<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<form class="form-horizontal">
<fieldset>
<legend>Personal Information</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="first_name">First Name:</label>
<div class="col-md-4">
<input id="first_name" name="first_name" type="text" placeholder="First Name" class="form-control input-md" required="">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="last_name">Last Name:</label>
<div class="col-md-4">
<input id="last_name" name="last_name" type="text" placeholder="Last Name" class="form-control input-md" required="">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="dob">Date of Birth</label>
<div class="col-md-4">
<input id="dob" name="dob" type="text" placeholder="Date of Birth" class="form-control input-md">
<span class="help-block">MM-DD-YYYY</span>
</div>
</div>
