<div class="form-group row">
    <label class="col-sm-2 col-sm-2 control-label">Razão Social*</label>
    <div class="col-sm-4">
        <input type="text" name="first_name" placeholder="Razão Social" class="form-control" required/>
    </div>
    <label class="col-sm-2 col-sm-2 control-label">Contato*</label>
    <div class="col-sm-4">
        <input type="text" name="last_name" placeholder="Contato" class="form-control"  required/>
    </div>
</div>

<div class="form-group row">
    <label class="col-sm-2 col-sm-2 control-label">Telefone*</label>
    <div class="col-sm-4">
        <input type="text" name="phone" placeholder="Telefone" data-mask="phone" class="form-control mask-phone"  required/>
    </div>
    <label class="col-sm-2 col-sm-2 control-label">Celular</label>
    <div class="col-sm-4">
        <input type="text" name="celular" placeholder="Celular" data-mask="phone" class="form-control mask-celular"  />
    </div>
</div>
<input type="hidden" value="01/01/1990" name="datebirth">

<div class="form-group row">
    <label class="col-sm-2 col-sm-2 control-label">Email*</label>
    <div class="col-sm-4">
        <input type="text" name="email" placeholder="seu melhor email" class="form-control"  required/>
    </div>
    <label class="col-sm-2 col-sm-2 control-label">Senha*</label>
    <div class="col-sm-4">
        <input type="password" name="password" placeholder="Senha" class="form-control" value="system1240" required/>
        <span class="help-block">Senha mínima de 8 caracteres.</span>
    </div>
</div>

<div class="form-group row">

    <label class="col-sm-2 col-sm-2 control-label">Level*</label>
    <div class="col-sm-4">
        <select name="level" class="form-control" required>
            <option value="1">Usuário</option>
            <option value="2">Parceiro</option>
            <option value="5">Admin</option>
        </select>
    </div>
    <label class="col-sm-2 col-sm-2 control-label">Status*</label>
    <div class="col-sm-4">
        <select name="status" class="form-control" required>
            <option value="registered">Registrado</option>
            <option value="confirmed">Confirmado</option>
        </select>
    </div>
</div>
<div class="form-group row">
    <label class="col-sm-2 col-sm-2 control-label">Detalhes</label>
    <div class="col-sm-10">
        <textarea class="form-control" name="about"></textarea>
    </div>
</div>

<button class="btn btn-primary" type="submit">Enviar</button>
<a class="btn btn-danger" href="<?= url("/admin/users/home"); ?>">Cancelar</a>