Send form weirdness

Ok. Back in Australia, so I completely republished my site folder, cleaned out the folder on my server, and put all the items from my site folder into it. Same problem. I even deleted the page in Freeway, and redid it several times. All my other intake forms are perfect. I cant understand why this particular one is so weird:

http://gti.today/Intake/clientintakefor1

Steve


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