<form class="form-inline">
                    <div class="responseMessageFound modal-message text-center" style="display: block;">
                        <div class="row">
                            <div class="form-group "><div class="col-md-12">Send an email notification to: </div></div>
                            <div class="form-group">
                                <div class="checkbox">
                                    <label class="checkbox-custom col-md-12">
                                        <input id="notify_leaders" type="checkbox" name="notify_leaders" checked="checked"> <i class="icon-unchecked checked"></i> Group Leader
                                    </label>
                                </div>
                            </div>
                            <div class="form-group">
                                <div class="checkbox">
                                    <label class="checkbox-custom col-md-12">
                                        <input id="notify_member" type="checkbox" name="notify_member" checked="checked"> <i class="icon-unchecked checked"></i> Dave
                                    </label>
                                </div>
                            </div>
                        </div>
                    </div>
                </form>