Levi United FC

Registration

<form-template>
	<fields>
		<field type="text" required="true" label="First Name" subtype="text" class="form-control" name="first-name"></field>
		<field type="text" required="true" label="Last Name" subtype="text" class="form-control" name="last-name"></field>
		<field type="text" subtype="email" required="true" label="Email" class="form-control" name="email"></field>
		<field type="text" required="true" label="Phone" subtype="text" class="form-control" name="phone"></field>
		<field type="text" required="true" label="Address" subtype="text" class="form-control" name="address"></field>
		<field type="text" required="true" label="City" subtype="text" class="form-control" name="city"></field>
		<field type="text" required="true" label="State" subtype="text" class="form-control" name="state"></field>
		<field type="text" required="true" label="Zip" subtype="text" class="form-control" name="zip"></field>
		<field type="text" required="true" label="Height" subtype="text" class="form-control" name="height"></field>
		<field type="text" required="true" label="Weight" subtype="text" class="form-control" name="weight"></field>
		<field type="text" required="true" label="Date of Birth" subtype="text" class="form-control" name="date-of-birth"></field>
		<field type="select" label="Level of Play" class="form-control" name="level-of-play">
			<option label="EPSL Men’s Team" value="epsl-mens-team">EPSL Men’s Team</option>
			<option label="Youth Team" value="youth-team">Youth Team</option>
			<option label="Camp" value="camp">Camp</option>
		</field>
		<field type="text" label="Positions" subtype="text" class="form-control" name="positions"></field>
		<field type="select" label="Jersey Size" class="form-control" name="jersey-size">
			<option label="XS" value="xs">XS</option>
			<option label="S" value="s" selected="true">S</option>
			<option label="M" value="m">M</option>
			<option label="L" value="l">L</option>
			<option label="XL" value="xl">XL</option>
		</field>
		<field type="textarea" label="Experience" class="form-control" name="experience"></field>
		<field type="textarea" label="Additional Info" class="form-control" name="additional-info"></field>
	</fields>
</form-template>