Repositioned inputs for a mobile or desktop friendly flow. Made most labels as placeholders inside the input to save room and overall this has a nice polished look. Needs the date picker added, and required new input types as recently added in html_output.php - these types make the form user friendly across devices - click the email field in a mobile device, and the screen with the @ and .com buttons display, click the phone input and the numbers come up, etc; etc; Option to use built in HTML5 calendar is commented out within the code - it only works on browsers and devices that support HTML5 date picker, and makes a messy conflict when both script data picker and that are used.

Push 3 - think I got it now