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- <!DOCTYPE html>
- <html lang="en">
- <head>
- <meta charset="UTF-8">
- <meta name="viewport" content="width=device-width, initial-scale=1.0">
- <title>Registration</title>
- </head>
- <body>
- <h1>Registration</h1>
- <form method="post" action="/register">
- <label for="username">Username (Email):</label>
- <input type="text" id="username" name="username" required>
-
- <label for="password">Password:</label>
- <input type="password" id="password" name="password" required>
-
- <label for="name">Given Name:</label>
- <input type="text" id="name" name="name" required>
-
- <label for="surname">Surname:</label>
- <input type="text" id="surname" name="surname" required>
-
- <label for="city">City:</label>
- <input type="text" id="city" name="city" required>
-
- <label for="phone_number">Phone Number:</label>
- <input type="text" id="phone_number" name="phone_number" required>
-
- <label for="profile_description">Profile Description:</label>
- <textarea id="profile_description" name="profile_description" rows="4" required></textarea>
-
- <label for="role">Role:</label>
- <select id="role" name="role" required>
- <option value="family">Family</option>
- <option value="caregiver">Caregiver</option>
- </select>
-
- <button type="submit">Register</button>
- </form>
- </body>
- </html>
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