[Forminator] Form failing on mobile device on IOS

I'm using IOS 10.3.3 the updated version for my iPhone.
The form look it fails using Safari, Firefox, and Chrome.
https://www.++++++facts.com/contact-us/

https://static.livechatinc.com/8801096/P9PLBXYYI7/7a9e49d0731ac6ea24bb0c6c7b468b4d/image1.PNG

Can you check this somehow and fix it?