Consent form for website Template

A consent form for research sign-ups, photo releases or service agreements. It asks for first and last name, age, date of birth, gender, email, address, phone and post code, has an upload field for a supporting document, and ends with a terms checkbox the visitor must tick. Put the wording of what they're agreeing to above the checkbox, and keep a copy of that text, because the submission records the tick, not the paragraph.