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96 lines (87 loc) · 3.32 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Formulário</title>
<style>
body {
background-image: url('imagens/papel-de-parede-pilates-exercicio-saude-academia-gg410-adesivo-luta.webp');
background-repeat: no-repeat;
background-size: cover;
}
.box{
position: absolute;
top: 50%;
left: 50%;
transform: translate(-50%, -50%);
padding: 15px;
border-radius: 15px;
width: 25%;
}
input[type="submit"] {
background-color: #077fe0;
color: white;
padding: 20px 133px;
border: none;
border-radius: 4px;
cursor: pointer;
}
</style>
</head>
<body>
<div class="box">
<form action="">
<fieldset>
<legend><b>INSCRIÇÃO PARA AULAS ONLINE</b></legend>
<br>
<div class="inputbox">
<label for="name">Nome completo</label>
<input type="text" name="name" id="name" class="inputuser" required>
</div>
<div class="inputbox">
<br>
<label for="data">Data de nascimento</label>
<input type="date" name="data" id="data" class="inputuser" required>
</div>
<div class="inputbox">
<br>
<label for="email">Email</label>
<input type="email" name="email" id="email" class="inputuser" required>
</div>
<div class="inputbox">
<br>
<label for="endereço">Endereço</label>
<input type="text" name="endereço" id="endereço" class="inputuser" required>
</div>
<div class="inputbox">
<p>Horário de preferência:</p>
<input type="radio" name="horario" id="nove" value="09:00" required>
<label for="nove">09:00</label>
<input type="radio" name="horario" id="onze" value="11:00" required>
<label for="onze">11:00</label>
<input type="radio" name="horario" id="quinze" value="15:00" required>
<label for="quinze">15:00</label>
<input type="radio" name="horario" id="dezessete" value="17:00" required>
<label for="dezessete">17:00</label>
<input type="radio" name="horario" id="dezenove" value="19:00" required>
<label for="dezenove">19:00</label>
<input type="radio" name="horario" id="vinteum" value="21:00" required>
<label for="vinteum">21:00</label>
</div>
<div>
<br>
<label for="curso">Curso</label>
<select id="curso" name="curso" required>
<option value="Pilates funcional">Pilates funcional</option>
<option value="Pilates fisioterápico">Pilates fisioterápico</option>
<option value="Neo pilates">Neo pilates</option>
</select>
</div>
</fieldset>
<br>
<input type="submit" value="Inscrever-se">
</form>
</div>
</body>
</html>