HTML formos panaudojant php funkcijas pavizdys

<div class="horizontal_form">
    <form action="" id="reg-form" method="post" name="reg-form">
        <input type="hidden" name="niche" value="{{ niche }}">
        <input type="hidden" name="segment" value="{{ segment }}">
        <input type="hidden" name="site_lang" value="{{ site_lang }}">
        <input type="hidden" name="site_name" value="{{ site_name }}">
        <input type="hidden" name="ip" value="{{ ip }}">
        <input type="hidden" name="dating_platform" value="{{ dating_platform }}">

        <div class="input-container">
            <select name="sexId" id="sexId" class="form-control" required>
                <option value="" class="default">Jag är</option>
                <option value="1">Man</option>
                <option value="2">Kvinna</option>
                <option value="3">Par (Man + Kvinna)</option>
                <option value="4">Par (Man + Man)</option>
                <option value="5">Par (Kvinna + Kvinna)</option>
                <option value="14">Par (Man + F2M)</option>
                <option value="15">Par (Kvinna + F2M)</option>
                <option value="6">Transgender</option>
                <option value="8">TS Man till Kvinna</option>
                <option value="9">TS Kvinna till Man</option>
                <option value="16">Kön queer</option>
                <option value="17">Kön queer par</option>
                <option value="18">Annat</option>
            </select>
        </div>
        <div class="date-container">
            <div class="input-container small-year">
                <select name="birthYearPerson1" id="birthYearPerson1" class="form-control" required>
                    <option value="" class="default">Född</option>
                    {% generate_options|y|en %}
                </select>
            </div>
            <div class="input-container small-month">
                <select name="birthMonthPerson1" id="birthMonthPerson1" class="form-control" required>
                    <option value="" class="default">Månad</option>
                    {% generate_options|m|en %}
                </select>
            </div>
            <div class="input-container small-day">
                <select name="birthDayPerson1" id="birthDayPerson1" class="form-control" required>
                    <option value="" class="default">Dag</option>
                    {% generate_options|d|en %}
                </select>
            </div>
            <div class="clear"></div>
        </div>
        <div class="input-container">
            <input class="form-control" id="email-addr" name="email" type="email" value="" required placeholder="E-mail adress" />
        </div>

        <div class="button-container">
            <button type="submit" class="btn-lg btn-block btn-register button_grad">GÅ MED GRATIS!</button>
        </div>
    </form>
</div>