<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
pageEncoding="ISO-8859-1"%>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Inscription</title>
<script src="js/index.js" type="text/javascript"></script>
<script src="js/index.js" type="number/javascript"></script>
<link rel="stylesheet" type="text/css" href="css/style.css">
<link rel="stylesheet" href="css/style1.css" type="text/css" />
<link rel="stylesheet" href="css/style.css" type="bootstrap/css/bootstrap.min.css" />
<script src="https://ajax.googleapis.com/ajax/libs/jquery/2.1.1/jquery.min.js"></script>
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0-alpha.6/css/bootstrap.min.css" integrity="sha384-rwoIResjU2yc3z8GV/NPeZWAv56rSmLldC3R/AZzGRnGxQQKnKkoFVhFQhNUwEyJ" crossorigin="anonymous">
</head>
<body>
<div id="principal">
<div class="header">
<div class="navbar">
<ul>
<li><a href="index.html">Accueil</a></li>
<li><a href="abonnes.html">nos Abonn�s</a></li>
</ul>
</div>
</div><!-- end of header -->
<div class="main">
<div class="content">
</div><!-- end of main div -->
<br>
<h1>Inscription � l'espace microfolies</h1>
<br>
<form>
<div class="form-group row">
<label class="col-2 col-form-label">Nom* </label>
<div class="col-10">
<input class="form-control" type="text" required>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label">Pr�nom*</label>
<div class="col-10">
<input class="form-control" type="text" required>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label">sex*</label>
<div class="col-3">
<select class="form-control" required>
<option>Homme</option>
<option>Femmme</option>
<option>Autre</option>
</select>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label">Date de naissance*</label>
<div class="col-10">
<input class="form-control" type="date" required>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label">Ville*</label>
<div class="col-10">
<input class="form-control" type="text" required>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label">Situation scolaire*</label>
<div class="col-10">
<input class="form-control" type="text" required>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label">Email*</label>
<div class="col-10">
<input class="form-control" type="text" required>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label" >T�l�phone 1*</label>
<div class="col-10">
<input class="form-control" type="text" required>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label">T�l�phone 2</label>
<div class="col-10">
<input required class="form-control" type="text" "></input>
</div>
</div>
<div class="form-group row">
<label class="col-2 col-form-label" >Personne � contacter en cas d'urgence* </label>
<div class="col-10">
<input class="form-control" type="text" required>
</div>
</div>
<div class="form-group row" type="text">
<label class="col-2 col-form-label" >Pi�ce jointe</label>
<div class="col-10">
<input class="form-control" type="file" required>
</div>
</div>
<button type="submit" class="btn btn-primary">Submit</button>
</form>
</body>
</body>
<div class="clear"></div>
<div class="footer"></div>
</div>
</html>