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54 lines (34 loc) · 1.3 KB
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<form action="process.php" method="post">
<p>Complete Registration</p>
<audio controls>
<source src="Bring_Me_The_Horizon_Blasphemy.ogg">
<source src="Bring_Me_The_Horizon_Blasphemy.mp3">
</audio>
<br>
<label for="first_name">First Name:</label>
<input type="text" id="first_name" name="first_name">
<br>
<label for="last_name">Last Name:</label>
<input type="text" id="last_name" name="last_name">
<br>
<label id="email">Email:</label>
<input type="text" id="email" name="email">
<br>
<label for="password">Password:</label>
<input type="password" id="password" name="password">
<br>
<label for="pw_confirm">Password Confirmation:</label>
<input type="password" id="pw_confirm" name="password_confirmation">
<br>
<label for="birthday">Birthday:</label>
<input type="text" id="birthday" name="birthday">
<br>
<p>Select your gender:</p>
<label for="male">Male</label>
<input type="radio" id="male" name="gender" value="male">
<label for="female">Female</label>
<input type="radio" name="gender" value="female">
<p>Tell us more about yourself:</p>
<textarea name="description"></textarea>
<input type="submit" value="Submit">
</form>