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| <form>
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| {| class="smwtable-clean th-top-right border"
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| |-
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| ! <label for="firstname">Name {{r|*}}</label>
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| | <input type="text" name="firstname" placeholder="first name" required="required" />
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| <input type="text" name="lastname" placeholder="last name" required="required" />
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| |-
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| ! <label for="dateofbirth">Date of birth {{r|*}}</label>
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| | <input type="date" name="dateofbirth" value="{{CURRENTYEAR}}-{{CURRENTMONTH}}-{{CURRENTDAY}}" min="2000-01-01" max="2999-12-31" required="required" />
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| |-
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| ! other
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| <input type="checkbox" name="Role[]" value="organizer" id="organizer-checkbox" />
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| <label for="organizer-checkbox">Organizer</label><br>
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| <input type="checkbox" name="Role[]" value="participant" id="participant-checkbox" />
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| <label for="participant-checkbox">Participant</label><br>
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| <input type="checkbox" name="Role[]" value="contact" id="contact-checkbox" /><label for="contact-checkbox">Contact</label>
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| <input type="checkbox" name="Role[]" value="user" id="user-checkbox" /><label for="user-checkbox">User</label>
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| |}
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|
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| <input type="submit" value="submit" />
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| </form>{{#widget:FlexForm.css}}
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