<div class="field-group">
<input type="hidden" name="id">
<div class="field-wrapper">
<label>Name</label>
<input type="text" name="name">
</div>
<div class="field-wrapper">
<label>Savings Goal</label>
<input type="text" name="value" placeholder="$">
</div>
<div class="field-wrapper">
<label>Accumulated Goal</label>
<input type="text" name="accumulated" placeholder="$0">
</div>
<div class="field-wrapper">
<label>Target Date</label>
<input type="date" name="target_date">
</div>
<button class="field-group-button">Submit</button>
</div>