What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you’re getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you’d like help immediately, feel free to search for a similar question, or submit your question or concern.
I checked your form and the issue is with the validation for your "Date of Massage" field. The field is validating for a numeric value but is being pre-populated with text:
Removing the validation or the default value will allow the form to work as you like.
Let us know if you have any further questions and we will be happy to help.
The issue has been resolved. Thanks for your help.