"Agenda"
Bootstrap 3.1.0 Snippet by leandromanz

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<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<form class="form-horizontal">
<fieldset>
<!-- Form Name -->
<legend>AGENDA</legend>
<!-- Multiple Checkboxes -->
<div class="control-group">
<label class="control-label" for="checkboxes">Consulta</label>
<div class="controls">
<label class="checkbox" for="checkboxes-0">
<input type="checkbox" name="checkboxes" id="checkboxes-0" value="Cadastro Cliente">
Cadastro Cliente
</label>
<label class="checkbox" for="checkboxes-1">
<input type="checkbox" name="checkboxes" id="checkboxes-1" value="Situação Cliente">
Situação Cliente
</label>
<label class="checkbox" for="checkboxes-2">
<input type="checkbox" name="checkboxes" id="checkboxes-2" value="Oportunidades">
Oportunidades
</label>
</div>
</div>
<!-- Select Basic -->
<div class="control-group">
<label class="control-label" for="selectbasic">Data Visita</label>
<div class="controls">
<select id="selectbasic" name="selectbasic" class="input-xlarge">
<option>20/11/2014</option>
<option>21/11/2014</option>
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