Files
bradley-university/CS370/Flab-u-Less-Fitness/public/member/registration.html
T
2026-02-03 08:18:39 -06:00

32 lines
1.0 KiB
HTML

<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>Member Registration</title>
</head>
<body>
<h1>Member Registration</h1>
<form action="\scripts\register_member.php" method="post">
<label for="name">Name:</label>
<input type="text" id="name" name="name" required>
<label for="email">Email:</label>
<input type="email" id="email" name="email" required>
<label for="phone">Phone:</label>
<input type="tel" id="phone" name="phone" required>
<label for="join_date">Join Date:</label>
<input type="date" id="join_date" name="join_date" required>
<label for="membership_status">Membership Status:</label>
<select id="membership_status" name="membership_status" required>
<option value="Active">Active</option>
<option value="Inactive">Inactive</option>
</select>
<button type="submit">Register</button>
</form>
</body>
</html>