etsy/411

<div class="col-xs-12 form-group">
  <div class="form-group">
    <label for="target">Assign to</label>
    <input class="form-control" type="hidden" name="assignee" />
  </div>
  <div class="form-group">
    <label for="target">Note</label>
    <textarea class="form-control" name="note"></textarea>
  </div>
</div>