OR
<!-- you need to include the shieldui css and js assets in order for the charts to work -->
<link rel="stylesheet" type="text/css" href="http://www.shieldui.com/shared/components/latest/css/light/all.min.css" />
<script type="text/javascript" src="http://www.shieldui.com/shared/components/latest/js/shieldui-all.min.js"></script>
<div class="container" id="f1">
<div class="col-md-3"></div>
<div class="col-md-6">
<div id="panel1" class="panel panel-default">
<h1>Sign Up</h1>
<ul class="social text-center">
<li><a href="#" id="facebook" class="fa fa-facebook"></a></li>
<li><a href="#" id="twitter" class="fa fa-twitter"></a></li>
<li><a href="#" id="google_plus" class="fa fa-google-plus"></a></li>
</ul>
<p id="or">OR</p>
<fieldset>
<legend><span class="number">1</span>Your basic info</legend>
<label for="name">Name:</label>
<div class="input-group input-group-md">
<span class="input-group-addon" id="sizing-addon1"><span class="glyphicon glyphicon-user"></span></span>
<input type="text" class="form-control" placeholder="Type your name here..." aria-describedby="sizing-addon1">
</div>
<br />
<label for="mail">E-mail:</label>
<div class="input-group input-group-md">
<span class="input-group-addon" id="sizing-addon2"><span class="glyphicon glyphicon-envelope"></span></span>
<input type="text" class="form-control" placeholder="Type your e-mail here..." aria-describedby="sizing-addon2">
</div>
<br />
<label for="pass">Password:</label>
<div class="input-group input-group-md">
<span class="input-group-addon" id="sizing-addon3"><span class="glyphicon glyphicon-cog"></span></span>
<input type="password" class="form-control" placeholder="Password" aria-describedby="sizing-addon3" id="pass">
</div>
<br />
<label for="pass_confirm">Confirm password:</label>
<div class="input-group input-group-md">
<span class="input-group-addon" id="sizing-addon4"><span class="glyphicon glyphicon-envelope"></span></span>
<input type="password" class="form-control" placeholder="Confirm password" aria-describedby="sizing-addon4" id="confirmPass">
</div>
<p id="passwordMatch"></p>
<br />
<div class="input-group input-group-md">
<label>Gender:</label>
<select>
<option value="0">Male</option>
<option value="1">Female</option>
</select>
</div>
<br />
<div class="input-group input-group-md">
<label>Date of Birth:</label>
<div id="dateTimePicker"></div>
</div>
</fieldset>
<fieldset>
<legend><span class="number">2</span>Your profile</legend>
<label for="bio">Biography:</label>
<textarea id="bio" name="user_bio"></textarea>
</fieldset>
<fieldset>
<label for="job">Job Role:</label>
<select id="job" name="user_job">
<optgroup label="Web">
<option value="frontend_developer">Front-End Developer</option>
<option value="php_developor">PHP Developer</option>
<option value="python_developer">Python Developer</option>
<option value="rails_developer">Rails Developer</option>
<option value="web_designer">Web Designer</option>
<option value="WordPress_developer">WordPress Developer</option>
</optgroup>
<optgroup label="Mobile">
<option value="Android_developer">Androild Developer</option>
<option value="iOS_developer">iOS Developer</option>
<option value="mobile_designer">Mobile Designer</option>
</optgroup>
<optgroup label="Business">
<option value="business_owner">Business Owner</option>
<option value="freelancer">Freelancer</option>
</optgroup>
<optgroup label="Other">
<option value="secretary">Secretary</option>
<option value="maintenance">Maintenance</option>
</optgroup>
</select>
</fieldset>
<fieldset>
<label>Interests:</label>
<input type="checkbox" id="develop" value="developmentInterest" name="user_interest"><label class="light" for="development">Development</label><br>
<input type="checkbox" id="design" value="designInterest" name="user_interest"><label class="light" for="design">Design</label><br>
<input type="checkbox" id="business" value="businessInterest" name="user_interest"><label class="light" for="business">Business</label>
</fieldset>
<input id="b1" type="button" value="Sign Up" />
<footer>
<p id="footer">Desing provided by <a href="https://www.shieldui.com/">Shield UI</a></p>
</footer>
</div>
</div>
<div class="col-md-3"></div>
</div>
<style>
#f1
{
font-family: 'Nunito', sans-serif;
color: #384047;
}
#panel1
{
padding: 10px 20px;
background: #f4f7f8;
border-radius: 8px;
}
h1
{
margin: 0 0 30px 0;
text-align: center;
}
#f1 input[type="text"],
#f1 input[type="password"],
#f1 input[type="date"],
#f1 input[type="datetime"],
#f1 input[type="email"],
#f1 input[type="number"],
#f1 input[type="search"],
#f1 input[type="tel"],
#f1 input[type="time"],
#f1 input[type="url"],
#f1 textarea,
#f1 select
{
background: rgba(255,255,255,0.1);
font-size: 16px;
height: auto;
margin: 0;
outline: 0;
padding: 15px;
width: 100%;
background-color: #fff;
color: #8a97a0;
box-shadow: 0 1px 0 rgba(0,0,0,0.03) inset;
}
#f1 textarea,
#f1 select
{
border: 1px solid #ccc;
}
#f1 input[type="radio"],
#f1 input[type="checkbox"]
{
margin: 0 4px 8px 0;
}
#f1 .sui-sprite.sui-calendar-icon
{
margin-top: 14px;
}
#b1
{
padding: 19px 39px 18px 39px;
color: #FFF;
background-color: #4bc970;
font-size: 18px;
text-align: center;
font-style: normal;
border-radius: 5px;
width: 100%;
border: 1px solid #3ac162;
border-width: 1px 1px 3px;
box-shadow: 0 -1px 0 rgba(255,255,255,0.1) inset;
margin-bottom: 10px;
}
fieldset
{
margin-bottom: 30px;
border: none;
}
legend
{
font-size: 1.4em;
margin-bottom: 10px;
}
label
{
display: block;
margin-bottom: 8px;
}
label.light
{
font-weight: 300;
display: inline;
}
.number
{
background-color: #5fcf80;
color: #fff;
height: 30px;
width: 30px;
display: inline-block;
font-size: 0.8em;
margin-right: 4px;
line-height: 30px;
text-align: center;
text-shadow: 0 1px 0 rgba(255,255,255,0.2);
border-radius: 100%;
}
#footer
{
font-size: 10px;
text-align: center;
font-weight: bold;
}
#passwordMatch
{
text-align: center;
}
.input-group-addon
{
background-color: #e8eeef;
}
#or
{
text-align: center;
font-weight: bold;
}
.social
{
list-style-type: none;
background: #29AFBB;
height: 52px;
border: 2px solid#218C95;
}
.social li
{
padding-right: 20px;
display: inline-block;
font-size: 27px;
border-bottom: 5px solid#29AFBB;
cursor: pointer;
margin-top: 5px;
}
.social li a
{
color: #fff;
vertical-align: -webkit-baseline-middle;
}
</style>
<script type="text/javascript">
jQuery(function ($) {
$(function () {
$("#dateTimePicker").shieldDatePicker();
$('#confirmPass').on('keyup', function () {
if ($('#confirmPass').val() == $('#pass').val()) {
$('#passwordMatch').html('Passwords match!').css('color', 'green');
}
else {
$('#passwordMatch').html('Passwords do not match!').css('color', 'red');
}
});
});
});
</script>