{% 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%}