Just needing a little help on this form plugin

Hello there, hope I can get some help with this from you who are in the know! I have looked and looked but no solution has been found.

Can someone tell me why the form on this page isn't working or formatting properly (scroll to the bottom):


It should look and work like this:


The themes are the same in both instances, just customized css. Even though this isn't a wpmudev plugin, I don't know where else to turn. Thank you in advance.