register.html

{{extend "layout.html"}}
<div id='register-body-wrapper' class='body-content-wrapper container_12'>
 <div class='grid_12 alpha omega'>
  <div id='register-label' class='body-label-wrapper grid_12'>
   <span class='icon body-icon icon-doc'></span>
   <span class='body-label-text label-text'>Register</span>
  </div>
  <div class='line grid_12 alpha omega'></div>
  <div id='register-form-legend' class='form-legend grid_6 prefix_3 suffix_3 form-required'><label>Required</label></div>
  <form id='register-form' class='auth_register login-form' action='#' enctype='multipart/form-data' method='post'>
   <div class='grid_6 prefix_3 suffix_3 alpha omega'>
    <div class='form-row grid_6 form-required'>
     <label for='auth_user_first_name'>First Name:</label>
     <input type='text' id='auth_user_first_name' class='form-text' name='first_name' />
    </div>
    <div class='form-row grid_6 form-required'>
     <label for='auth_user_last_name'>Last Name:</label>
     <input type='text' id='auth_user_last_name' class='form-text' name='last_name' />
    </div>
    <div class='form-row grid_6'>
     <label for='auth_user_organisation_id'>Organisation:</label>
     <input type='text' id='auth_user_organisation_id' class='form-text' name='organisation_id' />
    </div>
    <div class='form-row grid_6 form-required'>
     <label for='auth_user_position'>Role:</label>
     <select id='auth_user_position' name='position'>
      <option value=''> </option>
      <option value='1'>Practitioner</option>
      <option value='2'>Consultant</option>
      <option value='3'>Researcher</option>
      <option value='4'>Academic</option>
      <option value='5'>Student</option>
     </select>
    </div>
    <div class='form-row grid_6'>
     <label for='auth_user_reason'>Reason:</label>
     <textarea id='auth_user_reason' class='form-textarea' name='reason'></textarea>
    </div>
    <div class='form-row grid_6 form-required'>
     <label for='auth_user_email'>E-mail:</label>
     <input type='text' id='auth_user_email' class='form-text' name='email' />
    </div>
    <div class='form-row grid_6 form-required'>
     <label for='auth_user_password'>Password:</label>
     <input type='password' id='auth_user_password' class='form-text' name='password' />
    </div>
    <div class='form-row grid_6 form-required'>
     <label for='auth_user_password_two'>Verify Password:</label>
     <input type='password' id='auth_user_password_two' class='form-text' name='password_two' />
    </div>
   </div>
  <div class='form-controller grid_2 prefix_5 suffix_5'>
   <input type='submit' class='register-button medium' value='' />
  </div>
  {{=form.custom.end}}
 </div>
 <div class='clear'></div>
</div>