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<span>Registrovat se</span>
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         <h2 class="header-replace header-registrovat-se"><span>Registrovat se</span></h2>
      <div class="registration">
    <div class="item-box">

       <div class="item-box2">
         <div class="item-box-content">
         <p>Vyplň pozorně registační formulář. Ostatní uživatelé uvidí pouze tvůj Nick, věk, něco o tobě a fotku případně avatar. Ostatní údaje nebudou zveřejněny. Povinnné položky jsou označeny hvězdičkou.</p>
         <form enctype="multipart/form-data" action="" method="post">

<fieldset id="fieldset-group1"><div class="fieldset-box">
<dl class="formitem"><dt id="UserLogin-label"><label for="UserLogin" class="required">Nick: *</label></dt>
<dd>
<input type="text" name="UserLogin" id="UserLogin" value="" class="text" /><span id="logincheck"></span></dd></dl>
<dl class="formitem"><dt id="UserPassword-label"><label for="UserPassword" class="required">Heslo: *</label></dt>

<dd>
<input type="password" name="UserPassword" id="UserPassword" value="" class="text" /></dd></dl>
<dl class="formitem"><dt id="FirstName-label"><label for="FirstName" class="required">Jméno: *</label></dt>
<dd>
<input type="text" name="FirstName" id="FirstName" value="" class="text" /></dd></dl>
<dl class="formitem"><dt id="FamilyName-label"><label for="FamilyName" class="required">Příjmení: *</label></dt>
<dd>
<input type="text" name="FamilyName" id="FamilyName" value="" class="text" /></dd></dl>
<dl class="formitem"><dt id="BirthDate-label"><label for="BirthDate" class="required">Datum narození (dd.mm.rrrr): *</label></dt>
<dd>
<input type="text" name="BirthDate" id="BirthDate" value="" class="text" /></dd></dl>
<dl class="formitem"><dt id="Sex-label"><label for="Sex" class="required">Holka / kluk: *</label></dt>
<dd>

<select name="Sex" id="Sex" class="select">
    <option value="M" label="kluk">kluk</option>
    <option value="F" label="holka" selected="selected">holka</option>
</select></dd></dl>
<dl class="formitem"><dt id="Email-label"><label for="Email" class="required">E-mail: *</label></dt>
<dd>
<input type="text" name="Email" id="Email" value="" class="text" /></dd></dl>
<dl class="formitem"><dt id="CelPhone-label"><label for="CelPhone" class="optional">Mobil:</label></dt>
<dd>
<input type="text" name="CelPhone" id="CelPhone" value="" class="text" /></dd></dl>
<dl class="formitem"><dt id="City-label"><label for="City" class="optional">Město:</label></dt>

<dd>
<input type="text" name="City" id="City" value="" class="text" /></dd></dl>
<dl class="formitem"><dt id="About-label"><label for="About" class="required">Něco o mně: *</label></dt>
<dd>
<textarea name="About" id="About" rows="10" cols="50" class="textarea"></textarea></dd></dl>
<dl class="formitem"><dt id="GUID_Avatar-label"><label for="GUID_Avatar" class="required">Avatar: *</label></dt>
<dd>
<select name="GUID_Avatar" id="GUID_Avatar" class="select">
    <option value="0" label="Vlastní fotka">Vlastní fotka</option>
    <option value="15" label="a01">a01</option>

    <option value="16" label="a02">a02</option>
    <option value="17" label="a03">a03</option>
    <option value="18" label="a04">a04</option>
    <option value="278" label="apple">apple</option>
    <option value="281" label="atomic">atomic</option>
    <option value="284" label="atomictwo">atomictwo</option>

    <option value="287" label="bart">bart</option>
    <option value="290" label="batman1">batman1</option>
    <option value="293" label="batman2">batman2</option>
    <option value="296" label="batman3">batman3</option>
    <option value="299" label="blondýna">blondýna</option>
    <option value="302" label="brouk">brouk</option>

    <option value="305" label="budha">budha</option>
    <option value="308" label="camel">camel</option>
    <option value="311" label="crunchie">crunchie</option>
    <option value="260" label="černoch">černoch</option>
    <option value="263" label="ďáblík">ďáblík</option>
    <option value="314" label="default">default</option>

    <option value="317" label="dioda">dioda</option>
    <option value="23" label="divous">divous</option>
    <option value="26" label="dolary">dolary</option>
    <option value="29" label="dýně">dýně</option>
    <option value="32" label="flinstone1">flinstone1</option>
    <option value="35" label="flinstone2">flinstone2</option>

    <option value="38" label="gamesa">gamesa</option>
    <option value="41" label="garfield">garfield</option>
    <option value="21" label="Glum">Glum</option>
    <option value="44" label="hamburger">hamburger</option>
    <option value="47" label="homer">homer</option>
    <option value="50" label="houbička">houbička</option>

    <option value="56" label="iák">iák</option>
    <option value="53" label="iMAC">iMAC</option>
    <option value="59" label="jerry">jerry</option>
    <option value="62" label="kachnička">kachnička</option>
    <option value="68" label="kočka">kočka</option>
    <option value="19" label="Kojot">Kojot</option>

    <option value="65" label="komix">komix</option>
    <option value="71" label="kráska">kráska</option>
    <option value="74" label="kráva">kráva</option>
    <option value="77" label="kužel">kužel</option>
    <option value="80" label="kytka">kytka</option>
    <option value="83" label="lebka1">lebka1</option>

    <option value="86" label="lebka2">lebka2</option>
    <option value="89" label="lev">lev</option>
    <option value="92" label="líza">líza</option>
    <option value="95" label="march">march</option>
    <option value="98" label="megie">megie</option>
    <option value="101" label="meloun">meloun</option>

    <option value="104" label="mickymouse">mickymouse</option>
    <option value="107" label="mina">mina</option>
    <option value="110" label="morpheus">morpheus</option>
    <option value="113" label="moták">moták</option>
    <option value="266" label="ňadra">ňadra</option>
    <option value="116" label="neo">neo</option>

    <option value="119" label="olie">olie</option>
    <option value="122" label="opice1">opice1</option>
    <option value="125" label="opice2">opice2</option>
    <option value="128" label="opice3">opice3</option>
    <option value="131" label="padouch">padouch</option>
    <option value="134" label="panda">panda</option>

    <option value="137" label="pepek">pepek</option>
    <option value="140" label="pivo">pivo</option>
    <option value="143" label="plešatka">plešatka</option>
    <option value="146" label="poo">poo</option>
    <option value="149" label="prasátko">prasátko</option>
    <option value="152" label="prasátko2">prasátko2</option>

    <option value="155" label="punk">punk</option>
    <option value="158" label="punkáček">punkáček</option>
    <option value="161" label="rampa">rampa</option>
    <option value="164" label="rudovláska">rudovláska</option>
    <option value="167" label="rybka">rybka</option>
    <option value="170" label="rypák">rypák</option>

    <option value="173" label="saturn">saturn</option>
    <option value="176" label="scate">scate</option>
    <option value="179" label="scifoun1">scifoun1</option>
    <option value="182" label="scifoun10">scifoun10</option>
    <option value="185" label="scifoun11">scifoun11</option>
    <option value="188" label="scifoun12">scifoun12</option>

    <option value="191" label="scifoun2">scifoun2</option>
    <option value="194" label="scifoun3">scifoun3</option>
    <option value="197" label="scifoun4">scifoun4</option>
    <option value="200" label="scifoun5">scifoun5</option>
    <option value="203" label="scifoun6">scifoun6</option>
    <option value="206" label="scifoun7">scifoun7</option>

    <option value="209" label="scifoun8">scifoun8</option>
    <option value="212" label="scifoun9">scifoun9</option>
    <option value="215" label="slečna">slečna</option>
    <option value="218" label="slunce">slunce</option>
    <option value="221" label="smile">smile</option>
    <option value="224" label="sněhulák">sněhulák</option>

    <option value="227" label="srdíčko">srdíčko</option>
    <option value="230" label="stopka">stopka</option>
    <option value="20" label="šrotovné">šrotovné</option>
    <option value="269" label="šváb">šváb</option>
    <option value="233" label="tlamka">tlamka</option>
    <option value="236" label="tom">tom</option>

    <option value="239" label="trinity">trinity</option>
    <option value="242" label="trubka">trubka</option>
    <option value="245" label="tygr">tygr</option>
    <option value="248" label="ucho">ucho</option>
    <option value="251" label="vosa">vosa</option>
    <option value="254" label="zavináč">zavináč</option>

    <option value="257" label="země">země</option>
    <option value="272" label="žalud">žalud</option>
    <option value="275" label="žralok">žralok</option>
</select><span id="avatarimg"></span></dd></dl>
<dl class="formitem"><dt id="AvatarImage-label"><label for="AvatarImage" class="optional">Vlastní fotka:</label></dt>
<dd>
<input type="hidden" name="MAX_FILE_SIZE" value="8388608" id="MAX_FILE_SIZE" />
<input type="file" name="AvatarImage" id="AvatarImage" class="file" /></dd></dl>
<dl class="formitem"><dt id="SendNewsletter-label"><label for="SendNewsletter" class="optional">Zasílat newsy:</label></dt>

<dd>
<input type="hidden" name="SendNewsletter" value="N" /><input type="checkbox" name="SendNewsletter" id="SendNewsletter" value="Y" checked="checked" class="checkbox" /></dd></dl>
<dl class="formitem"><dt id="accept-label"><label for="accept" class="required">Souhlasím s podmínkami: *</label></dt>
<dd>
<input type="hidden" name="accept" value="" /><input type="checkbox" name="accept" id="accept" value="1" class="checkbox" /></dd></dl></div></fieldset>
<div class="submit">
<input type="submit" name="userAccountSubmit" id="userAccountSubmit" value="Uložit" class="submit button-big" /></div>
            <p>
            Souhlasím se zveřejněním svého Nick, věku, pohlaví a volitelné fotografie na portálu bravogirl.cz. Dávám souhlas pro využití ostatních údajů, které jsou součástí registrace, pro interní potřeby provozovatele portálu společnost Bauer Media v.o.s., která se zavazuje neposkytnout tyto údaje třetí straně nevyžaduje-li to platný zákon. Dále prohlašuji, že jsem srozuměn(a) s tím, že nesu právní odpovědnost za veškeré informační objekty, které v rámci své registrace na tomto portálu uveřejním.            </p>
            </form>
         </div>
    </div>

   </div>
</div>