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+    <div align="center">
+        <br/>
+        <h1><span>Romance</span></h1>
+        <h3><span>- of the -</span></h3>
+        <h1><span>Perilous Land</span></h1>
+    </div>
+    <div align="center"><h3>Character Information</h3></div>
+    <div align="center">
+       <span>
+        Character Name:
+       <input type="text" name="attr_character_name" />
+       Player Name:
+       <input type="text" name="attr_playername" />
+        </span>
+    </div>
+    <div align="center">
+        <span>Class:
+        <input type="text" name="attr_characterclass"/></span>
+        <span>Level:
+        <input type="number" value="0" min="0" name="attr_level" /></span>
+        <span>Experience:
+        <input type="text" placeholder="0" name="attr_experience" /></span>
+    </div>
+    <div align="center">
+        <span>Background:
+        <input type="text" name="attr_background"/></span>
+        <span>Faction:
+        <input type="text" name="attr_faction" /></span>
+        <span>Deity:
+        <input type="text" name="attr_deity" /></span>
+    </div>
+    <div align="center"><h3>Combat</h3></div>
+    <div align="center">
+        <span>
+            Hit Points:
+            <input type="number" name="attr_hitpoints"/>
+            of
+            <input type="number" name="attr_hitpoints_max"/>
+        </span>
+        <span>
+            Armor Points:
+            <input type="number" name="attr_armorpoints"/>
+            of
+            <input type="number" name="attr_armorpoints_max"/>
+        </span>
+        <span>
+            Valor:
+            <input type="number" name="attr_valor"/>
+        </span>
+    </div>
+    <div align="center">
+            <div><span><h6>
+                Weapon - Attribute - Range or Type - Damage - Damage Roll
+            </h6></span></div>
+            <div><span>
+                <input type="text" name="attr_weapon1name" />
+                <select name="attr_weapon1attributeselect"><option value="Might" >Might</option> <option type value="Reflex" >Reflex</option></select>
+                <input type="text" name="attr_weapon1rangeortype"> 
+                <input type="text" class="shortinput" name="attr_weapon1damage">
+                <button type="roll" name="roll_weapon1damageroll" value="&{template:default} {{name=@{weapon1name} Damage}} {{Damage=[[@{weapon1damage}]]}}"></button>
+            </span></div>
+            <div><span>
+                <input type="text" name="attr_weapon2name" />
+                <select name="attr_weapon2attributeselect"><option value="Might" >Might</option> <option type value="Reflex" >Reflex</option></select>
+                <input type="text" name="attr_weapon2rangeortype"> 
+                <input type="text" class="shortinput" name="attr_weapon2damage">
+                <button type="roll" name="roll_weapon2damageroll" value="&{template:default} {{name=@{weapon2name} Damage}} {{Damage=[[@{weapon1damage}]]}}"></button>
+            </span></div>
+            <div><span>
+                <input type="text" name="attr_weapon3name" />
+                <select name="attr_weapon3attributeselect"><option value="Might" >Might</option> <option type value="Reflex" >Reflex</option></select>
+                <input type="text" name="attr_weapon3rangeortype"> 
+                <input type="text" class="shortinput" name="attr_weapon3damage">
+                <button type="roll" name="roll_weapon3damageroll" value="&{template:default} {{name=@{weapon1name} Damage}} {{Damage=[[@{weapon3damage}]]}}"></button>
+            </span></div>
+        </div>
+    <div class="2colrow">
+        <br/>
+        <div class="col" align="center">
+            <div><span><h6>
+                Roll - Attribute - Score - Save? - Roll with Modifier
+            </h6></span></div>
+            <div>
+                <div><span>
+                    <button type="roll" name="roll_might" value="&{template:default} {{name=Might Check}} {{Target = [[@{might}]]}} {{Roll=[[1d20]]}}"></button>
+                    Might
+                    <input type="number" name="attr_might" value="0" />
+                    <input type="checkbox" name="attr_mightsave" />
+                    <button type="roll" name="roll_mightmodified" value="&{template:default} {{name=Modified Might Check}} {{Target = [[@{might}-?{Modifier}]]}} {{Roll=[[1d20]]}}"></button>
+                </span></div>
+                <div><span>
+                    <button type="roll" name="roll_reflex" value="&{template:default} {{name=Reflex Check}} {{Target = [[@{reflex}]]}} {{Roll=[[1d20]]}}"></button>
+                    Reflex
+                    <input type="number" name="attr_reflex" value="0" />
+                    <input type="checkbox" name="attr_reflexsave" />
+                    <button type="roll" name="roll_reflexmodified" value="&{template:default} {{name=Modified Reflex Check}} {{Target = [[@{reflex}-?{Modifier}]]}} {{Roll=[[1d20]]}}"></button>
+                </span></div>
+                <div><span>
+                    <button type="roll" name="roll_charisma" value="&{template:default} {{name=Charisma Check}} {{Target = [[@{charisma}]]}} {{Roll=[[1d20]]}}"></button>
+                    Charisma
+                    <input type="number" name="attr_charisma" value="0" />
+                    <input type="checkbox" name="attr_charismasave" />
+                    <button type="roll" name="roll_charismamodified" value="&{template:default} {{name=Modified Charisma Check}} {{Target = [[@{charisma}-?{Modifier}]]}} {{Roll=[[1d20]]}}"></button>
+                </span></div>
+                <div><span>
+                    <button type="roll" name="roll_mind" value="&{template:default} {{name=Mind Check}} {{Target = [[@{mind}]]}} {{Roll=[[1d20]]}}"></button>
+                    Mind
+                    <input type="number" name="attr_mind" value="0" />
+                    <input type="checkbox" name="attr_mindsave" />
+                    <button type="roll" name="roll_mindmodified" value="&{template:default} {{name=Modified Mind Check}} {{Target = [[@{mind}-?{Modifier}]]}} {{Roll=[[1d20]]}}"></button>
+                </span></div>
+                <div><span>
+                    <button type="roll" name="roll_constitution" value="&{template:default} {{name=Constitution Check}} {{Target = [[@{constitution}]]}} {{Roll=[[1d20]]}}"></button>
+                    Constitution
+                    <input type="number" name="attr_constitution" value="0" />
+                    <input type="checkbox" name="attr_constitutionsave" />
+                    <button type="roll" name="roll_constitutionmodified" value="&{template:default} {{name=Modified Constitution Check}} {{Target = [[@{constitution}-?{Modifier}]]}} {{Roll=[[1d20]]}}"></button>
+                </span></div>
+            </div>
+        </div>
+        <div class="col" align="center">
+            <div><span><h6>
+                Attribute - Skill - Edge?
+            </h6></span></div>
+            <div><span>Might: Athletics <input type="checkbox" name=attr_athleticsedge /> Riding <input type="checkbox" name=attr_ridingedge /> </span></div>
+            <div><span>Reflex: Acrobatics <input type="checkbox" name=attr_acrobaticsedge /> Stealth <input type="checkbox" name=attr_stealthedge /> Thievery <input type="checkbox" name=attr_thieveryedge /></span></div>
+            <div><span>Charisma: Animal Husbandry <input type="checkbox" name=attr_animaledge /> Bluff <input type="checkbox" name=attr_bluffedge /> Intimidate <input type="checkbox" name=attr_intimidateedge /> Perform <input type="checkbox" name=attr_performedge /> Persuasion <input type="checkbox" name=attr_persuasionedge /></span></div>
+            <div><span>Mind: Healing <input type="checkbox" name=attr_healingedge /> History <input type="checkbox" name=attr_historyedge /> Languages <input type="checkbox" name=attr_languagesedge /> Magic Knowledge <input type="checkbox" name=attr_magicedge /> Nature <input type="checkbox" name=attr_natureedge /> Perception <input type="checkbox" name=attr_perceptionedge /> Religion <input type="checkbox" name=attr_religionedge /> Survival <input type="checkbox" name=attr_survivaledge /></span></div>
+        </div>
+    </div>
+    <div class="2colrow">
+        <br/>
+        <div class="col" align="center">
+            <div><span><h6>
+                Talents and Class Features:
+            </h6></span></div>
+            <textarea name="attr_talents" placeholder="Talents and Class Features"></textarea>
+        </div>
+        <div class="col" align="center">
+            <div><span><h6>
+                Other Notes:
+            </h6></span></div>
+            <textarea name="attr_notess" placeholder="Other Notes"></textarea>
+        </div>
+    </div>