Untitled

<!DOCTYPE html>
<html>
<head>
	<title>Child Website</title>

	</head>

	<body>

		<form>
		<h1>Registration</h1>

			<label for="firstname" >First Name:</label>
			<input id="firstname" type="text" name="firstname" placeholder="John"required>

			<label for="lastname" >Last Name:</label>
			<input id="lastname" type="text" name="lastname" placeholder="Smith"required>
				<br>

			<label for="gender">Male</label>
			<input id="gender" type="radio" name="gender" value="male">

			<label for="gender">Female</label>
			<input id="gender" type="radio" name="gender" value="female">

			<label for="gender">Other</label>
			<input id="gender" type="radio" name="gender" value="other">
			<br>

			<label for="email">Email:</label>
			<input id="email" type="email" name="email"  placeholder="JohnSmith@email.com" required>
			<br>

			<label for="birthday" required>Birthday:</label>
				<select name="month">
				<option value="month" selected>Month</option>
				<option value="month">January</option>
				<option value="month">February</option>
				<option value="month">March</option>
				<option value="month">April</option>
				<option value="month">May</option>
				<option value="month">June</option>
				<option value="month">July</option>
				<option value="month">August</option>
				<option value="month">September</option>
				<option value="month">October</option>
				<option value="month">November</option>
				<option value="month">December</option></select>

				<select name="date">
				<option value="date" selected>Date</option>
				<option value="date">1st</option>
				<option value="date">2nd</option>
				<option value="date">3rd</option>
				<option value="date">4th</option>
				<option value="date">5th</option>
				<option value="date">6th</option>
				<option value="date">7th</option>
				<option value="date">8th</option>
				<option value="date">9th</option>
				<option value="date">10th</option>
				<option value="date">11th</option>
				<option value="date">12th</option>
				<option value="date">13th</option>
				<option value="date">14th</option>
				<option value="date">15th</option>
				<option value="date">16th</option>
				<option value="date">17th</option>
				<option value="date">18th</option>
				<option value="date">19th</option>
				<option value="date">20th</option>
				<option value="date">21st</option>
				<option value="date">22nd</option>
				<option value="date">23rd</option>
				<option value="date">24th</option>
				<option value="date">25th</option>
				<option value="date">26th</option>
				<option value="date">27th</option>
				<option value="date">28th</option>
				<option value="date">29th</option>
				<option value="date">30th</option>
				<option value="date">31st</option></select>

				<select name="year">
				<option value="year" selected>Year</option>
				<option value="year">2006</option>
				<option value="year">2007</option>
				<option value="year">2008</option>
				<option value="year">2009</option>
				<option value="year">2010</option>
				<option value="year">2011</option>
				<option value="year">2012</option>
				<option value="year">2013</option></select>
				<br>

				<input type="submit" value="Submit Registration" target="_blank">
				</form>