</select>

                                                </select>

                                            </li>

                                            </li>

                                        [% END %]

                                        [% END %]

                                            <li>

                                            <li>

                                                <label for="holds_to_place_count">Holds to place (count)</label>

                                                <label for="holds_to_place_count">Holds to place (count)</label>

                                                <input type="text" inputmode="numeric" pattern="[0-9]*" id="holds_to_place_count" name="holds_to_place_count" maxlength="[% remaining_holds_for_record | html %]" value="1" />

                                                <input type="text" inputmode="numeric" pattern="[0-9]*" id="holds_to_place_count" name="holds_to_place_count" maxlength="[% remaining_holds_for_record | html %]" value="1" />