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form-elements.html
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<!doctype html>
<html lang="en" dir="ltr">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, user-scalable=no, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<meta http-equiv="Content-Language" content="en" />
<meta name="msapplication-TileColor" content="#2d89ef">
<meta name="theme-color" content="#4188c9">
<meta name="apple-mobile-web-app-status-bar-style" content="black-translucent"/>
<meta name="apple-mobile-web-app-capable" content="yes">
<meta name="mobile-web-app-capable" content="yes">
<meta name="HandheldFriendly" content="True">
<meta name="MobileOptimized" content="320">
<link rel="icon" href="./favicon.ico" type="image/x-icon"/>
<link rel="shortcut icon" type="image/x-icon" href="./favicon.ico" />
<!-- Generated: 2018-05-06 11:20:17 -0400 -->
<title>tabler.github.io - a responsive, flat and full featured admin template</title>
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/font-awesome/4.7.0/css/font-awesome.min.css">
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Source+Sans+Pro:300,300i,400,400i,500,500i,600,600i,700,700i&subset=latin-ext">
<script src="./assets/js/require.min.js"></script>
<script>
requirejs.config({
baseUrl: '.'
});
</script>
<!-- Dashboard Core -->
<link href="./assets/css/dashboard.css" rel="stylesheet" />
<script src="./assets/js/dashboard.js"></script>
<!-- c3.js Charts Plugin -->
<link href="./assets/plugins/charts-c3/plugin.css" rel="stylesheet" />
<script src="./assets/plugins/charts-c3/plugin.js"></script>
<!-- Google Maps Plugin -->
<link href="./assets/plugins/maps-google/plugin.css" rel="stylesheet" />
<script src="./assets/plugins/maps-google/plugin.js"></script>
<!-- Input Mask Plugin -->
<script src="./assets/plugins/input-mask/plugin.js"></script>
</head>
<body class="">
<div class="page">
<div class="page-main">
<div class="header py-4">
<div class="container">
<div class="d-flex">
<a class="header-brand" href="./index.html">
<img src="./demo/brand/tabler.svg" class="header-brand-img" alt="tabler logo">
</a>
<div class="d-flex order-lg-2 ml-auto">
<!-- <div class="nav-item d-none d-md-flex">
<a href="https://github.com/tabler/tabler" class="btn btn-sm btn-outline-primary" target="_blank">Source code</a>
</div> -->
<div class="dropdown d-none d-md-flex">
<a class="nav-link icon" data-toggle="dropdown">
<i class="fe fe-bell"></i>
<span class="nav-unread"></span>
</a>
<div class="dropdown-menu dropdown-menu-right dropdown-menu-arrow">
<a href="#" class="dropdown-item d-flex">
<span class="avatar mr-3 align-self-center" style="background-image: url(demo/faces/male/41.jpg)"></span>
<div>
<strong>Nathan</strong> veut savoir s’il devrait procéder à la récolte?
<div class="small text-muted">10 minutes ago</div>
</div>
</a>
<a href="#" class="dropdown-item d-flex">
<span class="avatar mr-3 align-self-center" style="background-image: url(demo/faces/female/1.jpg)"></span>
<div>
<strong>Alice</strong> a arrosé tes fleures préférés.
<div class="small text-muted">1 hour ago</div>
</div>
</a>
<a href="#" class="dropdown-item d-flex">
<span class="avatar mr-3 align-self-center" style="background-image: url(demo/faces/female/18.jpg)"></span>
<div>
<strong>Rose</strong> troc ses fameuse tubercules
<div class="small text-muted">2 hours ago</div>
</div>
</a>
<div class="dropdown-divider"></div>
<a href="#" class="dropdown-item text-center">Marquer comme lu</a>
</div>
</div>
<div class="dropdown">
<a href="#" class="nav-link pr-0 leading-none" data-toggle="dropdown">
<span class="avatar" style="background-image: url(./demo/faces/female/25.jpg)"></span>
<span class="ml-2 d-none d-lg-block">
<span class="text-default">Jane Pearson</span>
<small class="text-muted d-block mt-1">Administrator</small>
</span>
</a>
<div class="dropdown-menu dropdown-menu-right dropdown-menu-arrow">
<a class="dropdown-item" href="userprofile.html">
<i class="dropdown-icon fe fe-user"></i> Profile
</a>
<a class="dropdown-item" href="#">
<i class="dropdown-icon fe fe-settings"></i> Settings
</a>
<a class="dropdown-item" href="#">
<span class="float-right"><span class="badge badge-primary">6</span></span>
<i class="dropdown-icon fe fe-mail"></i> Inbox
</a>
<a class="dropdown-item" href="#">
<i class="dropdown-icon fe fe-send"></i> Message
</a>
<div class="dropdown-divider"></div>
<a class="dropdown-item" href="#">
<i class="dropdown-icon fe fe-help-circle"></i> Need help?
</a>
<a class="dropdown-item" href="#">
<i class="dropdown-icon fe fe-log-out"></i> Sign out
</a>
</div>
</div>
</div>
<a href="#" class="header-toggler d-lg-none ml-3 ml-lg-0" data-toggle="collapse" data-target="#headerMenuCollapse">
<span class="header-toggler-icon"></span>
</a>
</div>
</div>
</div>
<div class="my-3 my-md-5">
<div class="container">
<div class="row">
<div class="col-12">
<form action="https://httpbin.org/post" method="post" class="card">
<div class="card-header">
<h3 class="card-title">Form elements</h3>
</div>
<div class="card-body">
<div class="row">
<div class="col-md-6 col-lg-4">
<div class="form-group">
<label class="form-label">Static</label>
<div class="form-control-plaintext">Username</div>
</div>
<div class="form-group">
<label class="form-label">Text</label>
<input type="text" class="form-control" name="example-text-input" placeholder="Text..">
</div>
<div class="form-group">
<label class="form-label">Disabled</label>
<input type="text" class="form-control" name="example-disabled-input" placeholder="Disabled.." value="Well, she turned me into a newt." disabled>
</div>
<div class="form-group">
<label class="form-label">Readonly</label>
<input type="text" class="form-control" name="example-disabled-input" placeholder="Disabled.." value="Well, how'd you become king, then?" readonly>
</div>
<div class="form-group">
<label class="form-label">Textarea <span class="form-label-small">56/100</span></label>
<textarea class="form-control" name="example-textarea-input" rows="6" placeholder="Content..">Oh! Come and see the violence inherent in the system! Help, help, I'm being repressed! We shall say 'Ni' again to you, if you do not appease us. I'm not a witch. I'm not a witch. Camelot!</textarea>
</div>
<div class="form-group">
<label class="form-label">Image Check</label>
<div class="row gutters-sm">
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="1" class="imagecheck-input" />
<figure class="imagecheck-figure">
<img src="./demo/photos/nathan-anderson-316188-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="2" class="imagecheck-input" checked />
<figure class="imagecheck-figure">
<img src="./demo/photos/nathan-dumlao-287713-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="3" class="imagecheck-input" />
<figure class="imagecheck-figure">
<img src="./demo/photos/nicolas-picard-208276-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="4" class="imagecheck-input" checked />
<figure class="imagecheck-figure">
<img src="./demo/photos/oskar-vertetics-53043-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="5" class="imagecheck-input" />
<figure class="imagecheck-figure">
<img src="./demo/photos/priscilla-du-preez-181896-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="6" class="imagecheck-input" />
<figure class="imagecheck-figure">
<img src="./demo/photos/ricardo-gomez-angel-262359-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="7" class="imagecheck-input" checked />
<figure class="imagecheck-figure">
<img src="./demo/photos/sam-ferrara-136526-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="8" class="imagecheck-input" />
<figure class="imagecheck-figure">
<img src="./demo/photos/sean-afnan-244576-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
<div class="col-6 col-sm-4">
<label class="imagecheck mb-4">
<input name="imagecheck" type="checkbox" value="9" class="imagecheck-input" />
<figure class="imagecheck-figure">
<img src="./demo/photos/sophie-higginbottom-133982-500.jpg" alt="}" class="imagecheck-image">
</figure>
</label>
</div>
</div>
</div>
<div class="form-group">
<label class="form-label">Color Input</label>
<div class="row gutters-xs">
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="azure" class="colorinput-input" />
<span class="colorinput-color bg-azure"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="indigo" class="colorinput-input" checked/>
<span class="colorinput-color bg-indigo"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="purple" class="colorinput-input" />
<span class="colorinput-color bg-purple"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="pink" class="colorinput-input" />
<span class="colorinput-color bg-pink"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="red" class="colorinput-input" />
<span class="colorinput-color bg-red"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="orange" class="colorinput-input" />
<span class="colorinput-color bg-orange"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="yellow" class="colorinput-input" />
<span class="colorinput-color bg-yellow"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="lime" class="colorinput-input" />
<span class="colorinput-color bg-lime"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="green" class="colorinput-input" />
<span class="colorinput-color bg-green"></span>
</label>
</div>
<div class="col-auto">
<label class="colorinput">
<input name="color" type="checkbox" value="teal" class="colorinput-input" />
<span class="colorinput-color bg-teal"></span>
</label>
</div>
</div>
</div>
<div class="form-group">
<label class="form-label">Input group</label>
<div class="input-group">
<input type="text" class="form-control" placeholder="Search for...">
<span class="input-group-append">
<button class="btn btn-primary" type="button">Go!</button>
</span>
</div>
</div>
<div class="form-group">
<label class="form-label">Input group buttons</label>
<div class="input-group">
<input type="text" class="form-control">
<div class="input-group-append">
<button type="button" class="btn btn-primary">Action</button>
<button data-toggle="dropdown" type="button" class="btn btn-primary dropdown-toggle"></button>
<div class="dropdown-menu dropdown-menu-right">
<a class="dropdown-item" href="javascript:void(0)">
News
</a>
<a class="dropdown-item" href="javascript:void(0)">
Messages
</a>
<div class="dropdown-divider"></div>
<a class="dropdown-item" href="javascript:void(0)">
Edit Profile
</a>
</div>
</div>
</div>
</div>
<div class="form-group">
<label class="form-label">Icon input</label>
<div class="input-icon mb-3">
<input type="text" class="form-control" placeholder="Search for...">
<span class="input-icon-addon">
<i class="fe fe-search"></i>
</span>
</div>
<div class="input-icon">
<span class="input-icon-addon">
<i class="fe fe-user"></i>
</span>
<input type="text" class="form-control" placeholder="Username">
</div>
</div>
<div class="form-group">
<label class="form-label">Separated inputs</label>
<div class="row gutters-xs">
<div class="col">
<input type="text" class="form-control" placeholder="Search for...">
</div>
<span class="col-auto">
<button class="btn btn-secondary" type="button"><i class="fe fe-search"></i></button>
</span>
</div>
</div>
<div class="form-group">
<label class="form-label">ZIP Code</label>
<div class="row gutters-sm">
<div class="col">
<input type="text" class="form-control" placeholder="Search for...">
</div>
<span class="col-auto align-self-center">
<span class="form-help" data-toggle="popover" data-placement="top"
data-content="<p>ZIP Code must be US or CDN format. You can use an extended ZIP+4 code to determine address more accurately.</p><p class='mb-0'><a href=''>USP ZIP codes lookup tools</a></p>">?</span>
</span>
</div>
</div>
</div>
<div class="col-md-6 col-lg-4">
<div class="form-group">
<label class="form-label">Password</label>
<input type="password" class="form-control" name="example-password-input" placeholder="Password..">
</div>
<div class="form-group">
<label class="form-label">Valid State</label>
<input type="text" class="form-control is-valid" name="example-text-input-valid" placeholder="Valid State..">
<input type="text" class="form-control mt-3 state-valid" value="Valid state">
</div>
<div class="form-group">
<label class="form-label">Invalid State</label>
<input type="text" class="form-control is-invalid" name="example-text-input-invalid"
placeholder="Invalid State..">
<div class="invalid-feedback">Invalid feedback</div>
<input type="text" class="form-control mt-3 state-invalid" value="Invalid state">
</div>
<div class="form-group">
<label class="form-label">Country</label>
<select class="form-control custom-select">
<option value="">Germany</option>
</select>
</div>
<div class="form-group">
<label class="form-label">Ratios</label>
<div class="row align-items-center">
<div class="col">
<input type="range" class="form-control custom-range" step="5" min="0" max="50">
</div>
<div class="col-auto">
<input type="number" class="form-control w-8" value="45">
</div>
</div>
</div>
<div class="form-group">
<label class="form-label">Size</label>
<div class="selectgroup w-100">
<label class="selectgroup-item">
<input type="radio" name="value" value="50" class="selectgroup-input" checked="">
<span class="selectgroup-button">S</span>
</label>
<label class="selectgroup-item">
<input type="radio" name="value" value="100" class="selectgroup-input">
<span class="selectgroup-button">M</span>
</label>
<label class="selectgroup-item">
<input type="radio" name="value" value="150" class="selectgroup-input">
<span class="selectgroup-button">L</span>
</label>
<label class="selectgroup-item">
<input type="radio" name="value" value="200" class="selectgroup-input">
<span class="selectgroup-button">XL</span>
</label>
</div>
</div>
<div class="form-group">
<label class="form-label">Shipping methods</label>
<div class="selectgroup selectgroup-vertical w-100">
<label class="selectgroup-item">
<input type="radio" name="shipping" value="unregistered" class="selectgroup-input" checked>
<span class="selectgroup-button">Unregistered</span>
</label>
<label class="selectgroup-item">
<input type="radio" name="shipping" value="priority" class="selectgroup-input">
<span class="selectgroup-button">Priority Mail</span>
</label>
<label class="selectgroup-item">
<input type="radio" name="shipping" value="express" class="selectgroup-input">
<span class="selectgroup-button">Express Mail</span>
</label>
</div>
</div>
<div class="form-group">
<label class="form-label">Icons input</label>
<div class="selectgroup w-100">
<label class="selectgroup-item">
<input type="radio" name="transportation" value="2" class="selectgroup-input">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-smartphone"></i></span>
</label>
<label class="selectgroup-item">
<input type="radio" name="transportation" value="1" class="selectgroup-input" checked="">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-tablet"></i></span>
</label>
<label class="selectgroup-item">
<input type="radio" name="transportation" value="6" class="selectgroup-input">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-monitor"></i></span>
</label>
<label class="selectgroup-item">
<input type="radio" name="transportation" value="6" class="selectgroup-input">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-x"></i></span>
</label>
</div>
</div>
<div class="form-group">
<label class="form-label">Icon input</label>
<div class="selectgroup selectgroup-pills">
<label class="selectgroup-item">
<input type="radio" name="icon-input" value="1" class="selectgroup-input" checked="">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-sun"></i></span>
</label>
<label class="selectgroup-item">
<input type="radio" name="icon-input" value="2" class="selectgroup-input">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-moon"></i></span>
</label>
<label class="selectgroup-item">
<input type="radio" name="icon-input" value="3" class="selectgroup-input">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-cloud-rain"></i></span>
</label>
<label class="selectgroup-item">
<input type="radio" name="icon-input" value="4" class="selectgroup-input">
<span class="selectgroup-button selectgroup-button-icon"><i class="fe fe-cloud"></i></span>
</label>
</div>
</div>
<div class="form-group">
<label class="form-label">Your skills</label>
<div class="selectgroup selectgroup-pills">
<label class="selectgroup-item">
<input type="checkbox" name="value" value="HTML" class="selectgroup-input" checked="">
<span class="selectgroup-button">HTML</span>
</label>
<label class="selectgroup-item">
<input type="checkbox" name="value" value="CSS" class="selectgroup-input">
<span class="selectgroup-button">CSS</span>
</label>
<label class="selectgroup-item">
<input type="checkbox" name="value" value="PHP" class="selectgroup-input">
<span class="selectgroup-button">PHP</span>
</label>
<label class="selectgroup-item">
<input type="checkbox" name="value" value="JavaScript" class="selectgroup-input">
<span class="selectgroup-button">JavaScript</span>
</label>
<label class="selectgroup-item">
<input type="checkbox" name="value" value="Ruby" class="selectgroup-input">
<span class="selectgroup-button">Ruby</span>
</label>
<label class="selectgroup-item">
<input type="checkbox" name="value" value="Ruby" class="selectgroup-input">
<span class="selectgroup-button">Ruby</span>
</label>
<label class="selectgroup-item">
<input type="checkbox" name="value" value="C++" class="selectgroup-input">
<span class="selectgroup-button">C++</span>
</label>
</div>
</div>
<div class="form-group">
<div class="form-label">Toggle switches</div>
<div class="custom-switches-stacked">
<label class="custom-switch">
<input type="radio" name="option" value="1" class="custom-switch-input" checked>
<span class="custom-switch-indicator"></span>
<span class="custom-switch-description">Option 1</span>
</label>
<label class="custom-switch">
<input type="radio" name="option" value="2" class="custom-switch-input">
<span class="custom-switch-indicator"></span>
<span class="custom-switch-description">Option 2</span>
</label>
<label class="custom-switch">
<input type="radio" name="option" value="3" class="custom-switch-input">
<span class="custom-switch-indicator"></span>
<span class="custom-switch-description">Option 3</span>
</label>
</div>
</div>
<div class="form-group">
<div class="form-label">Toggle switch single</div>
<label class="custom-switch">
<input type="checkbox" name="custom-switch-checkbox" class="custom-switch-input">
<span class="custom-switch-indicator"></span>
<span class="custom-switch-description">I agree with terms and conditions</span>
</label>
</div>
<fieldset class="form-fieldset">
<div class="form-group">
<label class="form-label">Full name<span class="form-required">*</span></label>
<input type="text" class="form-control" />
</div>
<div class="form-group">
<label class="form-label">Company<span class="form-required">*</span></label>
<input type="text" class="form-control" />
</div>
<div class="form-group">
<label class="form-label">Email<span class="form-required">*</span></label>
<input type="email" class="form-control" />
</div>
<div class="form-group mb-0">
<label class="form-label">Phone number</label>
<input type="tel" class="form-control" />
</div>
</fieldset>
</div>
<div class="col-md-6 col-lg-4">
<div class="form-group">
<div class="form-label">Radios</div>
<div class="custom-controls-stacked">
<label class="custom-control custom-radio">
<input type="radio" class="custom-control-input" name="example-radios" value="option1" checked>
<div class="custom-control-label">Option 1</div>
</label>
<label class="custom-control custom-radio">
<input type="radio" class="custom-control-input" name="example-radios" value="option2">
<div class="custom-control-label">Option 2</div>
</label>
<label class="custom-control custom-radio">
<input type="radio" class="custom-control-input" name="example-radios" value="option3" disabled>
<div class="custom-control-label">Option Disabled</div>
</label>
<label class="custom-control custom-radio">
<input type="radio" class="custom-control-input" name="example-radios2" value="option4" disabled checked>
<div class="custom-control-label">Option Disabled Checked</div>
</label>
</div>
</div>
<div class="form-group">
<div class="form-label">Inline Radios</div>
<div class="custom-controls-stacked">
<label class="custom-control custom-radio custom-control-inline">
<input type="radio" class="custom-control-input" name="example-inline-radios" value="option1" checked>
<span class="custom-control-label">Option 1</span>
</label>
<label class="custom-control custom-radio custom-control-inline">
<input type="radio" class="custom-control-input" name="example-inline-radios" value="option2">
<span class="custom-control-label">Option 2</span>
</label>
<label class="custom-control custom-radio custom-control-inline">
<input type="radio" class="custom-control-input" name="example-inline-radios" value="option3">
<span class="custom-control-label">Option 3</span>
</label>
</div>
</div>
<div class="form-group">
<div class="form-label">Checkboxes</div>
<div class="custom-controls-stacked">
<label class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" name="example-checkbox1" value="option1" checked>
<span class="custom-control-label">Option 1</span>
</label>
<label class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" name="example-checkbox2" value="option2">
<span class="custom-control-label">Option 2</span>
</label>
<label class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" name="example-checkbox3" value="option3" disabled>
<span class="custom-control-label">Option Disabled</span>
</label>
<label class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" name="example-checkbox4" value="option4" checked disabled>
<span class="custom-control-label">Option Disabled Checked</span>
</label>
</div>
</div>
<div class="form-group">
<div class="form-label">Inline Checkboxes</div>
<div>
<label class="custom-control custom-checkbox custom-control-inline">
<input type="checkbox" class="custom-control-input" name="example-inline-checkbox1" value="option1" checked>
<span class="custom-control-label">Option 1</span>
</label>
<label class="custom-control custom-checkbox custom-control-inline">
<input type="checkbox" class="custom-control-input" name="example-inline-checkbox2" value="option2">
<span class="custom-control-label">Option 2</span>
</label>
<label class="custom-control custom-checkbox custom-control-inline">
<input type="checkbox" class="custom-control-input" name="example-inline-checkbox3" value="option3">
<span class="custom-control-label">Option 3</span>
</label>
</div>
</div>
<div class="form-group">
<div class="form-label">Bootstrap's Custom File Input</div>
<div class="custom-file">
<input type="file" class="custom-file-input" name="example-file-input-custom">
<label class="custom-file-label">Choose file</label>
</div>
</div>
<div class="form-group">
<label class="form-label">Date of birth</label>
<div class="row gutters-xs">
<div class="col-5">
<select name="user[month]" class="form-control custom-select">
<option value="">Month</option>
<option value="1">January</option>
<option value="2">February</option>
<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option selected="selected" value="6">June</option>
<option value="7">July</option>
<option value="8">August</option>
<option value="9">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select>
</div>
<div class="col-3">
<select name="user[day]" class="form-control custom-select">
<option value="">Day</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 selected="selected" 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>
</div>
<div class="col-4">
<select name="user[year]" class="form-control custom-select">
<option value="">Year</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option selected="selected" value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
<option value="1903">1903</option>
<option value="1902">1902</option>
<option value="1901">1901</option>
<option value="1900">1900</option>
<option value="1899">1899</option>
<option value="1898">1898</option>
<option value="1897">1897</option>
</select>
</div>
</div>
</div>
<div class="form-group">
<label class="form-label">Username</label>
<div class="input-group">
<span class="input-group-prepend" id="basic-addon1">
<span class="input-group-text">@</span>
</span>
<input type="text" class="form-control" placeholder="Username" aria-label="Username" aria-describedby="basic-addon1">
</div>
</div>
<div class="form-group">
<label class="form-label">Subdomain</label>
<div class="input-group">
<input type="text" class="form-control" placeholder="Your subdomain" aria-label="Recipient's username" aria-describedby="basic-addon2">
<span class="input-group-append" id="basic-addon2">
<span class="input-group-text">.example.com</span>
</span>
</div>
</div>
<div class="form-group">
<label class="form-label">Your vanity URL</label>
<div class="input-group">
<span class="input-group-prepend" id="basic-addon3">
<span class="input-group-text">https://example.com/users/</span>
</span>
<input type="text" class="form-control" id="basic-url" aria-describedby="basic-addon3">
</div>
</div>
<div class="form-group">
<label class="form-label">Price</label>
<div class="input-group">
<span class="input-group-prepend">
<span class="input-group-text">$</span>
</span>
<input type="text" class="form-control text-right" aria-label="Amount (to the nearest dollar)">
<span class="input-group-append">
<span class="input-group-text">.00</span>
</span>
</div>
</div>
<div class="form-group">
<label class="form-label">Button input</label>
<div class="input-group">
<div class="input-group-prepend">
<button type="button" class="btn btn-secondary dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
Action
</button>
<div class="dropdown-menu">
<a class="dropdown-item" href="javascript:void(0)">Action</a>
<a class="dropdown-item" href="javascript:void(0)">Another action</a>
<a class="dropdown-item" href="javascript:void(0)">Something else here</a>
<div role="separator" class="dropdown-divider"></div>
<a class="dropdown-item" href="javascript:void(0)">Separated link</a>
</div>
</div>
<input type="text" class="form-control" aria-label="Text input with dropdown button">
</div>
</div>
<div class="form-group">
<label class="form-label">Tags</label>
<input type="text" class="form-control" id="input-tags" value="aa,bb,cc,dd">
</div>
<div class="form-group">
<label class="form-label">Beast</label>
<select name="beast" id="select-beast" class="form-control custom-select">
<option value="1">Chuck Testa</option>
<option value="4">Sage Cattabriga-Alosa</option>
<option value="3">Nikola Tesla</option>
</select>
</div>
<div class="form-group">
<label class="form-label">Users list</label>
<select name="user" id="select-users" class="form-control custom-select">
<option value="1" data-data='{"image": "demo/faces/female/16.jpg"}'>Mathias Paquette</option>
<option value="2" data-data='{"image": "demo/faces/male/41.jpg"}'>Nathan Tremblay</option>
<option value="3" data-data='{"image": "demo/faces/female/1.jpg"}'>Alice Levesque</option>
<option value="4" data-data='{"image": "demo/faces/female/18.jpg"}'>Rose Depati</option>
<option value="5" data-data='{"image": "demo/faces/male/16.jpg"}'>Peter Proulx</option>
<option value="6" data-data='{"image": "demo/faces/male/26.jpg"}'>Wayne Gauthier</option>
<option value="7" data-data='{"image": "demo/faces/female/7.jpg"}'>Michelle Richard</option>
<option value="8" data-data='{"image": "demo/faces/female/17.jpg"}'>Debra Desjardins</option>
<option value="9" data-data='{"image": "demo/faces/male/30.jpg"}'>Phillip Charles</option>
<option value="10" data-data='{"image": "demo/faces/male/32.jpg"}'>Jack Trudeau</option>
<option value="11" data-data='{"image": "demo/faces/male/9.jpg"}'>Ronald Langevin</option>
<option value="12" data-data='{"image": "demo/faces/female/8.jpg"}'>Kathleen Daoust</option>
<option value="13" data-data='{"image": "demo/faces/male/4.jpg"}'>Bobby Daubois</option>
<option value="14" data-data='{"image": "demo/faces/male/35.jpg"}'>Craig Larriver</option>
<option value="15" data-data='{"image": "demo/faces/female/29.jpg"}'>Crystal Matt</option>
<option value="16" data-data='{"image": "demo/faces/male/2.jpg"}'>Vincent Valdez</option>