Untitled


<!DOCTYPE html>
<html>
<head>
  <title>Complete Form Solution</title>
</head>
<body>

  <h1>Register</h1>

  <form>
    <div>
      <label for="first-name">First Name:</label>
      <input type="text" name="first-name" id="first-name" placeholder="John" required />
      <label for="last-name">Last Name:</label>
      <input type="text" name="last-name" id="last-name" placeholder="Smith" required />
    </div>

     <div>
        <label for="radio-choice-1">Male</label>
        <input type="radio" name="radio-choice" id="radio-choice-1" value="choice-1" />

        <label for="radio-choice-2">Female</label>
        <input type="radio" name="radio-choice" id="radio-choice-2" value="choice-2" />

       <label for="radio-choice-3">Other</label>
        <input type="radio" name="radio-choice" id="radio-choice-3" value="choice-3" />
     </div>

    <div>
      <label for="username">Email:</label>
      <input id="username" type="email" required placeholder="your email">

      <label for="password">Password:</label>
      <input id="password" type="password" pattern=".{5,10}" required title="5 to 10 characters">
    </div>

  <!-- WARNING! DANGER! CAUTION! -->
  <!-- DATE PICKER CRAZINESS BELOW!!!! -->
    <div>
      <!-- Normally we'd have a label for each field, but since these 3 select drop downs go together, we'll just use one and make it match up to the first select field (month) -->
      <label for="select-choice">Birthday:</label>
      <select name="select-choice" id="select-choice" title="Month">
        <option value="Choice 1" selected disabled>Month</option>
        <option value="Choice 2">Jan</option>
        <option value="Choice 3">Feb</option>
        <option value="Choice 3">Mar</option>
        <option value="Choice 3">Apr</option>
        <option value="Choice 3">May</option>
        <option value="Choice 3">Jun</option>
        <option value="Choice 3">Jul</option>
        <option value="Choice 3">Aug</option>
        <option value="Choice 3">Sep</option>
        <option value="Choice 3">Oct</option>
        <option value="Choice 3">Nov</option>
        <option value="Choice 3">Dec</option>
      </select>

      <select name="birthday-day" id="day" title="Day">
        <option value="0" selected disabled>Day</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
        <option value="24">24</option>
        <option value="25">25</option>
        <option value="26">26</option>
        <option value="27">27</option>
        <option value="28">28</option>
        <option value="29">29</option>
        <option value="30">30</option>
        <option value="31">31</option>
      </select>

      <select name="birthday-year" id="year" title="Year">
        <option value="0" selected disabled>Year</option>
        <option value="2015">2015</option>
        <option value="2014">2014</option>
        <option value="2013">2013</option>
        <option value="2012">2012</option>
        <option value="2011">2011</option>
        <option value="2010">2010</option>
        <option value="2009">2009</option>
        <option value="2008">2008</option>
        <option value="2007">2007</option>
        <option value="2006">2006</option>
        <option value="2005">2005</option>
        <option value="2004">2004</option>
        <option value="2003">2003</option>
        <option value="2002">2002</option>
        <option value="2001">2001</option>
        <option value="2000">2000</option>
        <option value="1999">1999</option>
        <option value="1998">1998</option>
        <option value="1997">1997</option>
        <option value="1996">1996</option>
        <option value="1995">1995</option>
        <option value="1994">1994</option>
        <option value="1993">1993</option>
        <option value="1992">1992</option>
        <option value="1991">1991</option>
        <option value="1990">1990</option>
        <option value="1989">1989</option>
        <option value="1988">1988</option>
        <option value="1987">1987</option>
        <option value="1986">1986</option>
        <option value="1985">1985</option>
        <option value="1984">1984</option>
        <option value="1983">1983</option>
        <option value="1982">1982</option>
        <option value="1981">1981</option>
        <option value="1980">1980</option>
        <option value="1979">1979</option>
        <option value="1978">1978</option>
        <option value="1977">1977</option>
        <option value="1976">1976</option>
        <option value="1975">1975</option>
        <option value="1974">1974</option>
        <option value="1973">1973</option>
        <option value="1972">1972</option>
        <option value="1971">1971</option>
        <option value="1970">1970</option>
        <option value="1969">1969</option>
        <option value="1968">1968</option>
        <option value="1967">1967</option>
        <option value="1966">1966</option>
        <option value="1965">1965</option>
        <option value="1964">1964</option>
        <option value="1963">1963</option>
        <option value="1962">1962</option>
        <option value="1961">1961</option>
        <option value="1960">1960</option>
        <option value="1959">1959</option>
        <option value="1958">1958</option>
        <option value="1957">1957</option>
        <option value="1956">1956</option>
        <option value="1955">1955</option>
        <option value="1954">1954</option>
        <option value="1953">1953</option>
        <option value="1952">1952</option>
        <option value="1951">1951</option>
        <option value="1950">1950</option>
        <option value="1949">1949</option>
        <option value="1948">1948</option>
        <option value="1947">1947</option>
        <option value="1946">1946</option>
        <option value="1945">1945</option>
        <option value="1944">1944</option>
        <option value="1943">1943</option>
        <option value="1942">1942</option>
        <option value="1941">1941</option>
        <option value="1940">1940</option>
        <option value="1939">1939</option>
        <option value="1938">1938</option>
        <option value="1937">1937</option>
        <option value="1936">1936</option>
        <option value="1935">1935</option>
        <option value="1934">1934</option>
        <option value="1933">1933</option>
        <option value="1932">1932</option>
        <option value="1931">1931</option>
        <option value="1930">1930</option>
        <option value="1929">1929</option>
        <option value="1928">1928</option>
        <option value="1927">1927</option>
        <option value="1926">1926</option>
        <option value="1925">1925</option>
        <option value="1924">1924</option>
        <option value="1923">1923</option>
        <option value="1922">1922</option>
        <option value="1921">1921</option>
        <option value="1920">1920</option>
        <option value="1919">1919</option>
        <option value="1918">1918</option>
        <option value="1917">1917</option>
        <option value="1916">1916</option>
        <option value="1915">1915</option>
        <option value="1914">1914</option>
        <option value="1913">1913</option>
        <option value="1912">1912</option>
        <option value="1911">1911</option>
        <option value="1910">1910</option>
        <option value="1909">1909</option>
        <option value="1908">1908</option>
        <option value="1907">1907</option>
        <option value="1906">1906</option>
        <option value="1905">1905</option>
      </select>
    </div>

    <div>
      <label for="checkbox">I agree to the terms and conditions</label>
      <input type="checkbox" name="checkbox" id="checkbox" />
    </div>

    <div>
      <input type="submit" value="Submit" />
    </div>
  </form>

</body>
</html>