[%########################################
  label_form_checkbox_row( label, count, name, value, field_label, picked )
     Display a row to input text: label on left, text input on
     right. Optional 'checkbox_label' will be to right of checkbox.
  ########################################-%]

[%- DEFAULT colspan = 2; -%]  
[%- INCLUDE label_row_begin( colspan = 1 ) -%]
[%- INCLUDE data_cell_begin -%][% INCLUDE form_checkbox %]
</td></tr>