<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Book an appointment</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Your Name</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="location">Location</label> <div class="col-md-4"> <select id="location" name="location" class="form-control"> <option value="Squirrel Hill">Squirrel Hill</option> <option value="Shadyside">Shadyside</option> <option value="Oakland">Oakland</option> </select> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes">Services</label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="Haircut"> Haircut </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="Hairstyle"> Hairstyle </label> </div> <div class="checkbox"> <label for="checkboxes-2"> <input type="checkbox" name="checkboxes" id="checkboxes-2" value="Pedicure"> Pedicure </label> </div> <div class="checkbox"> <label for="checkboxes-3"> <input type="checkbox" name="checkboxes" id="checkboxes-3" value="Manicure"> Manicure </label> </div> <div class="checkbox"> <label for="checkboxes-4"> <input type="checkbox" name="checkboxes" id="checkboxes-4" value="Eyebrow Wax"> Eyebrow Wax </label> </div> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="submit"></label> <div class="col-md-4"> <button id="submit" name="submit" class="btn btn-primary">Book</button> </div> </div> </fieldset> </form>