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Sep 14th, 2017
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  1. <!-- multistep form -->
  2. <form id="msform">
  3. <!-- progressbar -->
  4. <ul id="progressbar">
  5. <li class="active">Personal Information</li>
  6. <li>Athletic Information</li>
  7. <li>Personal Details</li>
  8. </ul>
  9. <!-- fieldsets -->
  10. <fieldset>
  11. <h2 class="fs-title">Navy Track and Field Questionnaire</h2>
  12. <h3 class="fs-subtitle">Please fill out all required items</h3>
  13. <input type="high-schoo-graduation-year" name="high-school-graduation-year" placeholder="Graduation Year" />
  14. <input type="last-name" name="last-name" placeholder="Last Name" />
  15. <input type="first-name" name="first-name" placeholder="First Name" />
  16. <input type="phone-number" name="phone-number" placeholder="Phone Number" />
  17. <input type="email" name="email" placeholder="Email" />
  18. <input type="Height" name="Height" placeholder="Height" />
  19. <input type="Weight" name="Weight" placeholder="Weight" />
  20. <input type="button" name="next" class="next action-button" value="Next" />
  21. </fieldset>
  22. <fieldset>
  23. <h2 class="fs-title">Athletic Information</h2>
  24. <h3 class="fs-subtitle">Tell us about your events</h3>
  25. <input type="text" name="Event" placeholder="Event (i.e. 800m, Long Jump)" />
  26. <input type="text" name="Personal Best" placeholder="Personal Best (i.e. 5:45, 6'3'')" />
  27. <input type="text" name="Meet and Date of PR" placeholder="Meet and Date of PR" />
  28. <input type="text" name="Secondary Event" placeholder="Secondary Event" />
  29. <input type="text" name="Meet and Date of Secondary PR" placeholder="Meet and Date of Secondary PR" />
  30.  
  31. <input type="button" name="previous" class="previous action-button" value="Previous" />
  32. <input type="button" name="next" class="next action-button" value="Next" />
  33. </fieldset>
  34. <fieldset>
  35. <h2 class="fs-title">Contact Information</h2>
  36. <h3 class="fs-subtitle"></h3>
  37. <input type="text" name="Street Address" placeholder="Street Address (i.e. 101 Navy Dr)" />
  38. <input type="text" name="City" placeholder="City" />
  39. <input type="text" name="State" placeholder="State" />
  40. <input type="text" name="Zip" placeholder="Zip Code" />
  41. <input type="text" name="Date of Birth" placeholder="Date of Birth (MM/DD/YY)" />
  42. <input type="text" name="Father's Name" placeholder="Father's Name" />
  43. <input type="text" name="Mother's Name" placeholder="Mother's Name" />
  44. <input type="button" name="previous" class="previous action-button" value="Previous" />
  45. <input type="button" name="next" class="next action-button" value="Next" />
  46. </fieldset>
  47. <fieldset>
  48. <h2 class="fs-title">High School Information</h2>
  49. <h3 class="fs-subtitle">Tell us about your school</h3>
  50. <input type="text" name="High School Name" placeholder="High School Name" />
  51. <input type="text" name="High School City" placeholder="High School State" />
  52. <input type="text" name="High School Counselor's Name" placeholder="High School Counselor's Name" />
  53. <input type="text" name="Counselor's Phone Number" placeholder="Counselor's Phone Number" />
  54. <input type="text" name="Counselor's Email Address" placeholder="Counselor's Email Address" />
  55. <input type="button" name="previous" class="previous action-button" value="Previous" />
  56. <input type="submit" name="submit" class="submit action-button" value="Submit" />
  57. </fieldset>
  58. </form>
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