Bootstrap-Tutorials/bootstrapsignupform.html at master · vms20591/Bootstrap-Tutorials · GitHub

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<!doctype html>
<html>
	<head>
		<meta charset="utf-8" />
		<meta name="viewport" content="width=device-width, initial-scale=1">
		<title>Bootstrap SignUp Form</title>
		<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.5/css/bootstrap.min.css">
	</head>
	<body>
		<div class="container">
			<div class="page-header">
				<h1 class="text-left">Bootstrap Tutorial <small>one place to learn them all</small></h1>
			</div>
			<div class="row">
				<h3 class="text-center">Bootstrap Signup Form</h2>
				<br/>
				<div class="col-sm-8 col-sm-offset-2 col-md-8 col-md-offset-2 col-lg-8 col-lg-offset-2">
					<form class="form-horizontal">
						<fieldset>
							<!-- User's Name -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="username">Name</label>
								<div class="col-xs-6">
									<input type="text" class="form-control" name="username" placeholder="Username" id="username" />
								</div>
							</div>

							<!-- User's Date of Birth -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="date_of_birth">Date of Birth</label>
								<div class="col-xs-6">
									<div class="row">
										<!-- Day of birth -->
										<div class="col-xs-4">
											<select name="date_of_birth" id="date_of_birth" class="form-control">
												<option value="default">Day</option>
											</select>
										</div>
										<!-- Month of birth -->
										<div class="col-xs-4">
											<select name="month_of_birth" id="month_of_birth" class="form-control">
												<option value="default">Month</option>
											</select>
										</div>
										<!-- Year of birth -->
										<div class="col-xs-4">
											<select name="year_of_birth" id="year_of_birth" class="form-control">
												<option value="default">Year</option>
											</select>
										</div>
									</div>
								</div>
							</div>

							<!-- User's Gender -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="gender">Gender</label>
								<div class="col-xs-2">
									<label class="radio-inline">
										<input type="radio" name="gender" value="male" id="male_gender">Male
									</label>
								</div>
								<div class="col-xs-2">
									<label class="radio-inline">
										<input type="radio" name="gender" value="female" id="female_gender">Female
									</label>
								</div>
							</div>

							<!-- User's Email -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="email_username">Email</label>
								<div class="col-xs-6">
									<input type="text" class="form-control" name="email_username" placeholder="Email" id="email_username" />
								</div>
							</div>

							<!-- User's Phone Number -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="phone_number">Phone Number</label>
								<div class="col-xs-6">
									<input type="text" class="form-control" name="phone_number" placeholder="Phone Number" id="phone_number" />
								</div>
							</div>

							<!-- User's Address -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="address">Address</label>
								<div class="col-xs-6">
									<textarea rows="3" cols="10" class="form-control" name="address" placeholder="Address" id="address"></textarea>
								</div>
							</div>

							<!-- User's City -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="city">City</label>
								<div class="col-xs-6">
									<select name="city" class="form-control" id="city">
										<option value="default">Select City</option>
									</select>
								</div>
							</div>

							<!-- User's State -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="state">State</label>
								<div class="col-xs-6">
									<select name="state" class="form-control" id="state">
										<option value="default">Select State</option>
									</select>
								</div>
							</div>

							<!-- User's Postal Code -->
							<div class="form-group">
								<label class="control-label col-xs-4" for="postal_code">Postal Code</label>
								<div class="col-xs-6">
									<input type="text" class="form-control" name="postal_code" placeholder="Postal Code" id="postal_code" />
								</div>
							</div>

							<!-- User's Subscription to alerts -->
							<div class="form-group">
								<div class="col-xs-offset-4 col-xs-4">
									<div class="checkbox">
										<label>
											<input type="checkbox" name="subscription" value="yes" id="subscription" />
											Subscribe to our alerts?
										</label>
									</div>
								</div>
							</div>

							<!-- User's terms & condition -->
							<div class="form-group">
								<div class="col-xs-offset-4 col-xs-8">
									<div class="checkbox">
										<label>
											<input type="checkbox" name="terms_conditions" value="yes" id="terms_conditions" />
											I Agree to the <a href="#">Terms & Conditions</a>
										</label>
									</div>
								</div>
							</div>
							<br/>
							<!-- SignUp Button -->
							<div class="form-group">
								<div class="col-xs-offset-4">
									<input type="submit" class="btn btn-primary" value="Sign Up"/>
									<input type="reset" class="btn btn-primary" value="Reset"/>
								</div>
							</div>
						</fieldset>
					</form>
				</div>
			</div>
		</div>
		<script type="text/javascript" charset="utf-8" src="jquery-1.11.3.js"></script>
		<script type="text/javascript" charset="utf-8" src="bootstrap.min.js"></script>
	</body>
</html>