"Personal Information"
Bootstrap 3.0.0 Snippet by adamwilliams

<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Personal Information</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="first_name">First Name:</label> <div class="col-md-4"> <input id="first_name" name="first_name" type="text" placeholder="First Name" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="last_name">Last Name:</label> <div class="col-md-4"> <input id="last_name" name="last_name" type="text" placeholder="Last Name" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="dob">Date of Birth</label> <div class="col-md-4"> <input id="dob" name="dob" type="text" placeholder="Date of Birth" class="form-control input-md"> <span class="help-block">MM-DD-YYYY</span> </div> </div> </fieldset> </form>

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