Form daftar

<!DOCTYPE html>
<html>
<head>
	<title>Tegalakala Club</title>
</head>

<body>
	<header>
		<h3>Formulir Pendaftaran Tegalakala</h3>
	</header>

	<form action="proses-pendaftaran.php" method="POST">

		<fieldset>

		<p>
			<label for="nama">Nama: </label>
			<input type="text" name="nama" placeholder="Nama Lengkap" />
		</p>
		<p>
			<label for="alamat">Alamat: </label>
			<textarea name="alamat" placeholder="Alamat Lengkap"></textarea>
		</p>
		<p>
			<label for="jenis_kelamin">Jenis Kelamin: </label>
			<label><input type="radio" name="jenis_kelamin" value="Laki-laki"> Laki-laki</label>
			<label><input type="radio" name="jenis_kelamin" value="Perempuan"> Perempuan</label>
		</p>
		<p>
			<label for="agama">Agama: </label>
			<select name="agama">
				<option>Islam</option>
				<option>Kristen</option>
				<option>Hindu</option>
				<option>Budha</option>
				<option>Atheis</option>
			</select>
		</p>
		<p>
			<label for="sekolah_asal">Sekolah Asal: </label>
			<input type="text" name="sekolah_asal" placeholder="Nama Asal Sekolah" />
		</p>
		<p>
			<input type="submit" value="Daftar" name="daftar" />
		</p>

		</fieldset>

	</form>

<h4><a href="index.php">Kembali</a></h4>

	</body>
</html>