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join.html
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join.html
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<!DOCTYPE html>
<html lang="en">
<head>
<!-- Meta tags -->
<title>GYM JOINING FORM</title>
<meta name="keywords" content="Study Application Form Responsive widget, Flat Web Templates, Android Compatible web template,
Smartphone Compatible web template, free webdesigns for Nokia, Samsung, LG, SonyEricsson, Motorola web design" />
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- stylesheets -->
<link rel="stylesheet" href="css/style1.css">
<!-- google fonts -->
<!link href="//fonts.googleapis.com/css?family=Roboto+Condensed:300,300i,400,400i,700,700i" rel="stylesheet">
<!<link href="//fonts.googleapis.com/css?family=Josefin+Sans:300,400,400i,700" rel="stylesheet">
</head>
<body>
<div class="w3ls-banner">
<div class="heading">
<h1>Gym Membership Form</h1>
</div>
<div class="container">
<div class="heading">
<h2>Application</h2>
<p>Please fill out the application form carefully</p>
</div>
<div class="agile-form">
<form action="form_action.php" method="post">
<ul class="field-list">
<li>
<label class="form-label">
Full Name
<span class="form-required"> * </span>
</label>
<div class="form-input">
<input type="text" name="full_name" placeholder="" required >
</div>
</li>
<li>
<label class="form-label">
Father Name
<span class="form-required"> * </span>
</label>
<div class="form-input">
<input type="text" name="father_name" placeholder="" required >
</div>
</li>
<li>
<label class="form-label">
Age
<span class="form-required"> * </span>
</label>
<div class="form-input">
<input type="int" name="Age" placeholder="" required >
</div>
</li>
<li>
<label class="form-label">
<!-- Date of joining
<span class="form-required"> * </span>
</label>
<div class="form-input dob">
<span class="form-sub-label">
<select name="day" class="day">
<option> </option>
<option value="1"> 1 </option>
<option value="2"> 2 </option>
<option value="3"> 3 </option>
<option value="4"> 4 </option>
<option value="5"> 5 </option>
<option value="6"> 6 </option>
<option value="7"> 7 </option>
<option value="8"> 8 </option>
<option value="9"> 9 </option>
<option value="10"> 10 </option>
<option value="11"> 11 </option>
<option value="12"> 12 </option>
<option value="13"> 13 </option>
<option value="14"> 14 </option>
<option value="15"> 15 </option>
<option value="16"> 16 </option>
<option value="17"> 17 </option>
<option value="18"> 18 </option>
<option value="19"> 19 </option>
<option value="20"> 20 </option>
<option value="21"> 21 </option>
<option value="22"> 22 </option>
<option value="23"> 23 </option>
<option value="24"> 24 </option>
<option value="25"> 25 </option>
<option value="26"> 26 </option>
<option value="27"> 27 </option>
<option value="28"> 28 </option>
<option value="29"> 29 </option>
<option value="30"> 30 </option>
<option value="31"> 31 </option>
</select>
<label class="form-sub-label1"> Day </label>
</span>
<span class="form-sub-label">
<select name="month">
<option> </option>
<option value="January"> January </option>
<option value="February"> February </option>
<option value="March"> March </option>
<option value="April"> April </option>
<option value="May"> May </option>
<option value="June"> June </option>
<option value="July"> July </option>
<option value="August"> August </option>
<option value="September"> September </option>
<option value="October"> October </option>
<option value="November"> November </option>
<option value="December"> December </option>
</select>
<label class="form-sub-label1"> Month </label>
</span>
<span class="form-sub-label">
<input type="text" class="year" name="year" placeholder=" Enter Year" required>
<label class="form-sub-label1"> Year </label>
</span>
</div>
</li> -->
<li>
<label class="form-label">
Gender
<span class="form-required"> * </span>
</label>
<div class="form-input">
<select class="form-dropdown" name="gender" required>
<!--<option value=""></option>-->
<option value="Male"> Male </option>
<option value="Female"> Female </option>
</select>
</div>
</li>
<li>
<label class="form-label">
E-Mail Address
<span class="form-required"> * </span>
</label>
<div class="form-input">
<input type="email" name="email" placeholder="" required>
</div>
</li>
<li>
<label class="form-label">
Mobile Number
<span class="form-required"> * </span>
</label>
<div class="form-input">
<input type="int" name="mobile_no" placeholder="" required >
</div>
</li>
<li>
<label class="form-label">
Address
<span class="form-required"> * </span>
</label>
<div class="form-input">
<!-- <textarea rows="5" cols="20" name="textarea"></textarea> -->
<input type="text" name="address" placeholder="Enter your address" required>
</div>
</li>
</ul>
<input type="submit" value="Apply Now">
</form>
</div>
</div>
<div class="copyright">
<p>© 2018 Gym Membership Form. | Design by <a href="https://www.instagram.com/ashirwad97/?hl=en">ASHIRWAD BARNWAL</a></p>
</div>
</div>
</body>
</html>