<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<div class="row">
<div class="col-xs-12 col-sm-12 col-md-4 well well-sm">
<legend><a href="http://www.jquery2dotnet.com"><i class="glyphicon glyphicon-globe"></i></a> Sign up!</legend>
<form action="#" method="post" class="form" role="form">
<div class="row">
<div class="col-xs-6 col-md-6">
<input class="form-control" name="firstname" placeholder="First Name" type="text"
required autofocus />
</div>
<div class="col-xs-6 col-md-6">
<input class="form-control" name="lastname" placeholder="Last Name" type="text" required />
</div>
</div>
<input class="form-control" name="youremail" placeholder="Your Email" type="email" />
<input class="form-control" name="reenteremail" placeholder="Re-enter Email" type="email" />
<div class="row">
<div class='col-xs-12' id='thepwddiv'></div>
<script type="text/javascript" >
var pwdwidget = new PasswordWidget('thepwddiv','regpwd');
pwdwidget.MakePWDWidget();
</script>
<noscript>
<div><input class="form-control" type='password' name='regpwd' /></div>
</noscript>
</div>
<label for="">
Birth Date</label>
<div class="row">
<div class="col-xs-4 col-md-4">
<select class="form-control">
<option value="Month">Month</option>