0!important;
  }
  div[id*=at_] {
    font-size: 14px;
    font-weight: 700;
    height: 8px;
    margin-top: 6px;
  }
  .showAutoCalendar {
    width: 20px;
  }
  img.form-image {
    max-width: 100%;
    height: auto;
  }
  .form-matrix-row-headers {
    width: 100%;
    word-break: break-all;
    min-width: 40px;
  }
  .form-collapse-table,
  .form-header-group {
    margin: 0;
  }
  .form-collapse-table {
    height: 100%;
    display: inline-block;
    width: 100%;
  }
  .form-collapse-hidden {
    display: none !important;
  }
  .form-input {
    width: 100%;
  }
  .form-label {
    width: 100% !important;
  }
  .form-label-left,
  .form-label-right {
    display: block;
    float: none;
    text-align: left;
    width: auto!important;
  }
  .form-line,
  .form-line.form-line-column {
    padding: 2% 5%;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  input[type=text],
  input[type=email],
  input[type=tel],
  textarea {
    width: 100%;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
    max-width: initial !important;
  }
  .form-dropdown,
  .form-textarea,
  .form-textbox {
    width: 100%!important;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  .form-input,
  .form-input-wide,
  .form-textarea,
  .form-textbox,
  .form-dropdown {
    max-width: initial!important;
  }
  .form-address-city,
  .form-address-line,
  .form-address-postal,
  .form-address-state,
  .form-address-table,
  .form-address-table .form-sub-label-container,
  .form-address-table select,
  .form-input {
    width: 100%;
  }
  div.form-header-group {
    padding: 12px 36px !important;
    padding-left: 5%!important;
    padding-right: 5%!important;
    margin: 0 0px 2% !important;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  div.form-header-group.hasImage img {
    max-width: 100%;
  }
  [data-type="control_button"] {
    margin-bottom: 0 !important;
  }
  [data-type=control_fullname] .form-sub-label-container {
    width: 48%;
  }
  [data-type=control_fullname] .form-sub-label-container:first-child {
    margin-right: 4%;
  }
  [data-type=control_phone] .form-sub-label-container {
    width: 65%;
  }
  [data-type=control_phone] .form-sub-label-container:first-child {
    width: 31%;
    margin-right: 4%;
  }
  [data-type=control_datetime] .form-sub-label-container + .form-sub-label-container,
  [data-type=control_datetime] .form-sub-label-container:first-child {
    width: 27.3%;
    margin-right: 6%;
  }
  [data-type=control_datetime] .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    width: 33.3%;
    margin-right: 0;
  }
  [data-type=control_datetime] span + span + span > span:first-child {
    display: block;
    width: 100% !important;
  }
  [data-type=control_birthdate] .form-sub-label-container,
  [data-type=control_datetime] span + span + span > span:first-child + span + span,
  [data-type=control_time] .form-sub-label-container {
    width: 27.3%!important;
    margin-right: 6% !important;
  }
  [data-type=control_birthdate] .form-sub-label-container:last-child,
  [data-type=control_time] .form-sub-label-container:last-child {
    width: 33.3%!important;
    margin-right: 0 !important;
  }
  .form-pagebreak-back-container,
  .form-pagebreak-next-container {
    width: 50% !important;
  }
  .form-pagebreak-back,
  .form-pagebreak-next,
  .form-product-item.hover-product-item {
    width: 100%;
  }
  .form-pagebreak-back-container {
    padding: 0;
    text-align: right;
  }
  .form-pagebreak-next-container {
    padding: 0;
    text-align: left;
  }
  .form-pagebreak {
    margin: 0 auto;
  }
  .form-buttons-wrapper {
    margin: 0!important;
    margin-left: 0!important;
  }
  .form-buttons-wrapper button {
    width: 100%;
  }
  .form-buttons-wrapper .form-submit-print {
    margin: 0 !important;
  }
  table {
    width: 100%!important;
    max-width: initial!important;
  }
  table td + td {
    padding-left: 3%;
  }
  .form-checkbox-item,
  .form-radio-item {
    white-space: normal!important;
  }
  .form-checkbox-item input,
  .form-radio-item input {
    width: auto;
  }
  .form-collapse-table {
    margin: 0 5%;
    display: block;
    zoom: 1;
    width: auto;
  }
  .form-collapse-table:before,
  .form-collapse-table:after {
    display: table;
    content: '';
    line-height: 0;
  }
  .form-collapse-table:after {
    clear: both;
  }
  .fb-like-box {
    width: 98% !important;
  }
  .form-error-message {
    clear: both;
    bottom: -10px;
  }
  .date-separate,
  .phone-separate {
    display: none;
  }
  .custom-field-frame,
  .direct-embed-widgets,
  .signature-pad-wrapper {
    width: 100% !important;
  }
}
/* | */

/*PREFERENCES STYLE*/
    .form-all {
      font-family: Roboto, sans-serif;
    }
    .form-all .qq-upload-button,
    .form-all .form-submit-button,
    .form-all .form-submit-reset,
    .form-all .form-submit-print {
      font-family: Roboto, sans-serif;
    }
    .form-all .form-pagebreak-back-container,
    .form-all .form-pagebreak-next-container {
      font-family: Roboto, sans-serif;
    }
    .form-header-group {
      font-family: Roboto, sans-serif;
    }
    .form-label {
      font-family: Roboto, sans-serif;
    }
  
    .form-label.form-label-auto {
      
    display: block;
    float: none;
    text-align: left;
    width: 100%;
  
    }
  
    .form-line {
      margin-top: 5px;
      margin-bottom: 5px;
    }
  
    .form-all {
      max-width: 480px;
      width: 100%;
    }
  
    .form-label.form-label-left,
    .form-label.form-label-right,
    .form-label.form-label-left.form-label-auto,
    .form-label.form-label-right.form-label-auto {
      width: 150px;
    }
  
    .form-all {
      font-size: 14px
    }
    .form-all .qq-upload-button,
    .form-all .qq-upload-button,
    .form-all .form-submit-button,
    .form-all .form-submit-reset,
    .form-all .form-submit-print {
      font-size: 14px
    }
    .form-all .form-pagebreak-back-container,
    .form-all .form-pagebreak-next-container {
      font-size: 14px
    }
  
    .supernova .form-all, .form-all {
      background-color: #fff;
    }
  
    .form-all {
      color: #555;
    }
    .form-header-group .form-header {
      color: #555;
    }
    .form-header-group .form-subHeader {
      color: #555;
    }
    .form-label-top,
    .form-label-left,
    .form-label-right,
    .form-html,
    .form-checkbox-item label,
    .form-radio-item label,
    span.FITB .qb-checkbox-label,
    span.FITB .qb-radiobox-label,
    span.FITB .form-radio label,
    span.FITB .form-checkbox label,
    [data-blotid][data-type=checkbox] [data-labelid],
    [data-blotid][data-type=radiobox] [data-labelid],
    span.FITB-inptCont[data-type=checkbox] label,
    span.FITB-inptCont[data-type=radiobox] label {
      color: #555;
    }
    .form-sub-label {
      color: #6f6f6f;
    }
  
    .supernova {
      background-color: rgb(255, 255, 255);
    }
    .supernova body {
      background: transparent;
    }
  
    .form-textbox,
    .form-textarea,
    .form-dropdown,
    .form-radio-other-input,
    .form-checkbox-other-input,
    .form-captcha input,
    .form-spinner input {
      background-color: #fff;
    }
  
    .supernova {
      background-image: none;
    }
    #stage {
      background-image: none;
    }
  
    .form-all {
      background-image: none;
    }
  
    .form-all {
      position: relative;
    }
    .form-all:before {
      content: "";
      background-image: url("https://www.jotform.com/uploads/WEBSITEFLIX/form_files/scott-burrows-keynote-safety-speaker-.63eabfe2e79174.75833059.jpg");
      display: inline-block;
      height: 212.65822784810126px;
      position: absolute;
      background-size: 480px 212px;
      background-repeat: no-repeat;
      width: 100%;
    }
    .form-all {
      margin-top: 222px !important;
    }
    .form-all:before {
      top: -222px;
      background-position: top center;
      left: 0;
    }
           
  .ie-8 .form-all:before { display: none; }
  .ie-8 {
    margin-top: auto;
    margin-top: initial;
  }
  
  /*PREFERENCES STYLE*//*__INSPECT_SEPERATOR__*/
/*---------------------
Theme: Generic Theme
Author: Elton Cris - idarktech@jotform.com
www.jotform.com
----------------------*/
.form-all {
    -moz-box-sizing : border-box;
    -webkit-box-sizing : border-box;
    box-sizing : border-box;
    -moz-box-shadow : 0 1px 4px rgba(0, 0, 0, .25);
    -webkit-box-shadow : 0 1px 4px rgba(0, 0, 0, .25);
    box-shadow : 0 1px 4px rgba(0, 0, 0, .25) !important;
}

[data-type="control_head"] {
    padding-bottom : 20px;
}

/*responsive fields*/
[data-type="control_textbox"] .form-textbox, 
[data-type="control_fullname"] .form-textbox,
[data-type="control_email"] .form-textbox,
[data-type="control_textarea"] .form-textarea, 
[data-type="control_dropdown"] .form-dropdown {
    width : 100% !important;
    max-width : none !important;
}

.form-textbox, .form-textarea, .form-dropdown {
    max-width : none !important;
    box-shadow : none;
    outline : none;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    -moz-box-sizing : border-box;
    font-family : inherit;
    padding : 8px;
    transition : .3s ease-in-out;
    box-shadow : 0 1px 2px rgba(0, 0, 0, .15) inset;
}

.form-textarea-limit>span {
    display : block;
}

[data-type="control_dropdown"] .form-input, 
[data-type="control_dropdown"] .form-input-wide {
    width : 100%;
}

/*input focus*/
.form-line-active input:focus, .form-line-active textarea:focus, .form-line-active select:focus {
    outline : 0;
    border-color : 1px solid rgba(82, 168, 236, 0.8) !important;
    box-shadow : inset 0 1px 3px rgba(0, 0, 0, 0.1),0 0 8px rgba(82, 168, 236, 0.6);
}

/*reset error*/
.form-line-error {
    box-shadow : none;
}

/*input error*/
.form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error select, .form-line-error .form-validation-error {
    border : 1px solid #e15353 !important;
    box-shadow : none !important;
}

.form-line-active {
    color : inherit !important;
}

/*responsive content -wide or shrink*/
.form-label {
    width : 35% !important;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    -moz-box-sizing : border-box;
}

.form-label-top {
    width : 100% !important;
}

.form-line {
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    -moz-box-sizing : border-box;
    width : 100%;
}

.form-checkbox-other-input {
    width : 80% !important;
}

.form-input {
    width : 65% !important;
    max-width : none !important;
}

.form-input-wide {
    max-width : none !important;
    display : inline-block;
    width : 100%;
}

/*single fields with sublabels*/
[data-type="control_textbox"] .form-input-wide .form-sub-label-container, 
[data-type="control_fullname"] .form-input-wide .form-sub-label-container,
[data-type="control_email"] .form-input-wide .form-sub-label-container,
[data-type="control_textarea"] .form-input-wide .form-sub-label-container, 
[data-type="control_dropdown"] .form-input-wide .form-sub-label-container,
[data-type="control_textbox"] .form-input .form-sub-label-container, 
[data-type="control_fullname"] .form-input .form-sub-label-container,
[data-type="control_email"] .form-input .form-sub-label-container,
[data-type="control_textarea"] .form-input .form-sub-label-container, 
[data-type="control_dropdown"] .form-input .form-sub-label-container {
    width : 100%;
    max-width : none !important;
}

[data-type="control_dropdown"] .form-input-wide {
    width : 100%;
}

/*responsive full name*/
[data-type="control_fullname"] .form-sub-label-container {
    width : 50% !important;
    margin : 0 !important;
    float : left;
    box-sizing : border-box;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container {
    display : inline-block;
    padding-right : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
    margin-right : 0;
    padding-right : 0;
    padding-left : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
    margin-right : 0;
    padding-right : 0;
    padding-left : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    padding-left : 0;
    padding-right : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    padding-left : 5px;
    padding-right : 0;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container  + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    padding-right : 5px;
    padding-left : 0;
}

#sublabel_prefix, #sublabel_first, #sublabel_middle {
    /*margin-bottom : 10px;
    */;
}

/*remove sepatators on date and phone*/
.phone-separate, .date-separate {
    display : none;
}

/*responsive phone fields*/
[data-type="control_phone"] input[name$="[area]"] {
    width : 100%;
}

[data-type="control_phone"] input[name$="[phone]"] {
    width : 100%;
}

[data-type="control_phone"] input[name$="[full]"] {
    width : 100%;
}

[data-type="control_phone"] .form-sub-label-container {
    width : 40%;
    float : left;
    box-sizing : border-box;
    margin-right : 0;
    padding-right : 12px;
}

/* responsive date time field */
[data-type="control_datetime"] .form-textbox,
[data-type="control_datetime"] .form-dropdown {
    width : 100%;
}

[data-type="control_datetime"] .form-sub-label-container {
    width : 28%;
    padding-left : 4px;
    box-sizing : border-box;
    margin-right : 0;
}

[data-type="control_datetime"] .form-sub-label-container:first-child {
    padding-left : 0;
}

[data-type="control_datetime"] .form-sub-label-container:first-child + .form-sub-label-container + .form-sub-label-container {
    padding-right : 0;
}

[data-type="control_datetime"] .form-sub-label-container:last-child {
    width : auto !important;
}

.allowTime-container .form-sub-label-container:last-child {
    width : 20% !important;
}

span.allowTime-container {
    width : 80%;
    padding-top : 14px;
}

.allowTime-container span.form-sub-label-container {
    width : 35%;
}

span.allowTime-container .form-dropdown {
    width : 100%;
}

span.allowTime-container > span:first-child {
    display : none;
}

span.allowTime-container > span:first-child + span {
    padding-left : 0;
}

.showAutoCalendar + label {
    display : none;
}

span.allowTime-container + span {
    padding-top : 14px;
}

/*calendar lite mode*/
[data-type="control_datetime"] div[style*="none"] + .form-sub-label-container {
    width : 84%;
    padding-left : 0;
}

/*responsive phone field*/
[data-type="control_phone"] .form-sub-label-container + .form-sub-label-container {
    width : 60%;
    margin-right : 0;
    padding-right : 0;
    padding-left : 12px;
}

/*responsive full address fields*/
.form-address-city, .form-address-line, .form-address-postal, 
.form-address-state, .form-address-table, 
.form-address-table .form-sub-label-container, .form-address-table select {
    width : 100%;
    max-width : 100%;
}

[data-type="control_address"] input[name$="[city]"],
[data-type="control_address"] input[name$="[postal]"] {
    width : 90% !important;
}

[data-type="control_address"] input[name$="[area]"] {
    width : 60%;
}

/*reset submit button*/
[data-type="control_button"] {
    background : transparent !important;
}

.form-submit-button,
.form-submit-reset,
.form-submit-print {
    outline : none;
}

/*remove other checkbox*/
.form-checkbox-other, 
.form-radio-other {
    visibility : hidden !important;
}

/*shruken fields*/
.form-line-column {
    width : 50%;
}

.form-line-column .form-label-top {
    width : 100% !important;
}

/*fix form builder display*/
div#stage.form-all {
    max-width : none !important;
    margin-right : 0;
}

div#stage .form-input {
    width : 64% !important;
}

/*remove first pagebreak back button*/
.form-all .page-section:first-child .form-pagebreak .form-pagebreak-back-container {
    display : none !important;
}

/* responsive pagebreak */
.form-pagebreak-back-container {
    width : 50% !important;
    text-align : left;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    float : left;
}

.form-pagebreak-next-container {
    width : 50% !important;
    text-align : right;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    float : left;
}

/* radio-checkbox button make border 1px */
.form-radio-item:not(#foo) label:after,
.form-radio-item:not(#foo) label:before {
    border-radius : 50%;
}

.form-checkbox-item:not(#foo) label:after,
.form-checkbox-item:not(#foo) label:before {
    border-radius : 0;
}

.form-radio-item:not(#foo) label:before,
.form-checkbox-item:not(#foo) label:before {
    border-width : 1px;
}

/*responsive credit card on payment fields*/
table td + td {
    padding-left : 0;
}

.form-address-table {
    width : 100%;
}

[data-type="control_stripe"] .form-address-table,
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table,
[data-type="control_authnet"] .form-address-table .form-textbox,
#creditCardTable.form-address-table,
#creditCardTable.form-address-table .form-textbox {
    max-width : none;
}

[data-type="control_stripe"] .form-address-table td:last-child .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td:last-child .form-sub-label-container,
#creditCardTable.form-address-table td:last-child .form-sub-label-container {
    margin-left : 0;
    white-space : normal;
}

[data-type="control_stripe"] .form-address-table td .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td .form-sub-label-container,
#creditCardTable.form-address-table td .form-sub-label-container {
    width : 100%;
}

[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_stripe"] .form-address-table .form-dropdown,
[data-type="control_authnet"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table .form-dropdown,
#creditCardTable.form-address-table .form-textbox,
#creditCardTable.form-address-table .form-dropdown {
    width : 100%;
    visibility : visible;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child span {
    margin : 0;
    padding-right : 6px;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child + td span {
    margin : 0;
    padding-left : 6px;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span {
    margin : 0;
    padding-right : 6px;
    width : 50% !important;
    visibility : hidden;
    float : left;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span {
    margin : 0;
    padding-top : 0 !important;
    padding-right : 0;
    padding-left : 6px;
    width : 50% !important;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

.cc_ccv {
    width : 100% !important;
}

[data-type="control_stripe"] .form-address-table .form-sub-label,
[data-type="control_authnet"] .form-address-table .form-sub-label,
#creditCardTable.form-address-table .form-sub-label {
    visibility : visible;
}

/*cc fix city state, country */
[data-type="control_stripe"] .form-address-table td[width="50%"]>span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"]>span:first-child,
#creditCardTable.form-address-table td[width="50%"]>span:first-child {
    box-sizing : border-box;
    padding-right : 7px;
}

[data-type="control_stripe"] .form-address-table td[width="50%"] + td >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td >span:first-child {
    box-sizing : border-box;
    padding-left : 7px;
}

[data-type="control_stripe"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td[width="50%"] >span:first-child {
    box-sizing : border-box;
    padding-right : 0;
}

.hover-product-item:hover {
    color : inherit;
}

/*fix for braintree cc styling*/
[data-type="control_braintree"] .form-sub-label-container {
    width : 100% !important;
    padding : 4px;
    box-sizing : border-box;
}

[data-type="control_braintree"] .form-textbox {
    width : 100%;
}

.braintree-hosted-fields {
    width : 100% !important;
    box-sizing : border-box;
    min-height : 28px;
}

/*remove bottom spacing on CC section*/
#creditCardTable.form-address-table tbody tr + tr + tr td,
[data-type="control_stripe"] .form-address-table tbody tr + tr + tr td,
[data-type="control_authnet"] .form-address-table tbody tr + tr + tr td {
    padding-bottom : 0;
}

@media screen and (max-device-width:768px){
    .form-all {
        margin : 0 auto !important;
        width : 100% !important;
    }

    [data-type=control_fullname] .form-sub-label-container:first-child {
        margin-right : 0;
    }

}

@media screen and (max-width:480px){
    .jotform-form {
        padding : 0;
    }

    .form-input {
        width : 100% !important;
    }

    .form-label {
        width : 100% !important;
        float : none !important;
    }

    .form-line-column {
        width : 100% !important;
    }

    div.form-header-group {
        margin : 0 !important;
        padding : 24px 20px !important;
    }

    [data-type="control_datetime"] .form-sub-label-container {
        float : left;
    }

    [data-type=control_fullname] .form-sub-label-container:first-child {
        margin-right : 0;
    }

}

/*----fix the new awful error message----*/
li.form-line-error .form-error-message img {
    position: static !important;
    margin-top: 0;
    left: 0;
    top: 0;
    vertical-align: middle;
    padding: 2px 0;
}
li.form-line-error .form-error-message {
    padding: 2px 6px;
}
    /* Injected CSS Code */
</style>

<link type="text/css" rel="stylesheet" href="https://cdn02.jotfor.ms/css/styles/buttons/form-submit-button-black_blue.css?3.3.39252"/>
<form class="jotform-form" action="https://submit.jotform.com/submit/230437120236141/" method="post" name="form_230437120236141" id="230437120236141" accept-charset="utf-8" autocomplete="off"><input type="hidden" name="formID" value="230437120236141" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" />
  <div role="main" class="form-all">
    <link type="text/css" rel="stylesheet" media="all" href="https://cdn.jotfor.ms/wizards/languageWizard/custom-dropdown/css/lang-dd.css?3.3.39252" />
    <div class="cont"><input type="text" id="input_language" name="input_language" style="display:none" />
      <div class="language-dd" id="langDd" style="display:none">
        <div class="dd-placeholder lang-emp">Language</div>
        <ul class="lang-list dn" id="langList">
          <li data-lang="en" class="en">English (US)</li>
        </ul>
      </div>
    </div>
    <script type="text/javascript" src="https://cdn.jotfor.ms/js/formTranslation.v2.js?3.3.39252"></script>
    <ul class="form-section page-section">
      <li class="form-line" data-type="control_text" id="id_23">
        <div id="cid_23" class="form-input-wide">
          <div id="text_23" class="form-html" data-component="text" tabindex="0">
            <p>Bring <strong>Keynote Scott Burrows</strong> to your facility to deliver a very powerful, profound and impactful safety message that will alter people’s attitude towards safety forever! GUARANTEED!</p>
            <p>For pricing and availability please send us an email at <a href="mailto:info@charliemorecraft.com" target="_blank" rel="nofollow">info@charliemorecraft.com</a> or fill out the form below.</p>
            <p>Contact Details: +1 (561) 997-1120<br />Toll Free: (800) 783-0796<br />Email: <a href="mailto:info@charliemorecraft.com" target="_blank" rel="nofollow">info@charliemorecraft.com</a> <br />Website: <a href="https://charliemorecraft.com/on-site-presentations-with-scott-burrows-motivational-safety-speaker/" target="_blank" rel="nofollow">https://charliemorecraft.com/on-site-presentations-with-scott-burrows-motivational-safety-speaker/</a> </p>
          </div>
        </div>
      </li>
      <li class="form-line jf-required" data-type="control_textbox" id="id_20"><label class="form-label form-label-top form-label-auto" id="label_20" for="input_20"> Company<span class="form-required">*</span> </label>
        <div id="cid_20" class="form-input-wide jf-required"> <input type="text" id="input_20" name="q20_company" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="20" value="" data-component="textbox" aria-labelledby="label_20" required="" /> </div>
      </li>
      <li class="form-line jf-required" data-type="control_dropdown" id="id_26"><label class="form-label form-label-top form-label-auto" id="label_26" for="input_26"> Keynote Safety Speaker<span class="form-required">*</span> </label>
        <div id="cid_26" class="form-input-wide jf-required"> <select class="form-dropdown validate[required]" id="input_26" name="q26_keynoteSafety" style="width:150px" data-component="dropdown" required="" aria-label="Keynote Safety Speaker">
            <option value="">Please Select</option>
            <option selected="" value="Scott Burrows">Scott Burrows</option>
            <option value="Charlie Morecraft">Charlie Morecraft</option>
          </select> </div>
      </li>
      <li class="form-line form-line-column form-col-1 jf-required" data-type="control_textbox" id="id_3"><label class="form-label form-label-top" id="label_3" for="input_3"> First Name<span class="form-required">*</span> </label>
        <div id="cid_3" class="form-input-wide jf-required"> <input type="text" id="input_3" name="q3_firstName" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="23" value="" placeholder=" " data-component="textbox" aria-labelledby="label_3" required="" /> </div>
      </li>
      <li class="form-line form-line-column form-col-2 jf-required" data-type="control_textbox" id="id_9"><label class="form-label form-label-top" id="label_9" for="input_9"> Last Name<span class="form-required">*</span> </label>
        <div id="cid_9" class="form-input-wide jf-required"> <input type="text" id="input_9" name="q9_lastName" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="25" value="" placeholder=" " data-component="textbox" aria-labelledby="label_9" required="" /> </div>
      </li>
      <li class="form-line form-line-column form-col-1 form-line-column-clear jf-required" data-type="control_textbox" id="id_10"><label class="form-label form-label-top" id="label_10" for="input_10"> E-mail<span class="form-required">*</span> </label>
        <div id="cid_10" class="form-input-wide jf-required"> <input type="text" id="input_10" name="q10_email10" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="23" value="" placeholder=" " data-component="textbox" aria-labelledby="label_10" required="" /> </div>
      </li>
      <li class="form-line form-line-column form-col-2 jf-required" data-type="control_textbox" id="id_11"><label class="form-label form-label-top" id="label_11" for="input_11"> Phone<span class="form-required">*</span> </label>
        <div id="cid_11" class="form-input-wide jf-required"> <input type="text" id="input_11" name="q11_phone" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="25" value="" placeholder=" " data-component="textbox" aria-labelledby="label_11" required="" /> </div>
      </li>
      <li class="form-line jf-required" data-type="control_textarea" id="id_25"><label class="form-label form-label-top form-label-auto" id="label_25" for="input_25"> Event Date(s) and/or Location(s)<span class="form-required">*</span> </label>
        <div id="cid_25" class="form-input-wide jf-required"> <textarea id="input_25" class="form-textarea validate[required]" name="q25_eventDates" cols="40" rows="6" data-component="textarea" required="" aria-labelledby="label_25"></textarea> </div>
      </li>
      <li class="form-line" data-type="control_textarea" id="id_19"><label class="form-label form-label-top form-label-auto" id="label_19" for="input_19"> Other Details </label>
        <div id="cid_19" class="form-input-wide"> <textarea id="input_19" class="form-textarea" name="q19_otherDetails" cols="70" rows="6" data-component="textarea" aria-labelledby="label_19"></textarea> </div>
      </li>
      <li class="form-line jf-required" data-type="control_captcha" id="id_21"><label class="form-label form-label-top form-label-auto" id="label_21" for="input_21"> Please verify that you are human<span class="form-required">*</span> </label>
        <div id="cid_21" class="form-input-wide jf-required">
          <section data-wrapper-react="true">
            <div id="recaptcha_input_21" data-component="recaptcha" data-callback="recaptchaCallbackinput_21" data-expired-callback="recaptchaExpiredCallbackinput_21"></div><input type="hidden" id="input_21" class="hidden validate[required]" name="recaptcha_visible" required="" />
            <script type="text/javascript" src="https://www.google.com/recaptcha/api.js?render=explicit&amp;onload=recaptchaLoadedinput_21"></script>
            <script type="text/javascript">
              var recaptchaLoadedinput_21 = function()
              {
                window.grecaptcha.render($("recaptcha_input_21"),
                {
                  sitekey: '6LdU3CgUAAAAAB0nnFM3M3T0sy707slYYU51RroJ',
                });
                var grecaptchaBadge = document.querySelector('.grecaptcha-badge');
                if (grecaptchaBadge)
                {
                  grecaptchaBadge.style.boxShadow = 'gray 0px 0px 2px';
                }
              };

              /**
               * Called when the reCaptcha verifies the user is human
               * For invisible reCaptcha;
               *   Submit event is stopped after validations and recaptcha is executed.
               *   If a challenge is not displayed, this will be called right after grecaptcha.execute()
               *   If a challenge is displayed, this will be called when the challenge is solved successfully
               *   Submit is triggered to actually submit the form since it is stopped before.
               */
              var recaptchaCallbackinput_21 = function()
              {
                var isInvisibleReCaptcha = false;
                var hiddenInput = $("input_21");
                hiddenInput.setValue(1);
                if (!isInvisibleReCaptcha)
                {
                  if (hiddenInput.validateInput)
                  {
                    hiddenInput.validateInput();
                  }
                }
                else
                {
                  triggerSubmit(hiddenInput.form)
                }

                function triggerSubmit(formElement)
                {
                  var button = formElement.ownerDocument.createElement('input');
                  button.style.display = 'none';
                  button.type = 'submit';
                  formElement.appendChild(button).click();
                  formElement.removeChild(button);
                }
              }

              // not really required for invisible recaptcha
              var recaptchaExpiredCallbackinput_21 = function()
              {
                var hiddenInput = $("input_21");
                hiddenInput.writeAttribute("value", false);
                if (hiddenInput.validateInput)
                {
                  hiddenInput.validateInput();
                }
              }
            </script>
          </section>
        </div>
      </li>
      <li class="form-line" data-type="control_button" id="id_8">
        <div id="cid_8" class="form-input-wide">
          <div data-align="center" class="form-buttons-wrapper form-buttons-center   jsTest-button-wrapperField"><button id="input_8" type="submit" class="form-submit-button form-submit-button-black_blue submit-button jf-form-buttons jsTest-submitField" data-component="button" data-content="">Submit</button></div>
        </div>
      </li>
      <li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li>
    </ul>
  </div>
  <script>
    JotForm.showJotFormPowered = "0";
  </script>
  <script>
    JotForm.poweredByText = "Powered by Jotform";
  </script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="230437120236141" />
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<p>The post <a href="https://www.charlieonsafety.com/safety-presentations-with-motivational-safety-speaker-scott-burrows/">Safety Presentations with Motivational Safety Speaker Scott Burrows</a> appeared first on <a href="https://www.charlieonsafety.com">Charlie Morecraft</a>.</p>
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		<item>
		<title>Charlie Morecraft – Motivational Safety Speaker and Safety Coach</title>
		<link>https://www.charlieonsafety.com/charlie-morecraft-motivational-safety-speaker-and-safety-coach/</link>
		
		<dc:creator><![CDATA[Charlie Morecraft]]></dc:creator>
		<pubDate>Wed, 14 Jul 2021 13:27:54 +0000</pubDate>
				<category><![CDATA[safety coach]]></category>
		<category><![CDATA[Safety Stand-Down]]></category>
		<category><![CDATA[Speaker's Team]]></category>
		<category><![CDATA[Speaker's team]]></category>
		<guid isPermaLink="false">https://www.charlieonsafety.com/?p=2389</guid>

					<description><![CDATA[<p>Charlie Morecraft, an ordinary guy with an extraordinary story! Charlie had more than 15 years experience on the job, and he knew it well. He knew all the rules. He knew all the safety regulations . . . and he knew all the shortcuts around them too. Yes, Charlie was just like all the other &#8230; </p>
<p>The post <a href="https://www.charlieonsafety.com/charlie-morecraft-motivational-safety-speaker-and-safety-coach/">Charlie Morecraft – Motivational Safety Speaker and Safety Coach</a> appeared first on <a href="https://www.charlieonsafety.com">Charlie Morecraft</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h3 data-uw-styling-context="true">Charlie Morecraft, an ordinary guy with an extraordinary story!</h3>
<p data-uw-styling-context="true">Charlie had more than 15 years experience on the job, and he knew it well. He knew all the rules. He knew all the safety regulations . . . and he knew all the shortcuts around them too. Yes, Charlie was just like all the other seasoned workers at the refinery; he was certain that nothing could go wrong when he was in control. And he was right ….. Except for this one time . . .</p>
<p data-uw-styling-context="true">When Charlie tells his story the audience sits in rapt attention as they are moved to new levels of awareness. Charlie has that rare and unique ability to speak with ordinary words and conjure extraordinary images. Both he and his story are unforgettable. His words are simple, and he tells us things we think we already know, but he tells it in a way that will dramatically change our attitudes toward safety forever.</p>
<h3 data-uw-styling-context="true">Anyone who hears Charlie’s story will be deeply moved and motivated to never again take safety for granted.</h3>
<p data-uw-styling-context="true">Charlie’s emphasis is on the significance of attitude and personal responsibility.</p>
<p><strong data-uw-styling-context="true">Some of the learning objectives are:</strong></p>
<p data-uw-styling-context="true">(1) To facilitate insight into everyone’s own safety practices and attitudes</p>
<p data-uw-styling-context="true">(2) To be a “wake-up call” that shakes people out of complacency and taking responsibilities for granted</p>
<p data-uw-styling-context="true">(3) To make people become more responsible for their own safety on the job, at home, at play, at travel, everywhere.  This continues to result in people handling all aspects of their lives with a greater awareness and appreciation of safety.  Some examples are; wearing prescribed safety equipment on the job, following safety procedures at work and at home, wearing seat belts in moving vehicles, etc.</p>
<h3 data-uw-styling-context="true">His primary messages are “Safety is about going home at the end of the day, kissing your wife and hugging your kids”, and “We are each responsible for our own safety”.</h3>
<p>Having been critically injured in an explosion that burned over 45% of his body, Charlie Morecraft conveys, in the most penetrating way, the lesson he so painfully learned.  Seldom, are people confronted by the real consequences of an abuse in safety practices.</p>
<p data-uw-styling-context="true">They aren’t new messages, but Charlie gives us a powerful new way of looking at them.</p>
<p data-uw-styling-context="true">Charlie Morecraft is an ordinary guy with an extraordinary story that <strong data-uw-styling-context="true">Saves Lives!</strong></p>
<p data-uw-styling-context="true">Most people have the same attitude about safety that Charlie Morecraft had for a decade and a half while working at a refinery.</p>
<h3 data-uw-styling-context="true">Charlie’s message alters people’s attitudes toward safety, their consciousness is raised to a new level.</h3>
<p data-uw-styling-context="true">Their actions and behavior go from being thoughtless, lackadaisical and routine to “safety first &amp; always”.</p>
<p data-uw-styling-context="true">Charlie Morecraft is a powerful and dynamic public speaker.  His audiences get a highly personal, private look at what happened to one man – – – and how it could happen to any one of us.  As Charlie always says – “I’m just an ordinary guy…with an extraordinary story to tell”.</p>
<p><strong data-uw-styling-context="true"><a href="https://www.charlieonsafety.com/on-site-safety-presentations/">On-Site Safety Presentations</a> &amp; <a href="https://www.charlieonsafety.com/safety-live-webinars/">Streaming &amp; Live Safety Webinars</a></strong></p>
<p data-uw-styling-context="true">These safety presentations typically runs 1 hour followed by a 15-30 minute question and answer session where Charlie interacts with the audience.</p>
<p data-uw-styling-context="true">Please feel free to ask about discounts for multiple presentations. Charlie has a second presentation called “<a href="https://www.charlieonsafety.com/product/safety-everyones-responsibility-video/" data-uw-styling-context="true">Safety’s Everyone’s Responsibility</a>” that can be used as a follow-up to “Remember Charlie” or stand on its own.</p>
<p data-uw-styling-context="true"><a href="https://www.charlieonsafety.com/safety-live-webinars/"><img decoding="async" class="alignnone wp-image-2220" src="https://www.charlieonsafety.com/wp-content/uploads/2021/06/custom-recordings.jpg" alt="" width="279" height="174" srcset="https://www.charlieonsafety.com/wp-content/uploads/2021/06/custom-recordings.jpg 804w, https://www.charlieonsafety.com/wp-content/uploads/2021/06/custom-recordings-300x187.jpg 300w, https://www.charlieonsafety.com/wp-content/uploads/2021/06/custom-recordings-768x479.jpg 768w, https://www.charlieonsafety.com/wp-content/uploads/2021/06/custom-recordings-96x60.jpg 96w, https://www.charlieonsafety.com/wp-content/uploads/2021/06/custom-recordings-600x374.jpg 600w" sizes="(max-width: 279px) 100vw, 279px" /></a></p>
<p><strong data-uw-styling-context="true">Endorsements</strong></p>
<p data-uw-styling-context="true">Read some of the endorsements Charlie has received, and magazine articles published throughout the years at <a href="https://www.charliemorecraft.com/category/speaker-endorsements/" data-uw-styling-context="true">https://www.charliemorecraft.com/category/speaker-endorsements/</a></p>
<p data-uw-styling-context="true">For testimonials visit <a href="https://www.charliemorecraft.com/testimonials/" data-uw-styling-context="true">https://www.charliemorecraft.com/testimonials/</a></p>
<p><strong data-uw-styling-context="true">List of Clients</strong></p>
<p data-uw-styling-context="true">Charlie has became a safety expert whose clients number more than <strong data-uw-styling-context="true">25,000+ companies worldwide</strong>. His inspiring story has already helped hundreds of thousands to put on their helmets, their safety goggles, and use their common sense before tackling any job or potentially dangerous activity. Check a partial list of clients at <a href="https://www.charliemorecraft.com/clients/" data-uw-styling-context="true">https://www.charliemorecraft.com/clients/</a></p>
<p><strong data-uw-styling-context="true">Safety Videos from Charlie Morecraft</strong></p>
<p data-uw-styling-context="true">Charlie’s motivational safety videos, including the best seller “<a href="https://www.charlieonsafety.com/product/remember-charlie-best-seller-safety-video/" data-uw-styling-context="true">Remember Charlie</a>”, have been seen by millions worldwide. Suitable for any company looking to drop accident-ratio, these videos are powerful, profound and impactful, often altering people’s attitude towards safety forever. Buy videos at <a href="https://www.charlieonsafety.com/product-category/safety-videos/">https://www.charlieonsafety.com/product-category/safety-videos/</a></p>
<p data-uw-styling-context="true">Thank you and Stay Safe!<br />
– <em data-uw-styling-context="true">Charlie Morecraft</em></p>
<p data-uw-styling-context="true">If you need any additional information on bringing Charlie to your facility please contact us at 1 800-783-0796 OR 561-997-1120, by email at <a href="mailto:info@charliemorecraft.com" data-uw-styling-context="true">info@charliemorecraft.com</a> or fill out the request form below.</p>
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}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
  font-size: 1em;
  padding: 9px 15px;
  font-family: "Roboto", sans-serif;
  font-size: 14px;
  font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
	
}
*/
h2.form-header {
  line-height: 1.618em;
  font-size: 1.714em;
}
h2 ~ .form-subHeader {
  line-height: 1.5em;
  font-size: 1.071em;
}
.form-header-group {
  text-align: left;
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
  padding: 4px 3px 2px 3px;
}
.form-header-group {
  font-family: "Roboto", sans-serif;
}
.form-section {
  padding: 0px 0px 0px 0px;
}
.form-header-group {
  margin: 0px 0px 0px 0px;
}
.form-header-group {
  padding: 12px 36px 12px 36px;
}
.form-header-group {
  background-color: #f5f5f5;
}
.form-textbox,
.form-textarea {
  padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
  background-color: #ffffff;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
  width: 150px;
}
.form-label {
  font-family: "Roboto", sans-serif;
}
li[data-type="control_image"] div {
  text-align: left;
}
li[data-type="control_image"] img {
  border: none;
  border-width: 0px !important;
  border-style: solid !important;
  border-color: false !important;
}
.form-line-column {
  width: auto;
}
.form-line-error {
  background-color: #ffffff;
  -webkit-box-shadow: inset 0px 3px 11px -7px #ff3200;
  -moz-box-shadow: inset 0px 3px 11px -7px #ff3200;
  box-shadow: inset 0px 3px 11px -7px #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
  -webkit-transition-property: none;
  -moz-transition-property: none;
  -ms-transition-property: none;
  -o-transition-property: none;
  transition-property: none;
  -webkit-transition-duration: 0.3s;
  -moz-transition-duration: 0.3s;
  -ms-transition-duration: 0.3s;
  -o-transition-duration: 0.3s;
  transition-duration: 0.3s;
  -webkit-transition-timing-function: ease;
  -moz-transition-timing-function: ease;
  -ms-transition-timing-function: ease;
  -o-transition-timing-function: ease;
  transition-timing-function: ease;
  border: 1px solid #fff4f4;
  -moz-box-shadow: 0 0 3px #fff4f4;
  -webkit-box-shadow: 0 0 3px #fff4f4;
  box-shadow: 0 0 3px #fff4f4;
}
.form-line-error .form-error-message {
  margin: 0;
  position: absolute;
  color: #fff;
  display: inline-block;
  right: 0;
  font-size: 10px;
  position: absolute!important;
  box-shadow: none;
  top: 0px;
  line-height: 20px;
  color: #FFF;
  background: #ff3200;
  padding: 0px 5px;
  bottom: auto;
  min-width: 105px;
  -webkit-border-radius: 0;
  -moz-border-radius: 0;
  border-radius: 0;
}
.form-line-error .form-error-message img,
.form-line-error .form-error-message .form-error-arrow {
  display: none;
}
.ie-8 .form-all {
  margin-top: auto;
  margin-top: initial;
}
.ie-8 .form-all:before {
  display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
  .testOne {
    letter-spacing: 0;
  }
  .jotform-form {
    padding: 12px 0 0 0;
  }
  .form-all {
    border: 0;
    width: 94%!important;
    max-width: initial;
  }
  .form-sub-label-container {
    width: 100%;
    margin: 0;
    margin-right: 0;
    float: left;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  span.form-sub-label-container + span.form-sub-label-container {
    margin-right: 0;
  }
  .form-sub-label {
    white-space: normal;
  }
  .form-address-table td,
  .form-address-table th {
    padding: 0 1px 10px;
  }
  .form-submit-button,
  .form-submit-print,
  .form-submit-reset {
    width: 100%;
    margin-left: 0!important;
  }
  div[id*=at_] {
    font-size: 14px;
    font-weight: 700;
    height: 8px;
    margin-top: 6px;
  }
  .showAutoCalendar {
    width: 20px;
  }
  img.form-image {
    max-width: 100%;
    height: auto;
  }
  .form-matrix-row-headers {
    width: 100%;
    word-break: break-all;
    min-width: 40px;
  }
  .form-collapse-table,
  .form-header-group {
    margin: 0;
  }
  .form-collapse-table {
    height: 100%;
    display: inline-block;
    width: 100%;
  }
  .form-collapse-hidden {
    display: none !important;
  }
  .form-input {
    width: 100%;
  }
  .form-label {
    width: 100% !important;
  }
  .form-label-left,
  .form-label-right {
    display: block;
    float: none;
    text-align: left;
    width: auto!important;
  }
  .form-line,
  .form-line.form-line-column {
    padding: 2% 5%;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  input[type=text],
  input[type=email],
  input[type=tel],
  textarea {
    width: 100%;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
    max-width: initial !important;
  }
  .form-dropdown,
  .form-textarea,
  .form-textbox {
    width: 100%!important;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  .form-input,
  .form-input-wide,
  .form-textarea,
  .form-textbox,
  .form-dropdown {
    max-width: initial!important;
  }
  .form-address-city,
  .form-address-line,
  .form-address-postal,
  .form-address-state,
  .form-address-table,
  .form-address-table .form-sub-label-container,
  .form-address-table select,
  .form-input {
    width: 100%;
  }
  div.form-header-group {
    padding: 12px 36px !important;
    padding-left: 5%!important;
    padding-right: 5%!important;
    margin: 0 0px 2% !important;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
  }
  div.form-header-group.hasImage img {
    max-width: 100%;
  }
  [data-type="control_button"] {
    margin-bottom: 0 !important;
  }
  [data-type=control_fullname] .form-sub-label-container {
    width: 48%;
  }
  [data-type=control_fullname] .form-sub-label-container:first-child {
    margin-right: 4%;
  }
  [data-type=control_phone] .form-sub-label-container {
    width: 65%;
  }
  [data-type=control_phone] .form-sub-label-container:first-child {
    width: 31%;
    margin-right: 4%;
  }
  [data-type=control_datetime] .form-sub-label-container + .form-sub-label-container,
  [data-type=control_datetime] .form-sub-label-container:first-child {
    width: 27.3%;
    margin-right: 6%;
  }
  [data-type=control_datetime] .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    width: 33.3%;
    margin-right: 0;
  }
  [data-type=control_datetime] span + span + span > span:first-child {
    display: block;
    width: 100% !important;
  }
  [data-type=control_birthdate] .form-sub-label-container,
  [data-type=control_datetime] span + span + span > span:first-child + span + span,
  [data-type=control_time] .form-sub-label-container {
    width: 27.3%!important;
    margin-right: 6% !important;
  }
  [data-type=control_birthdate] .form-sub-label-container:last-child,
  [data-type=control_time] .form-sub-label-container:last-child {
    width: 33.3%!important;
    margin-right: 0 !important;
  }
  .form-pagebreak-back-container,
  .form-pagebreak-next-container {
    width: 50% !important;
  }
  .form-pagebreak-back,
  .form-pagebreak-next,
  .form-product-item.hover-product-item {
    width: 100%;
  }
  .form-pagebreak-back-container {
    padding: 0;
    text-align: right;
  }
  .form-pagebreak-next-container {
    padding: 0;
    text-align: left;
  }
  .form-pagebreak {
    margin: 0 auto;
  }
  .form-buttons-wrapper {
    margin: 0!important;
    margin-left: 0!important;
  }
  .form-buttons-wrapper button {
    width: 100%;
  }
  .form-buttons-wrapper .form-submit-print {
    margin: 0 !important;
  }
  table {
    width: 100%!important;
    max-width: initial!important;
  }
  table td + td {
    padding-left: 3%;
  }
  .form-checkbox-item,
  .form-radio-item {
    white-space: normal!important;
  }
  .form-checkbox-item input,
  .form-radio-item input {
    width: auto;
  }
  .form-collapse-table {
    margin: 0 5%;
    display: block;
    zoom: 1;
    width: auto;
  }
  .form-collapse-table:before,
  .form-collapse-table:after {
    display: table;
    content: '';
    line-height: 0;
  }
  .form-collapse-table:after {
    clear: both;
  }
  .fb-like-box {
    width: 98% !important;
  }
  .form-error-message {
    clear: both;
    bottom: -10px;
  }
  .date-separate,
  .phone-separate {
    display: none;
  }
  .custom-field-frame,
  .direct-embed-widgets,
  .signature-pad-wrapper {
    width: 100% !important;
  }
}
/* | */

/*PREFERENCES STYLE*/
    .form-all {
      font-family: Roboto, sans-serif;
    }
    .form-all .qq-upload-button,
    .form-all .form-submit-button,
    .form-all .form-submit-reset,
    .form-all .form-submit-print {
      font-family: Roboto, sans-serif;
    }
    .form-all .form-pagebreak-back-container,
    .form-all .form-pagebreak-next-container {
      font-family: Roboto, sans-serif;
    }
    .form-header-group {
      font-family: Roboto, sans-serif;
    }
    .form-label {
      font-family: Roboto, sans-serif;
    }
  
    .form-label.form-label-auto {
      
    display: block;
    float: none;
    text-align: left;
    width: 100%;
  
    }
  
    .form-line {
      margin-top: 5px;
      margin-bottom: 5px;
    }
  
    .form-all {
      max-width: 480px;
      width: 100%;
    }
  
    .form-label.form-label-left,
    .form-label.form-label-right,
    .form-label.form-label-left.form-label-auto,
    .form-label.form-label-right.form-label-auto {
      width: 150px;
    }
  
    .form-all {
      font-size: 14px
    }
    .form-all .qq-upload-button,
    .form-all .qq-upload-button,
    .form-all .form-submit-button,
    .form-all .form-submit-reset,
    .form-all .form-submit-print {
      font-size: 14px
    }
    .form-all .form-pagebreak-back-container,
    .form-all .form-pagebreak-next-container {
      font-size: 14px
    }
  
    .supernova .form-all, .form-all {
      background-color: #fff;
    }
  
    .form-all {
      color: #555;
    }
    .form-header-group .form-header {
      color: #555;
    }
    .form-header-group .form-subHeader {
      color: #555;
    }
    .form-label-top,
    .form-label-left,
    .form-label-right,
    .form-html,
    .form-checkbox-item label,
    .form-radio-item label,
    span.FITB .qb-checkbox-label,
    span.FITB .qb-radiobox-label,
    span.FITB .form-radio label,
    span.FITB .form-checkbox label,
    [data-blotid][data-type=checkbox] [data-labelid],
    [data-blotid][data-type=radiobox] [data-labelid],
    span.FITB-inptCont[data-type=checkbox] label,
    span.FITB-inptCont[data-type=radiobox] label {
      color: #555;
    }
    .form-sub-label {
      color: #6f6f6f;
    }
  
    .supernova {
      background-color: rgb(255, 255, 255);
    }
    .supernova body {
      background: transparent;
    }
  
    .form-textbox,
    .form-textarea,
    .form-dropdown,
    .form-radio-other-input,
    .form-checkbox-other-input,
    .form-captcha input,
    .form-spinner input {
      background-color: #fff;
    }
  
    .supernova {
      background-image: none;
    }
    #stage {
      background-image: none;
    }
  
    .form-all {
      background-image: none;
    }
  
    .form-all {
      position: relative;
    }
    .form-all:before {
      content: "";
      background-image: url("https://www.jotform.com/uploads/WEBSITEFLIX/form_files/mainpage3-1024x437.63eaa847ec0858.24639219.jpg");
      display: inline-block;
      height: 204.8780487804878px;
      position: absolute;
      background-size: 480px 204px;
      background-repeat: no-repeat;
      width: 100%;
    }
    .form-all {
      margin-top: 214px !important;
    }
    .form-all:before {
      top: -214px;
      background-position: top center;
      left: 0;
    }
           
  .ie-8 .form-all:before { display: none; }
  .ie-8 {
    margin-top: auto;
    margin-top: initial;
  }
  
  /*PREFERENCES STYLE*//*__INSPECT_SEPERATOR__*/
/*---------------------
Theme: Generic Theme
Author: Elton Cris - idarktech@jotform.com
www.jotform.com
----------------------*/
.form-all {
    -moz-box-sizing : border-box;
    -webkit-box-sizing : border-box;
    box-sizing : border-box;
    -moz-box-shadow : 0 1px 4px rgba(0, 0, 0, .25);
    -webkit-box-shadow : 0 1px 4px rgba(0, 0, 0, .25);
    box-shadow : 0 1px 4px rgba(0, 0, 0, .25) !important;
    width: 100% !important;
}

[data-type="control_head"] {
    padding-bottom : 20px;
}

/*responsive fields*/
[data-type="control_textbox"] .form-textbox, 
[data-type="control_fullname"] .form-textbox,
[data-type="control_email"] .form-textbox,
[data-type="control_textarea"] .form-textarea, 
[data-type="control_dropdown"] .form-dropdown {
    width : 100% !important;
    max-width : none !important;
}

.form-textbox, .form-textarea, .form-dropdown {
    max-width : none !important;
    box-shadow : none;
    outline : none;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    -moz-box-sizing : border-box;
    font-family : inherit;
    padding : 8px;
    transition : .3s ease-in-out;
    box-shadow : 0 1px 2px rgba(0, 0, 0, .15) inset;
}

.form-textarea-limit>span {
    display : block;
}

[data-type="control_dropdown"] .form-input, 
[data-type="control_dropdown"] .form-input-wide {
    width : 100%;
}

/*input focus*/
.form-line-active input:focus, .form-line-active textarea:focus, .form-line-active select:focus {
    outline : 0;
    border-color : 1px solid rgba(82, 168, 236, 0.8) !important;
    box-shadow : inset 0 1px 3px rgba(0, 0, 0, 0.1),0 0 8px rgba(82, 168, 236, 0.6);
}

/*reset error*/
.form-line-error {
    box-shadow : none;
}

/*input error*/
.form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error select, .form-line-error .form-validation-error {
    border : 1px solid #e15353 !important;
    box-shadow : none !important;
}

.form-line-active {
    color : inherit !important;
}

/*responsive content -wide or shrink*/
.form-label {
    width : 35% !important;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    -moz-box-sizing : border-box;
}

.form-label-top {
    width : 100% !important;
}

.form-line {
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    -moz-box-sizing : border-box;
    width : 100%;
}

.form-checkbox-other-input {
    width : 80% !important;
}

.form-input {
    width : 65% !important;
    max-width : none !important;
}

.form-input-wide {
    max-width : none !important;
    display : inline-block;
    width : 100%;
}

/*single fields with sublabels*/
[data-type="control_textbox"] .form-input-wide .form-sub-label-container, 
[data-type="control_fullname"] .form-input-wide .form-sub-label-container,
[data-type="control_email"] .form-input-wide .form-sub-label-container,
[data-type="control_textarea"] .form-input-wide .form-sub-label-container, 
[data-type="control_dropdown"] .form-input-wide .form-sub-label-container,
[data-type="control_textbox"] .form-input .form-sub-label-container, 
[data-type="control_fullname"] .form-input .form-sub-label-container,
[data-type="control_email"] .form-input .form-sub-label-container,
[data-type="control_textarea"] .form-input .form-sub-label-container, 
[data-type="control_dropdown"] .form-input .form-sub-label-container {
    width : 100%;
    max-width : none !important;
}

[data-type="control_dropdown"] .form-input-wide {
    width : 100%;
}

/*responsive full name*/
[data-type="control_fullname"] .form-sub-label-container {
    width : 50% !important;
    margin : 0 !important;
    float : left;
    box-sizing : border-box;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container {
    display : inline-block;
    padding-right : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
    margin-right : 0;
    padding-right : 0;
    padding-left : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container {
    margin-right : 0;
    padding-right : 0;
    padding-left : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    padding-left : 0;
    padding-right : 5px;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    padding-left : 5px;
    padding-right : 0;
}

[data-type="control_fullname"] .form-label + div .form-sub-label-container + .form-sub-label-container  + .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
    padding-right : 5px;
    padding-left : 0;
}

#sublabel_prefix, #sublabel_first, #sublabel_middle {
    /*margin-bottom : 10px;
    */;
}

/*remove sepatators on date and phone*/
.phone-separate, .date-separate {
    display : none;
}

/*responsive phone fields*/
[data-type="control_phone"] input[name$="[area]"] {
    width : 100%;
}

[data-type="control_phone"] input[name$="[phone]"] {
    width : 100%;
}

[data-type="control_phone"] input[name$="[full]"] {
    width : 100%;
}

[data-type="control_phone"] .form-sub-label-container {
    width : 40%;
    float : left;
    box-sizing : border-box;
    margin-right : 0;
    padding-right : 12px;
}

/* responsive date time field */
[data-type="control_datetime"] .form-textbox,
[data-type="control_datetime"] .form-dropdown {
    width : 100%;
}

[data-type="control_datetime"] .form-sub-label-container {
    width : 28%;
    padding-left : 4px;
    box-sizing : border-box;
    margin-right : 0;
}

[data-type="control_datetime"] .form-sub-label-container:first-child {
    padding-left : 0;
}

[data-type="control_datetime"] .form-sub-label-container:first-child + .form-sub-label-container + .form-sub-label-container {
    padding-right : 0;
}

[data-type="control_datetime"] .form-sub-label-container:last-child {
    width : auto !important;
}

.allowTime-container .form-sub-label-container:last-child {
    width : 20% !important;
}

span.allowTime-container {
    width : 80%;
    padding-top : 14px;
}

.allowTime-container span.form-sub-label-container {
    width : 35%;
}

span.allowTime-container .form-dropdown {
    width : 100%;
}

span.allowTime-container > span:first-child {
    display : none;
}

span.allowTime-container > span:first-child + span {
    padding-left : 0;
}

.showAutoCalendar + label {
    display : none;
}

span.allowTime-container + span {
    padding-top : 14px;
}

/*calendar lite mode*/
[data-type="control_datetime"] div[style*="none"] + .form-sub-label-container {
    width : 84%;
    padding-left : 0;
}

/*responsive phone field*/
[data-type="control_phone"] .form-sub-label-container + .form-sub-label-container {
    width : 60%;
    margin-right : 0;
    padding-right : 0;
    padding-left : 12px;
}

/*responsive full address fields*/
.form-address-city, .form-address-line, .form-address-postal, 
.form-address-state, .form-address-table, 
.form-address-table .form-sub-label-container, .form-address-table select {
    width : 100%;
    max-width : 100%;
}

[data-type="control_address"] input[name$="[city]"],
[data-type="control_address"] input[name$="[postal]"] {
    width : 90% !important;
}

[data-type="control_address"] input[name$="[area]"] {
    width : 60%;
}

/*reset submit button*/
[data-type="control_button"] {
    background : transparent !important;
}

.form-submit-button,
.form-submit-reset,
.form-submit-print {
    outline : none;
}

/*remove other checkbox*/
.form-checkbox-other, 
.form-radio-other {
    visibility : hidden !important;
}

/*shruken fields*/
.form-line-column {
    width : 50%;
}

.form-line-column .form-label-top {
    width : 100% !important;
}

/*fix form builder display*/
div#stage.form-all {
    max-width : none !important;
    margin-right : 0;
}

div#stage .form-input {
    width : 64% !important;
}

/*remove first pagebreak back button*/
.form-all .page-section:first-child .form-pagebreak .form-pagebreak-back-container {
    display : none !important;
}

/* responsive pagebreak */
.form-pagebreak-back-container {
    width : 50% !important;
    text-align : left;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    float : left;
}

.form-pagebreak-next-container {
    width : 50% !important;
    text-align : right;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
    float : left;
}

/* radio-checkbox button make border 1px */
.form-radio-item:not(#foo) label:after,
.form-radio-item:not(#foo) label:before {
    border-radius : 50%;
}

.form-checkbox-item:not(#foo) label:after,
.form-checkbox-item:not(#foo) label:before {
    border-radius : 0;
}

.form-radio-item:not(#foo) label:before,
.form-checkbox-item:not(#foo) label:before {
    border-width : 1px;
}

/*responsive credit card on payment fields*/
table td + td {
    padding-left : 0;
}

.form-address-table {
    width : 100%;
}

[data-type="control_stripe"] .form-address-table,
[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table,
[data-type="control_authnet"] .form-address-table .form-textbox,
#creditCardTable.form-address-table,
#creditCardTable.form-address-table .form-textbox {
    max-width : none;
}

[data-type="control_stripe"] .form-address-table td:last-child .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td:last-child .form-sub-label-container,
#creditCardTable.form-address-table td:last-child .form-sub-label-container {
    margin-left : 0;
    white-space : normal;
}

[data-type="control_stripe"] .form-address-table td .form-sub-label-container,
[data-type="control_authnet"] .form-address-table td .form-sub-label-container,
#creditCardTable.form-address-table td .form-sub-label-container {
    width : 100%;
}

[data-type="control_stripe"] .form-address-table .form-textbox,
[data-type="control_stripe"] .form-address-table .form-dropdown,
[data-type="control_authnet"] .form-address-table .form-textbox,
[data-type="control_authnet"] .form-address-table .form-dropdown,
#creditCardTable.form-address-table .form-textbox,
#creditCardTable.form-address-table .form-dropdown {
    width : 100%;
    visibility : visible;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child span {
    margin : 0;
    padding-right : 6px;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr td:first-child + td span,
#creditCardTable.form-address-table tbody > tr:first-child + tr td:first-child + td span {
    margin : 0;
    padding-left : 6px;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span {
    margin : 0;
    padding-right : 6px;
    width : 50% !important;
    visibility : hidden;
    float : left;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_stripe"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
[data-type="control_authnet"] .form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr td:first-child span + span,
#creditCardTable.form-address-table tbody > tr:first-child + tr +tr+tr td:first-child span + span {
    margin : 0;
    padding-top : 0 !important;
    padding-right : 0;
    padding-left : 6px;
    width : 50% !important;
    box-sizing : border-box;
    -webkit-box-sizing : border-box;
}

.cc_ccv {
    width : 100% !important;
}

[data-type="control_stripe"] .form-address-table .form-sub-label,
[data-type="control_authnet"] .form-address-table .form-sub-label,
#creditCardTable.form-address-table .form-sub-label {
    visibility : visible;
}

/*cc fix city state, country */
[data-type="control_stripe"] .form-address-table td[width="50%"]>span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"]>span:first-child,
#creditCardTable.form-address-table td[width="50%"]>span:first-child {
    box-sizing : border-box;
    padding-right : 7px;
}

[data-type="control_stripe"] .form-address-table td[width="50%"] + td >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td >span:first-child {
    box-sizing : border-box;
    padding-left : 7px;
}

[data-type="control_stripe"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
[data-type="control_authnet"] .form-address-table td[width="50%"] + td[width="50%"] >span:first-child,
#creditCardTable.form-address-table td[width="50%"] + td[width="50%"] >span:first-child {
    box-sizing : border-box;
    padding-right : 0;
}

.hover-product-item:hover {
    color : inherit;
}

/*fix for braintree cc styling*/
[data-type="control_braintree"] .form-sub-label-container {
    width : 100% !important;
    padding : 4px;
    box-sizing : border-box;
}

[data-type="control_braintree"] .form-textbox {
    width : 100%;
}

.braintree-hosted-fields {
    width : 100% !important;
    box-sizing : border-box;
    min-height : 28px;
}

/*remove bottom spacing on CC section*/
#creditCardTable.form-address-table tbody tr + tr + tr td,
[data-type="control_stripe"] .form-address-table tbody tr + tr + tr td,
[data-type="control_authnet"] .form-address-table tbody tr + tr + tr td {
    padding-bottom : 0;
}

@media screen and (max-device-width:768px){
    .form-all {
        margin : 0 auto !important;
        width : 100% !important;
    }

    [data-type=control_fullname] .form-sub-label-container:first-child {
        margin-right : 0;
    }

}

@media screen and (max-width:480px){
    .jotform-form {
        padding : 0;
    }

    .form-input {
        width : 100% !important;
    }

    .form-label {
        width : 100% !important;
        float : none !important;
    }

    .form-line-column {
        width : 100% !important;
    }

    div.form-header-group {
        margin : 0 !important;
        padding : 24px 20px !important;
    }

    [data-type="control_datetime"] .form-sub-label-container {
        float : left;
    }

    [data-type=control_fullname] .form-sub-label-container:first-child {
        margin-right : 0;
    }

}

/*----fix the new awful error message----*/
li.form-line-error .form-error-message img {
    position: static !important;
    margin-top: 0;
    left: 0;
    top: 0;
    vertical-align: middle;
    padding: 2px 0;
}
li.form-line-error .form-error-message {
    padding: 2px 6px;
}
    /* Injected CSS Code */
</style>

<link type="text/css" rel="stylesheet" href="https://cdn02.jotfor.ms/css/styles/buttons/form-submit-button-black_blue.css?3.3.39251"/>
<form class="jotform-form" action="https://submit.jotform.com/submit/222014867361150/" method="post" name="form_222014867361150" id="222014867361150" accept-charset="utf-8" autocomplete="off"><input type="hidden" name="formID" value="222014867361150" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" />
  <div role="main" class="form-all">
    <link type="text/css" rel="stylesheet" media="all" href="https://cdn.jotfor.ms/wizards/languageWizard/custom-dropdown/css/lang-dd.css?3.3.39251" />
    <div class="cont"><input type="text" id="input_language" name="input_language" style="display:none" />
      <div class="language-dd" id="langDd" style="display:none">
        <div class="dd-placeholder lang-emp">Language</div>
        <ul class="lang-list dn" id="langList">
          <li data-lang="en" class="en">English (US)</li>
        </ul>
      </div>
    </div>
    <script type="text/javascript" src="https://cdn.jotfor.ms/js/formTranslation.v2.js?3.3.39251"></script>
    <ul class="form-section page-section">
      <li class="form-line" data-type="control_text" id="id_23">
        <div id="cid_23" class="form-input-wide">
          <div id="text_23" class="form-html" data-component="text" tabindex="0">
            <p>Bring <strong>Keynote Safety Speaker Charlie Morecraft</strong> to your facility to deliver a very powerful, profound and impactful safety message that will alter people’s attitude towards safety forever! GUARANTEED!</p>
            <p>For pricing and availability please send us an email at <a href="mailto:info@charliemorecraft.com" target="_blank" rel="nofollow">info@charliemorecraft.com</a> or fill out the form below.</p>
            <p>Contact Details: +1 (561) 997-1120 <br />Toll Free: (800) 783-0796<br />Email: <a href="mailto:info@charliemorecraft.com" target="_blank" rel="nofollow">info@charliemorecraft.com</a> <br />Website: <a href="https://charliemorecraft.com/motivational-safety-presentations/" target="_blank" rel="nofollow">https://charliemorecraft.com/motivational-safety-presentations/</a></p>
          </div>
        </div>
      </li>
      <li class="form-line jf-required" data-type="control_textbox" id="id_20"><label class="form-label form-label-top form-label-auto" id="label_20" for="input_20"> Company<span class="form-required">*</span> </label>
        <div id="cid_20" class="form-input-wide jf-required"> <input type="text" id="input_20" name="q20_company" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="20" value="" data-component="textbox" aria-labelledby="label_20" required="" /> </div>
      </li>
      <li class="form-line form-line-column form-col-1 jf-required" data-type="control_textbox" id="id_3"><label class="form-label form-label-top" id="label_3" for="input_3"> First Name<span class="form-required">*</span> </label>
        <div id="cid_3" class="form-input-wide jf-required"> <input type="text" id="input_3" name="q3_firstName" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="23" value="" placeholder=" " data-component="textbox" aria-labelledby="label_3" required="" /> </div>
      </li>
      <li class="form-line form-line-column form-col-2 jf-required" data-type="control_textbox" id="id_9"><label class="form-label form-label-top" id="label_9" for="input_9"> Last Name<span class="form-required">*</span> </label>
        <div id="cid_9" class="form-input-wide jf-required"> <input type="text" id="input_9" name="q9_lastName" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="25" value="" placeholder=" " data-component="textbox" aria-labelledby="label_9" required="" /> </div>
      </li>
      <li class="form-line form-line-column form-col-1 form-line-column-clear jf-required" data-type="control_textbox" id="id_10"><label class="form-label form-label-top" id="label_10" for="input_10"> E-mail<span class="form-required">*</span> </label>
        <div id="cid_10" class="form-input-wide jf-required"> <input type="text" id="input_10" name="q10_email10" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="23" value="" placeholder=" " data-component="textbox" aria-labelledby="label_10" required="" /> </div>
      </li>
      <li class="form-line form-line-column form-col-2 jf-required" data-type="control_textbox" id="id_11"><label class="form-label form-label-top" id="label_11" for="input_11"> Phone<span class="form-required">*</span> </label>
        <div id="cid_11" class="form-input-wide jf-required"> <input type="text" id="input_11" name="q11_phone" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" size="25" value="" placeholder=" " data-component="textbox" aria-labelledby="label_11" required="" /> </div>
      </li>
      <li class="form-line" data-type="control_textarea" id="id_25"><label class="form-label form-label-top form-label-auto" id="label_25" for="input_25"> Event Date(s) and/or Location(s) </label>
        <div id="cid_25" class="form-input-wide"> <textarea id="input_25" class="form-textarea" name="q25_eventDates" cols="40" rows="6" data-component="textarea" aria-labelledby="label_25"></textarea> </div>
      </li>
      <li class="form-line jf-required" data-type="control_textarea" id="id_19"><label class="form-label form-label-top form-label-auto" id="label_19" for="input_19"> Message<span class="form-required">*</span> </label>
        <div id="cid_19" class="form-input-wide jf-required"> <textarea id="input_19" class="form-textarea validate[required]" name="q19_message" cols="70" rows="6" data-component="textarea" required="" aria-labelledby="label_19"></textarea> </div>
      </li>
      <li class="form-line jf-required" data-type="control_captcha" id="id_21"><label class="form-label form-label-top form-label-auto" id="label_21" for="input_21"> Please verify that you are human<span class="form-required">*</span> </label>
        <div id="cid_21" class="form-input-wide jf-required">
          <section data-wrapper-react="true">
            <div id="recaptcha_input_21" data-component="recaptcha" data-callback="recaptchaCallbackinput_21" data-expired-callback="recaptchaExpiredCallbackinput_21"></div><input type="hidden" id="input_21" class="hidden validate[required]" name="recaptcha_visible" required="" />
            <script type="text/javascript" src="https://www.google.com/recaptcha/api.js?render=explicit&amp;onload=recaptchaLoadedinput_21"></script>
            <script type="text/javascript">
              var recaptchaLoadedinput_21 = function()
              {
                window.grecaptcha.render($("recaptcha_input_21"),
                {
                  sitekey: '6LdU3CgUAAAAAB0nnFM3M3T0sy707slYYU51RroJ',
                });
                var grecaptchaBadge = document.querySelector('.grecaptcha-badge');
                if (grecaptchaBadge)
                {
                  grecaptchaBadge.style.boxShadow = 'gray 0px 0px 2px';
                }
              };

              /**
               * Called when the reCaptcha verifies the user is human
               * For invisible reCaptcha;
               *   Submit event is stopped after validations and recaptcha is executed.
               *   If a challenge is not displayed, this will be called right after grecaptcha.execute()
               *   If a challenge is displayed, this will be called when the challenge is solved successfully
               *   Submit is triggered to actually submit the form since it is stopped before.
               */
              var recaptchaCallbackinput_21 = function()
              {
                var isInvisibleReCaptcha = false;
                var hiddenInput = $("input_21");
                hiddenInput.setValue(1);
                if (!isInvisibleReCaptcha)
                {
                  if (hiddenInput.validateInput)
                  {
                    hiddenInput.validateInput();
                  }
                }
                else
                {
                  triggerSubmit(hiddenInput.form)
                }

                function triggerSubmit(formElement)
                {
                  var button = formElement.ownerDocument.createElement('input');
                  button.style.display = 'none';
                  button.type = 'submit';
                  formElement.appendChild(button).click();
                  formElement.removeChild(button);
                }
              }

              // not really required for invisible recaptcha
              var recaptchaExpiredCallbackinput_21 = function()
              {
                var hiddenInput = $("input_21");
                hiddenInput.writeAttribute("value", false);
                if (hiddenInput.validateInput)
                {
                  hiddenInput.validateInput();
                }
              }
            </script>
          </section>
        </div>
      </li>
      <li class="form-line" data-type="control_button" id="id_8">
        <div id="cid_8" class="form-input-wide">
          <div data-align="center" class="form-buttons-wrapper form-buttons-center   jsTest-button-wrapperField"><button id="input_8" type="submit" class="form-submit-button form-submit-button-black_blue submit-button jf-form-buttons jsTest-submitField" data-component="button" data-content="">Submit</button></div>
        </div>
      </li>
      <li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li>
    </ul>
  </div>
  <script>
    JotForm.showJotFormPowered = "0";
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  <script>
    JotForm.poweredByText = "Powered by Jotform";
  </script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="222014867361150" />
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</form><script type="text/javascript">JotForm.ownerView=true;</script></p>
<p>The post <a href="https://www.charlieonsafety.com/charlie-morecraft-motivational-safety-speaker-and-safety-coach/">Charlie Morecraft – Motivational Safety Speaker and Safety Coach</a> appeared first on <a href="https://www.charlieonsafety.com">Charlie Morecraft</a>.</p>
]]></content:encoded>
					
		
		
			</item>
	</channel>
</rss>
