<!DOCTYPE html>
<html>
<head>
<base target="_top">
</head>
<body>
<div class="container">
<form id="myForm" onsubmit="handleFormSubmit(this)">
<br>
<label for="name">Name</label>
<select type = "text" id="name" name="name">
<option value="null">Select Student</option>
<option value="123456">Doe, John</option>
<option value="123457">Smith, William</option>
</select>
<br>
<label for="age">Age</label>
<select type="number" id="age" name="age">
<option value="null"></option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
</select>
<br>
<label for="date">Date:</label>
<input type="date" id="date" name="date"
min="2020-01-01">
<br>
<label for="pacertest">Pacer Test:</label>
<input type="number" id="pacertest" name="pacertest"
min = "0" max="15">
<br>
<label for="isometricpushup">Iso Pushup:</label>
<input type="number" id="isometricpushup" name="isometricpushup"
min="0" max="30">
<br>
<label for="pushup">Pushup:</label>
<input type="number" id="pushup" name="pushup"
min="0" max="30">
<br>
<label for="shoulderstretch">Shoulder Str:</label>
<select type="text" id="shoulderstretch" name="shoulderstretch">
<option value="null"></option>
<option value="pass">Pass</option>
<option value="fail">Fail</option>
</select>
<br>
<div>Back Saver Sit and Reach</div>
<label for="sandrRL">R:</label>
<input type="number" id="sandrRL" name="sandrRL"
min="0" max="45" step=".5">
<label for="sandrLL"> L:</label>
<input type="number" id="sandrLL" name="sandrLL"
min="0" max="30" step=".25" >
<br>
<label for="curlups">Curl Ups:</label>
<input type="number" id="curlups" name="curlups"
min="0" max="99">
<br>
<label for="extendedarmhang">Ext Arm Hang:</label>
<input type="text" id="extendedarmhang" name="extendedarmhang"
>
<br>
<br>
<label for="mile">Mile:</label>
<input type="text" id="mile" name="mile">
<br>
<label for="pullups">Pull Ups:</label>
<input type="number" id="pullups" name="pullups"
min="0" max="99">
<br>
<textarea id="notes" name="notes" placeholder="Notes" rows="5" cols="30"></textarea>
<button type="submit" class="btn btn-primary">Submit</button>
</form>
</div>
</body>
</html>