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form.html
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63 lines (63 loc) · 2.78 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Sign Up</title>
<link rel="stylesheet" href="form.css">
</head>
<body>
<div class="container">
<div class="left-section">
<img src="Logo.png" alt="">
<h2>For Individuals</h2>
<p>Start benefiting from the wellness experience. For companies looking on increasing productivity, and improving organization wellness.</p>
</div>
<div class="form-container">
<form>
<div class="form-group">
<label for="first-name">First Name</label>
<input type="text" id="first-name" placeholder="Tolu">
</div>
<div class="form-group">
<label for="last-name">Last Name</label>
<input type="text" id="last-name" placeholder="Enter Last Name">
</div>
<div class="form-group">
<label for="gender">Gender</label>
<select id="gender">
<option value="" disabled selected>Select here</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Other</option>
</select>
</div>
<div class="form-group">
<label for="dob">Date of Birth</label>
<input type="date" id="dob">
</div>
<div class="form-group">
<label for="weight">Weight (KG)</label>
<input type="text" id="weight" placeholder="Enter Weight">
</div>
<div class="form-group">
<label for="height">Height (CM)</label>
<input type="text" id="height" placeholder="Enter height here..">
</div>
<div class="form-group" style="grid-column: span 2;">
<label for="activity">Activity Level</label>
<select id="activity">
<option>Select here</option>
</select>
</div>
<div class="form-group" style="grid-column: span 2;">
<label for="password">Password</label>
<input type="password" id="password">
</div>
<button type="submit" class="register-btn">Register</button>
<p class="terms">By clicking Register, you agree to our <a href="#">Terms of Use</a> and our <a href="#">Privacy Policy</a></p>
</form>
</div>
</div>
</body>
</html>