HTML code
Clean, semantic HTML that powers this Bootstrap 3.3.1 snippet. Copy and paste it into your page (with Bootstrap loaded) to reproduce the exact layout shown in the preview.
Download<div class="container" id="wrap">
<div class="row">
<div class="col-md-6 col-md-offset-3">
<form action="r" method="post" accept-charset="utf-8" class="form" role="form"> <legend>Sign Up</legend>
<h4>It's free and always will be.</h4>
<div class="row">
<div class="col-xs-6 col-md-6">
<input type="text" name="firstname" value="" class="form-control input-lg" placeholder="First Name" /> </div>
<div class="col-xs-6 col-md-6">
<input type="text" name="lastname" value="" class="form-control input-lg" placeholder="Last Name" /> </div>
</div>
<input type="text" name="email" value="" class="form-control input-lg" placeholder="Your Email" /><input type="password" name="password" value="" class="form-control input-lg" placeholder="Password" /><input type="password" name="confirm_password" value="" class="form-control input-lg" placeholder="Confirm Password" /> <label>Birth Date</label> <div class="row">
<div class="col-xs-4 col-md-4">
<select name="month" class = "form-control input-lg">
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select> </div>
<div class="col-xs-4 col-md-4">
<select name="day" class = "form-control input-lg">
<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> </div>
<div class="col-xs-4 col-md-4">
<select name="year" class = "form-control input-lg">
<option value="1935">1935</option>
<option value="1936">1936</option>
<option value="1937">1937</option>
<option value="1938">1938</option>
<option value="1939">1939</option>
<option value="1940">1940</option>
<option value="1941">1941</option>
<option value="1942">1942</option>
<option value="1943">1943</option>
<option value="1944">1944</option>
<option value="1945">1945</option>
<option value="1946">1946</option>
<option value="1947">1947</option>
<option value="1948">1948</option>
<option value="1949">1949</option>
<option value="1950">1950</option>
<option value="1951">1951</option>
<option value="1952">1952</option>
<option value="1953">1953</option>
<option value="1954">1954</option>
<option value="1955">1955</option>
<option value="1956">1956</option>
<option value="1957">1957</option>
<option value="1958">1958</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
</select> </div>
</div>
<label>Gender : </label> <label class="radio-inline">
<input type="radio" name="gender" value="M" id=male /> Male
</label>
<label class="radio-inline">
<input type="radio" name="gender" value="F" id=female /> Female
</label>
<br />
<span class="help-block">By clicking Create my account, you agree to our Terms and that you have read our Data Use Policy, including our Cookie Use.</span>
<button class="btn btn-lg btn-primary btn-block signup-btn" type="submit">
Create my account</button>
</form>
</div>
</div>
</div>
</div>CSS code
Scoped CSS that styles the component. Paste it after Bootstrap 3.3.1 to keep the design, spacing, and responsiveness consistent.
Download#wrap{
background-image: -ms-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* Mozilla Firefox */
background-image: -moz-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* Opera */
background-image: -o-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* Webkit (Safari/Chrome 10) */
background-image: -webkit-gradient(linear, left top, left bottom, color-stop(0, #FFFFFF), color-stop(1, #D3D8E8));
/* Webkit (Chrome 11+) */
background-image: -webkit-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* W3C Markup, IE10 Release Preview */
background-image: linear-gradient(to bottom, #FFFFFF 0%, #D3D8E8 100%);
background-repeat: no-repeat;
background-attachment: fixed;
}
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;
}
}Similar snippets
FAQ
How do I use this snippet?
Include Bootstrap 3.3.1, paste the HTML, add the CSS block, and include the JS (if any) to mirror the live preview.
Can I use it in commercial projects?
Yes. It’s free for personal and commercial work; check the snippets license for details.
Is it responsive?
Yes. It inherits the responsive grid and components from Bootstrap 3.3.1.
About this bootstrap example/template
This free Bootstrap 3.3.1 snippet, Facebook style register form, was published on Jan 31st 2015, 21:36 by Bootdey Admin.
Optimized for copy‑paste: clean HTML, scoped CSS, and minimal JS so you can ship production‑ready UI faster and keep designs consistent.
Mobile‑first and responsive by default. Tested across modern browsers to reduce polish time on your project.
Already trusted in 1.6K+ views. Reuse this snippet to speed up landing pages, dashboards, or onboarding flows.
Bootstrap 3.3.1
<link rel='stylesheet' href='https://netdna.bootstrapcdn.com/bootstrap/3.3.1/css/bootstrap.min.css'>
<script src='https://netdna.bootstrapcdn.com/bootstrap/3.3.1/js/bootstrap.min.js'></script>
This code example is based on bootstrap 3.3.1 and the grid system of this framework
Responsive
Based on bootstrap framework makes all the layouts perfectly responsive for all devices
Crossbrowser compatibility
Tested on all major browsers, it works smoothly on all of them
semantic html 5
Built on html / css3 the code quality is really amazing
Simple Integration
This code example can be simply integrated on existing sites and new ones too, all you need to do is copy the code and start working