"Mix & Match Register"
Bootstrap 3.0.3 Snippet by GerardoReanio

<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.3/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.3/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <div class="row"> <div class="col-xs-12 col-sm-8 col-md-6 col-sm-offset-2 col-md-offset-3"> <form role="form"> <hr class="colorgraph"> <div class="row"> <div class="col-xs-6 col-sm-6 col-md-6"> <div class="form-group"> <input type="text" name="first_name" id="first_name" class="form-control input-lg" placeholder="Nombres" > </div> </div> <div class="col-xs-6 col-sm-6 col-md-6"> <div class="form-group"> <input type="text" name="last_name" id="last_name" class="form-control input-lg" placeholder="Apellidos" > </div> </div> </div> <div class="form-group"> <input type="text" name="display_name" id="display_name" class="form-control input-lg" placeholder="DNI" > </div> <div class="row"> <div class="col-xs-6 col-sm-6 col-md-6"> <div class="form-group"> <input type="password" name="password" id="password" class="form-control input-lg" placeholder="Contraseña" > </div> </div> <div class="col-xs-6 col-sm-6 col-md-6"> <div class="form-group"> <input type="password" name="password_confirmation" id="password_confirmation" class="form-control input-lg" placeholder="Confirmar Contraseña" tabindex="6"> </div> </div> </div> <div class="row"> <div class="col-xs-6 col-sm-6 col-md-6"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Egresado</option> <option value="2">Estudiante</option> </select> </div> </div> <hr class="colorgraph"> <div class="pull-right"> <div class="col-xs-6 col-md-6"><a href="#" class="btn btn-success btn-block btn-lg">Sign In</a></div> </div> </form> </div> </div> </div>
.colorgraph { height: 5px; border-top: 0; background: #c4e17f; border-radius: 5px; background-image: -webkit-linear-gradient(left, #c4e17f, #c4e17f 12.5%, #f7fdca 12.5%, #f7fdca 25%, #fecf71 25%, #fecf71 37.5%, #f0776c 37.5%, #f0776c 50%, #db9dbe 50%, #db9dbe 62.5%, #c49cde 62.5%, #c49cde 75%, #669ae1 75%, #669ae1 87.5%, #62c2e4 87.5%, #62c2e4); background-image: -moz-linear-gradient(left, #c4e17f, #c4e17f 12.5%, #f7fdca 12.5%, #f7fdca 25%, #fecf71 25%, #fecf71 37.5%, #f0776c 37.5%, #f0776c 50%, #db9dbe 50%, #db9dbe 62.5%, #c49cde 62.5%, #c49cde 75%, #669ae1 75%, #669ae1 87.5%, #62c2e4 87.5%, #62c2e4); background-image: -o-linear-gradient(left, #c4e17f, #c4e17f 12.5%, #f7fdca 12.5%, #f7fdca 25%, #fecf71 25%, #fecf71 37.5%, #f0776c 37.5%, #f0776c 50%, #db9dbe 50%, #db9dbe 62.5%, #c49cde 62.5%, #c49cde 75%, #669ae1 75%, #669ae1 87.5%, #62c2e4 87.5%, #62c2e4); background-image: linear-gradient(to right, #c4e17f, #c4e17f 12.5%, #f7fdca 12.5%, #f7fdca 25%, #fecf71 25%, #fecf71 37.5%, #f0776c 37.5%, #f0776c 50%, #db9dbe 50%, #db9dbe 62.5%, #c49cde 62.5%, #c49cde 75%, #669ae1 75%, #669ae1 87.5%, #62c2e4 87.5%, #62c2e4); }
$(function () { $('.button-checkbox').each(function () { // Settings var $widget = $(this), $button = $widget.find('button'), $checkbox = $widget.find('input:checkbox'), color = $button.data('color'), settings = { on: { icon: 'glyphicon glyphicon-check' }, off: { icon: 'glyphicon glyphicon-unchecked' } }; // Event Handlers $button.on('click', function () { $checkbox.prop('checked', !$checkbox.is(':checked')); $checkbox.triggerHandler('change'); updateDisplay(); }); $checkbox.on('change', function () { updateDisplay(); }); // Actions function updateDisplay() { var isChecked = $checkbox.is(':checked'); // Set the button's state $button.data('state', (isChecked) ? "on" : "off"); // Set the button's icon $button.find('.state-icon') .removeClass() .addClass('state-icon ' + settings[$button.data('state')].icon); // Update the button's color if (isChecked) { $button .removeClass('btn-default') .addClass('btn-' + color + ' active'); } else { $button .removeClass('btn-' + color + ' active') .addClass('btn-default'); } } // Initialization function init() { updateDisplay(); // Inject the icon if applicable if ($button.find('.state-icon').length == 0) { $button.prepend('<i class="state-icon ' + settings[$button.data('state')].icon + '"></i> '); } } init(); }); });

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