Academic Writing Retreat 'Bootcamp' Booking form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"Name:","readOnly":false,"id":226199896,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Department:","readOnly":false,"id":226199897,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email:","readOnly":false,"id":226199898,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Tel:","readOnly":false,"id":226199899,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"1443625932648_0.04442182187597343_0.5669408778960995","readOnly":false,"id":226199900,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Please register my interest in future Academic Writing Bootcamps","value":"0-pleaseregistermyinterestinfutureacademicwritingbootcamps"}],"name":"Booking/Register","readOnly":false,"id":226199901,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"1443625932662_0.5469169622611479_0.4349893840316441","readOnly":false,"id":226199902,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"information","readOnly":false,"id":468608057,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"1443627317740_0.11050927945167388_0.9881253773035856","readOnly":false,"id":226230770,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"special requirements","readOnly":false,"id":226199903,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"1443627103230_0.17585676851325116_0.8800830443409499","readOnly":false,"id":226199905,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"}],"name":"terms","readOnly":false,"id":226215428,"type":"checkboxElement"},{"isDiscrete":false,"hidden":false,"name":"1443627272104_0.7643667480274585_0.830683646806716","readOnly":false,"id":226215513,"type":"commentElement"}]}