rst-name" required>
            <label for="last-name">Last Name</label>
            <input type="text" id="last-name" name="last-name" required>
            <label for="email">Email</label>
            <input type="email" id="email" name="email" required>
            <label for="phone">Phone</label>
            <input type="tel" id="phone" name="phone" required>
            <label for="dob">Date of Birth</label>
            <input type="date" id="dob" name="dob" required>
            <label for="gender">Ge