"Register ATC"
Bootstrap 3.3.0 Snippet by swetalina

<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/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"> <div class="row main"> <div class="main-login main-center"> <h5>Arreglando Tu Cocina.</h5> <form class="" method="post" action="#"> <div class="form-group"> <!--<label for="name" class="cols-sm-2 control-label">Nombre</label>--> <div class="cols-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-user fa" aria-hidden="true"></i></span> <input type="text" class="form-control" name="name" id="name" placeholder="Escribe tu Nombre"/> </div> </div> </div> <div class="form-group"> <!--<label for="email" class="cols-sm-2 control-label">Email</label>--> <div class="cols-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-envelope fa" aria-hidden="true"></i></span> <input type="text" class="form-control" name="email" id="email" placeholder="Escribe tu Email"/> </div> </div> </div> <div class="form-group"> <!--<label for="username" class="cols-sm-2 control-label">Usuario</label>--> <div class="cols-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-users fa" aria-hidden="true"></i></span> <input type="text" class="form-control" name="username" id="username" placeholder="Escribe tu Usuario"/> </div> </div> </div> <div class="form-group"> <!--<label for="password" class="cols-sm-2 control-label">Contraseña</label>--> <div class="cols-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-lock fa-lg" aria-hidden="true"></i></span> <input type="password" class="form-control" name="password" id="password" placeholder="Escribe tu contraseña"/> </div> </div> </div> <div class="form-group"> <!--<label for="confirm" class="cols-sm-2 control-label">Confirmar contraseña</label>--> <div class="cols-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-lock fa-lg" aria-hidden="true"></i></span> <input type="password" class="form-control" name="confirm" id="confirm" placeholder="Confirma tu contraseña"/> </div> </div> </div> <div class="form-group"> <!--<label for="BornDate" class="cols-sm-2 control-label">Fecha de Nacimiento</label>--> <div class="cols-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-calendar fa-lg" aria-hidden="true"></i></span> <input type="date" class="form-control" name="BornDate" id="BornDate" placeholder="Introduce tu Fecha de Nacimiento"/> </div> </div> </div> <div class="form-group"> <!-- <label for="Sex" class="cols-sm-2 control-label">Genero</label> --> <div class="cols-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-venus fa-lg" aria-hidden="true"></i></span> <input type="list" class="form-control" name="sex" id="sex" placeholder="Selecciona el Genero"/> </div> </div> </div> <div class="form-group "> <a href="http://deepak646.blogspot.in" target="_blank" type="button" id="button" class="btn btn-primary btn-lg btn-block login-button">Registrate</a> </div> </form> </div> </div> </div>
/* /* Created by Filipe Pina * Specific styles of signin, register, component */ /* * General styles */

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