= $form->field($model, 'username')->textInput()->icon('user-o') ?>
= $form->field($model, 'first_name')->textInput()->icon('user-o') ?>
= $form->field($model, 'last_name')->textInput()->icon('user-o') ?>
= $form->field($model, 'mobile_number')->textInput()->icon('mobile') ?>
= $form->field($model, 'email')->textInput()->icon('envelope-o') ?>
= $form->field($model, 'password')->passwordInput()->icon('lock') ?>
= $form->field($model, 'confirm_password')->passwordInput()->icon('lock') ?>
= $form->field($model, 'terms_and_conditions')->checkbox([
'label' => 'I agree that the ' . Html::a('Terms and Conditions', '', ['target' => '_blank'])
]); ?>
= Html::submitButton('Sign Up', [
'class' => 'btn btn-primary btn-lg grey pull-right',
'data-loading-text' => ' Signing Up ...'
]) ?>