s="month" id="month" required>
      <option value="0">January</option>
      <option value="1">February</option>
      <option value="2">March</option>
      <option value="3">April</option>
      <option value="4">May</option>
      <option value="5">June</option>
      <option value="6">July</option>
      <option value="7">August</option>
      <option value="8">September</option>
      <option value="9">October</option>
      <option value="10">November</option>
      <option value="11">December</optio