<div class="form-bg">
<div class="container">
<div class="row">
<div class="col-md-offset-2 col-md-8">
<form class="form-horizontal">
<div class="header">Registration</div>
<div class="form-content">
<div class="form-group">
<div class="col-sm-6">
<input class="form-control" id="exampleInputName2" placeholder="username" type="text">
<label class="control-label" for="exampleInputName2"><i class="fa fa-user"></i></label>
</div>
<div class="col-sm-6">
<input class="form-control" id="exampleInputName2" placeholder="email" type="email">
<label class="control-label" for="exampleInputName2"><i class="fa fa-envelope-o"></i></label>
</div>
</div>
<div class="form-group">
<div class="col-sm-6">
<input class="form-control" id="exampleInputName2" placeholder="password" type="password">
<label class="control-label" for="exampleInputName2"><i class="fa fa-lock"></i></label>
</div>
<div class="col-sm-6">
<input class="form-control" id="exampleInputName2" placeholder="confirm password" type="password">
<label class="control-label" for="exampleInputName2"><i class="fa fa-unlock"></i></label>
</div>
</div>
<div class="form-group">
<div class="col-sm-6">
<input class="form-control name" id="exampleInputName2" placeholder="first-name" type="text">
</div>
<div class="col-sm-6">
<input class="form-control name" id="exampleInputName2" placeholder="last-name" type="text">
</div>
</div>
<div class="form-group">
<div class="col-sm-12">
<select class="form-control">
<option value="none" selected="">select gender...</option>
<option value="male">male</option>
<option value="female">female</option>
<option value="other">other</option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-sm-2 col-xs-3 captcha">
<label class="captcha">19 + 3 = </label>
</div>
<div class="col-sm-10 col-xs-9 captcha-text">
<input class="form-control name" placeholder="solve the captcha" type="text">
</div>
</div>
</div>
<div class="footer clearfix">
<button type="submit" class="btn btn-default">Register</button>
</div>
</form>
</div>
</div>
</div>
</div>
.form-bg{
background: linear-gradient(to right,#7cacdc,#e0e5eb);
}
form{
font-family: 'Roboto', sans-serif;
}
.form-horizontal .header{
background: #b5953f;
padding: 30px 25px;
font-size: 30px;
color: #fff;
text-transform: uppercase;
border-radius: 3px 3px 0 0;
}
.form-horizontal .form-content{
padding: 25px;
background: #f9fafd;
}
.form-horizontal .form-control{
padding: 10px 50px 10px 15px;
height: 50px;
font-size: 18px;
color: #000;
border: 2px solid #acacac;
margin-bottom: 15px;
}
.form-horizontal .form-control:hover{
border-color: #c9af67;
}
.form-horizontal .form-control:focus{
border-color: #b5953f;
box-shadow: none;
}
.form-horizontal .control-label{
width: 42px;
height: 40px;
font-size: 17px;
color: #acacac;
border-left: 1px solid #acacac;
position: absolute;
top: 5px;
right: 20px;
text-align: center;
}
.form-horizontal .captcha{
padding-right: 0;
}
.form-horizontal .captcha label{
background: #e0e0e0;
display: block;
height: 50px;
font-size: 16px;
color: #acacac;
line-height: 45px;
text-align: center;
border-radius: 3px 0 0 3px;
}
.form-horizontal .captcha-text{
padding-left: 0;
}
.form-horizontal .captcha-text input{
border-radius: 0 3px 3px 0;
}
.form-horizontal .footer{
background: #e8eaf6;
border-top: 1px solid #b5953f;
padding: 10px 25px;
}
.form-horizontal .footer .btn{
background: #b5953f;
font-size: 18px;
color: #fff;
float: right;
margin: 10px 0;
clear: both;
padding: 10px 25px;
transition: all 0.5s ease 0s;
}
.form-horizontal .name{
padding: 10px 15px;
}
@media only screen and (max-width:767px){
.form-horizontal .control-label i{
line-height: 40px;
}
.form-horizontal .captcha label{
font-size: 13px;
}
}