[contact-form][contact-field label=’名前’ type=’name’ required=’1’/][contact-field label=’ふりがな’ type=’text’ required=’1’/][contact-field label=’年齢’ type=’select’ required=’1′ options=’16歳,17歳,18歳,19歳,20歳,21歳,22歳,23歳,24歳,25歳,26歳,27歳,28歳,29歳,30歳,31歳,32歳,33歳,34歳,35歳,36歳,37歳,38歳,39歳,40歳,41歳,42歳,43歳,44歳,45歳,46歳,47歳,48歳,49歳,50歳,51歳,52歳,53歳,54歳,55歳,56歳,57歳,58歳,59歳,60歳,61歳,62歳,63歳,64歳,65歳,66歳,67歳,68歳,69歳,70歳,71歳,72歳,73歳,74歳,75歳,76歳,77歳,78歳,79歳,80歳’/][contact-field label=’電話番号’ type=’text’/][contact-field label=’メールアドレス’ type=’email’ required=’1’/][contact-field label=’レッスン希望月’ type=’select’ required=’1′ options=’1,2,3,4,5,6,7,8,9,10,11,12’/][contact-field label=’レッスン希望日’ type=’select’ required=’1′ options=’1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31’/][contact-field label=’希望時間’ type=’select’ required=’1′ options=’9:30～10:30,9:45～10:45,11:00～12:00’/][contact-field label=’質問’ type=’textarea’/][/contact-form]