First Name
Email Address
Phone Number
10 digits, no dashes
Password
Verify Password
Date of Birth
1-Jan
2-Feb
3-Mar
4-Apr
5-May
6-Jun
7-Jul
8-Aug
9-Sep
10-Oct
11-Nov
12-Dec
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Weight
lb
kg