Not a member of Pastebin yet?
Sign Up,
it unlocks many cool features!
- <!DOCTYPE html>
- <html>
- <head>
- <title>Registration form</title>
- </head>
- <body>
- <h1>Register</h1>
- <form>
- <label For="first">First Name: </label>
- <input name="first" id="first" type="text" placeholder="John" required>
- <label for=last>Last Name:</label>
- <input name="last" id="last" type="text" placeholder="Smith" required>
- <div>
- <label for="male">Male</label>
- <input id="male" name=gender type="radio" value="Male">
- <label for="female">Female</label>
- <input id="female" name=gender type="radio" value="Female">
- <label for="other">Other</label>
- <input id="other" name=gender type="radio" value="Other">
- </div>
- <div>
- <label>Email:
- <input name="email" type="email" placeholder=Example@email.com name="" required >
- </label>
- <label> Password:
- <input type="password" name="password" placeholder=password required="">
- </label>
- </div>
- <div>
- <label> Birthday:
- <select name="Month"> <option>Month</option>
- <option>January</option>
- <option>Febuary</option>
- <option>March</option>
- <option>April</option>
- <option>May</option>
- <option>June</option>
- <option>July</option>
- <option>August</option>
- <option>September</option>
- <option>October</option>
- <option>November</option>
- <option>December</option>
- </select>
- <select name="Day">
- <option>Day</option>
- <option>1</option>
- <option>2</option>
- <option>3</option>
- <option>4</option>
- <option>5</option>
- <option>6</option>
- <option>7</option>
- <option>8</option>
- <option>9</option>
- <option>10</option>
- <option>11</option>
- <option>12</option>
- <option>13</option>
- <option>14</option>
- <option>15</option>
- <option>16</option>
- <option>17</option>
- <option>18</option>
- <option>19</option>
- <option>20</option>
- <option>21</option>
- <option>22</option>
- <option>23</option>
- <option>24</option>
- <option>25</option>
- <option>26</option>
- <option>27</option>
- <option>28</option>
- <option>29</option>
- <option>30</option>
- <option>31</option>
- </select>
- <select name="Year">
- <option>Year</option>
- <option>1994</option>
- <option>1995</option>
- <option>1996</option>
- <option>1997</option>
- <option>1998</option>
- <option>1999</option>
- <option>2000</option>
- <option>2001</option>
- <option>2002</option>
- <option>2003</option>
- <option>2004</option>
- <option>2005</option>
- <option>2006</option>
- <option>2007</option>
- <option>2008</option>
- <option>2009</option>
- </select>
- </label>
- </div>
- <div>
- <label for="agreed">I agree to the terms and conditons:</label>
- <input type="checkbox" id="agreed" name="agreed">
- </div>
- <input type="submit" name="">
- </form>
- </body>
- </html>
Add Comment
Please, Sign In to add comment