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Mar 20th, 2019
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  1. <div class="container">
  2.  
  3. <div class="row">
  4.  
  5. <div class="col-xs-12 col-sm-6 col-md-6 offset-md-3">
  6.  
  7. <h2>Tus datos</h2>
  8.  
  9. <form action="" class="">
  10.  
  11. <div class="form-group">
  12. <label class="sr-only" for="email">Correo Electrónico:</label>
  13. <input class="form-control" id="email" name="email" type="text" placeholder="Correo Electrónico">
  14. </div>
  15.  
  16. <div class="form-group">
  17. <label class="sr-only" for="name">Nombres:</label>
  18. <input class="form-control" id="nombre" name="name" type="text" placeholder="Nombres">
  19. </div>
  20.  
  21. <div class="form-group">
  22. <label class="sr-only" for="apellido">Apellidos:</label>
  23. <input class="form-control" id="apellido" name="lastname" type="text" placeholder="Apellidos">
  24. </div>
  25.  
  26. <div class="form-group">
  27. <label class="sr-only" for="password">Password:</label>
  28. <input class="form-control" id="password" name="password" type="password" placeholder="Contraseña">
  29. </div>
  30.  
  31. <div class="form-group">
  32. <label for="fecha">Fecha de Nac imiento</label>
  33. <input class="form-control" id="birth" name="birthday" type="date" placeholder="Fecha de Nacimiento">
  34. </div>
  35.  
  36. <div class="form-group">
  37. <label for="sex">Género</label>
  38. <select class="form-control" name="" id="genero">
  39. <option value="0"></option>
  40. <option value="1">Femenino</option>
  41. <option value="2">Masculino</option>
  42. </select>
  43. </div>
  44.  
  45. <div class="form-group">
  46. <div class="form-check">
  47. <input class="form-check-input" type="checkbox" value="" id="defaultCheck1">
  48. <label class="form-check-label" for="defaultCheck1">
  49. He leído y acepto términos y condiciones del servicio.
  50. </label>
  51. </div>
  52. </div>
  53.  
  54. <div class="row">
  55. <div class="col-md-6 offset-md-3">
  56. <button type="submit" name="empezar" class="form-control btn btn-primary">Comenzar</button>
  57. </div>
  58. </div>
  59.  
  60. </form>
  61.  
  62. </div>
  63.  
  64. </div>
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