m-label">Name:</label>
          <div class="col-sm-10">
            <input type="text" class="form-control" id="name" placeholder="Enter name">
          </div>
        </div>
        <div class="form-group row">
          <label for="date" class="col-sm-2 col-form-label">Date:</label>
          <div class="col-sm-10">
            <input type="date" class="form-control" id="date">
          </div>
        </div>
        <fieldset class="form-group">
          <div class="row">
            <leg