--- a
+++ b/qiita_pet/templates/create_user.html
@@ -0,0 +1,59 @@
+{% extends sitebase.html %}
+{%block head%}
+<script type="text/javascript" src="{% raw qiita_config.portal_dir %}/static/vendor/js/jquery.validate.min.js"></script>
+<script type="text/javascript" src="{% raw qiita_config.portal_dir %}/static/js/password_validation.js"></script>
+<script type="text/javascript">
+$( document ).ready(function() { dualpass_validator(); });
+</script>
+{%end%}
+
+{%block content%}
+<h1>Enter User Information</h1>
+<div style="color:red;">{% raw error %}</div>
+<form class="form-horizontal dualpass" role="form" action="{% raw qiita_config.portal_dir %}/auth/create/" method="post" id="createuser">
+<div class="form-group">
+    <label for="email" class="col-sm-2 control-label">Email</label>
+    <div class="col-sm-10">
+      <input type="email" class="form-control" id="email" name="email" placeholder="Email">
+    </div>
+  </div>
+<div class="form-group">
+    <label for="newpass" class="col-sm-2 control-label">Password</label>
+    <div class="col-sm-10">
+      <input type="password" class="form-control" id="newpass" name="newpass" placeholder="password">
+    </div>
+  </div>
+<div class="form-group">
+    <label for="newpass2" class="col-sm-2 control-label">Confirm password</label>
+    <div class="col-sm-10">
+      <input type="password" class="form-control" id="newpass2" name="newpass2" placeholder="password">
+    </div>
+  </div>
+<div class="form-group">
+    <label for="name" class="col-sm-2 control-label">Name (Optional)</label>
+    <div class="col-sm-10">
+      <input type="textbox" class="form-control" id="name" name="name" placeholder="name">
+    </div>
+  </div>
+<div class="form-group">
+    <label for="affiliation" class="col-sm-2 control-label">Affiliation (Optional)</label>
+    <div class="col-sm-10">
+      <input type="textbox" class="form-control" id="affiliation" name="affiliation" placeholder="affiliation">
+    </div>
+  </div>
+<div class="form-group">
+    <label for="address" class="col-sm-2 control-label">Address (Optional)</label>
+    <div class="col-sm-10">
+      <input type="textbox" class="form-control" id="address" name="address" placeholder="address">
+    </div>
+  </div>
+<div class="form-group">
+    <label for="phone" class="col-sm-2 control-label">Phone # (Optional)</label>
+    <div class="col-sm-10">
+      <input type="textbox" class="form-control" id="phone" name="phone" placeholder="phone">
+    </div>
+  </div>
+</div>
+<button type="submit" class="btn btn-success">Create User</button>
+</form>
+{%end%}