<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>
<!------ Include the above in your HEAD tag ---------->
<div class="container" id="wrap">
<div class="row">
<div class="col-md-8 col-md-offset-2">
<form action="r" method="post" accept-charset="utf-8" class="form" role="form"> <legend>Nuevo usuario</legend>
<h4>Por favor completa el siguiente formulario.</h4>
<div class="row">
<div class="col-xs-6 col-md-6">
<input type="text" name="nombre" value="" class="form-control input-lg" placeholder="Nombre" />
</div>
<div class="col-xs-6 col-md-6">
<input type="text" name="apellidos" value="" class="form-control input-lg" placeholder="Apellidos" />
</div>
</div>
<input type="text" name="email" value="" class="form-control input-lg" placeholder="E-mail" />
<input type="password" name="clave" value="" class="form-control input-lg" placeholder="Clave" />
<input type="password" name="clave2" value="" class="form-control input-lg" placeholder="Confirmar clave" />
<input type="text" name="fecha_nacimiento" value="" class="form-control input-lg" placeholder="Fecha de nacimiento" />
<div class="row">
<div class="col-xs-8 col-md-8">
<input type="text" name="documento" value="" class="form-control input-lg" placeholder="Documento" />
</div>
<div class="col-xs-2 col-md-4">
<select name="month" class = "form-control input-lg">
<option value="">Tipo de documento</option>
<option value="DNI">DNI</option>
<option value="NIF">NIF</option>
<option value="NIE">NIE</option>
<option value="PASAPORTE">PASAPORTE</option>
</select>
</div>
</div>
<input type="text" name="direccion" value="" class="form-control input-lg" placeholder="Direccion" />
<input type="text" name="provincia" value="" class="form-control input-lg" placeholder="Provincia" />
<div class="row">
<div class="col-xs-8 col-md-8">
<input type="text" name="poblacion" value="" class="form-control input-lg" placeholder="Poblacion" />
</div>
<div class="col-xs-8 col-md-4">
<input type="text" name="cp" value="" class="form-control input-lg" placeholder="Codigo Postal" />
</div>
</div>
<input type="text" name="nacionalidad" value="" class="form-control input-lg" placeholder="Nacionalidad" />
<input type="text" name="telefono" value="" class="form-control input-lg" placeholder="Telefono" />
<input type="text" name="email" value="" class="form-control input-lg" placeholder="E-mail" />
<input type="text" name="clave" value="" class="form-control input-lg" placeholder="Clave de acceso" />
<input type="text" name="clave2" value="" class="form-control input-lg" placeholder="Repite la clave de acceso" />
<label>Datos Academicos</label>
<textarea type="text" name="datos_academicos" value="" class="form-control input-lg" >
</textarea>
<label>Datos Profesionales</label>
<textarea type="text" name="datos_profesionales" value="" class="form-control input-lg" >
</textarea>
<label>Situacion Actual</label>
<textarea type="text" name="situacion_actual" value="" class="form-control input-lg" >
</textarea>
<label>Descripcion Personal</label>
<textarea type="text" name="datos_academicos" value="" class="form-control input-lg" >
</textarea>
<span class="help-block">
Al continuar con el registro acepta los terminos y condiciones sobre nuestra politica de privacidad
</span>
<button class="btn btn-lg btn-primary btn-block signup-btn" type="submit">Crear mi cuenta</button>
</form>
</div>
</div>
</div>
</div>
#wrap{
}
legend{
color:#141823;
font-size:25px;
font-weight:bold;
}
.signup-btn {
background: #79bc64;
background-image: -webkit-linear-gradient(top, #79bc64, #578843);
background-image: -moz-linear-gradient(top, #79bc64, #578843);
background-image: -ms-linear-gradient(top, #79bc64, #578843);
background-image: -o-linear-gradient(top, #79bc64, #578843);
background-image: linear-gradient(to bottom, #79bc64, #578843);
-webkit-border-radius: 4;
-moz-border-radius: 4;
border-radius: 4px;
text-shadow: 0px 1px 0px #898a88;
-webkit-box-shadow: 0px 0px 0px #a4e388;
-moz-box-shadow: 0px 0px 0px #a4e388;
box-shadow: 0px 0px 0px #a4e388;
font-family: Arial;
color: #ffffff;
font-size: 20px;
padding: 10px 20px 10px 20px;
border: solid #3b6e22 1px;
text-decoration: none;
}
.signup-btn:hover {
background: #79bc64;
background-image: -webkit-linear-gradient(top, #79bc64, #5e7056);
background-image: -moz-linear-gradient(top, #79bc64, #5e7056);
background-image: -ms-linear-gradient(top, #79bc64, #5e7056);
background-image: -o-linear-gradient(top, #79bc64, #5e7056);
background-image: linear-gradient(to bottom, #79bc64, #5e7056);
text-decoration: none;
}
.navbar-default .navbar-brand{
color:#fff;
font-size:30px;
font-weight:bold;
}
.form .form-control { margin-bottom: 10px; }
@media (min-width:768px) {
#home{
margin-top:50px;
}
#home .slogan{
color: #0e385f;
line-height: 29px;
font-weight:bold;
}
}
