Form errors?

Hi team,

I think my form (https://form.jotform.com/202186794184160) has a few errors that I need to chat with someone about. Is it possible to walk thru a few of those issues with someone? 

Thanks! 

Hi, thank you for contacting JotForm support.

Can you please give us further details about the errors so we can check and investigate? Also, if possible, please include screenshots in your reply.
Guide: How-to-Post-Screenshots-to-Our-Support-Forum

We look forward to your response.