sg.wellright.com Open in urlscan Pro
54.225.180.51  Public Scan

Form analysis
1 forms found in the DOM

Name: registrationform —

<form _ngcontent-ng-c3882090359="" novalidate="" autocomplete="off" name="registrationform" class="registrationform ng-untouched ng-pristine ng-invalid ng-star-inserted">
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger ng-tns-c3736059725-0 mat-mdc-form-field-type-mat-input mat-form-field-appearance-outline mat-primary ng-untouched ng-pristine ng-valid mat-mdc-tooltip-disabled ng-star-inserted hideErrorMessage"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-0 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-0">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-0 mdc-notched-outline--notched mdc-notched-outline--upgraded ng-star-inserted">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch" style="width: calc(92px * var(--mat-mdc-form-field-floating-label-scale, 0.75) + 9px);"><label matformfieldfloatinglabel=""
                    class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-0 mdc-floating-label--float-above ng-star-inserted" id="mat-mdc-form-field-label-0" for="mat-input-0" style=""><mat-label _ngcontent-ng-c3882090359=""
                      class="ng-tns-c3736059725-0">First Name</mat-label><span aria-hidden="true"
                      class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-0 ng-star-inserted"></span><!----></label><!----><!----><!----></div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-0"><!---->
                <input _ngcontent-ng-c3882090359="" matinput="" autocomplete="off" type="text"
                  class="mat-mdc-input-element ng-tns-c3736059725-0 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" placeholder="First Name" id="mat-input-0" required=""
                  name="FirstName" aria-invalid="false" aria-required="true">
              </div><!----><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-0">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-0 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-0"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <!---->
      </div>
    </div><!---->
    <!----><!---->
    <!---->
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    <!---->
    <!---->
  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger ng-tns-c3736059725-1 mat-mdc-form-field-type-mat-input mat-form-field-appearance-outline mat-primary ng-untouched ng-pristine ng-valid mat-mdc-tooltip-disabled ng-star-inserted hideErrorMessage"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-1 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-1">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-1 mdc-notched-outline--notched mdc-notched-outline--upgraded ng-star-inserted">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch" style="width: calc(90px * var(--mat-mdc-form-field-floating-label-scale, 0.75) + 9px);"><label matformfieldfloatinglabel=""
                    class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-1 mdc-floating-label--float-above ng-star-inserted" id="mat-mdc-form-field-label-2" for="mat-input-1" style=""><mat-label _ngcontent-ng-c3882090359=""
                      class="ng-tns-c3736059725-1">Last Name</mat-label><span aria-hidden="true" class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-1 ng-star-inserted"></span><!----></label><!----><!----><!---->
                </div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-1"><!---->
                <input _ngcontent-ng-c3882090359="" matinput="" autocomplete="off" type="text"
                  class="mat-mdc-input-element ng-tns-c3736059725-1 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" placeholder="Last Name" id="mat-input-1" required=""
                  name="LastName" aria-invalid="false" aria-required="true">
              </div><!----><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-1">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-1"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <!---->
      </div>
    </div><!---->
    <!----><!---->
    <!---->
    <!---->
    <!---->
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  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
    <!---->
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger ng-tns-c3736059725-2 mat-mdc-form-field-type-mat-input mat-form-field-appearance-outline mat-primary ng-untouched ng-pristine ng-valid mat-mdc-tooltip-disabled ng-star-inserted hideErrorMessage"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-2 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-2">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-2 mdc-notched-outline--notched mdc-notched-outline--upgraded ng-star-inserted">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch" style="width: calc(50px * var(--mat-mdc-form-field-floating-label-scale, 0.75) + 9px);"><label matformfieldfloatinglabel=""
                    class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-2 mdc-floating-label--float-above ng-star-inserted" id="mat-mdc-form-field-label-4" for="mat-input-2" style=""><mat-label _ngcontent-ng-c3882090359=""
                      class="ng-tns-c3736059725-2">Email</mat-label><span aria-hidden="true" class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-2 ng-star-inserted"></span><!----></label><!----><!----><!---->
                </div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-2"><!---->
                <input _ngcontent-ng-c3882090359="" matinput="" autocomplete="off" cy-data="emailAddress" type="email"
                  class="mat-mdc-input-element ng-tns-c3736059725-2 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" placeholder="Email" id="mat-input-2" required=""
                  name="Email" aria-invalid="false" aria-required="true">
              </div><!----><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-2">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-2"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <!---->
      </div>
    </div><!---->
    <!----><!---->
    <!---->
    <!---->
  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
    <!---->
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger ng-tns-c3736059725-3 mat-mdc-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-hide-placeholder mat-primary ng-untouched ng-pristine ng-invalid mat-mdc-tooltip-disabled ng-star-inserted hideErrorMessage"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-3 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-3">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-3 mdc-notched-outline--upgraded ng-star-inserted">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-3 ng-star-inserted" id="mat-mdc-form-field-label-6" for="mat-input-3" style=""><mat-label
                      _ngcontent-ng-c3882090359="" class="ng-tns-c3736059725-3">Confirm Email</mat-label><span aria-hidden="true"
                      class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-3 ng-star-inserted"></span><!----></label><!----><!----><!----></div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-3"><!---->
                <input _ngcontent-ng-c3882090359="" matinput="" autocomplete="off" cy-data="emailAddress" type="email"
                  class="mat-mdc-input-element ng-tns-c3736059725-3 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" placeholder="Confirm Email" id="mat-input-3" required=""
                  name="ConfirmEmail" aria-required="true">
              </div><!----><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-3">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-3"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <!---->
      </div>
    </div><!---->
    <!----><!---->
    <!---->
    <!---->
  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
    <!---->
    <!---->
    <!---->
    <!----><!---->
    <!---->
  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
    <!---->
    <!---->
    <!----><!---->
    <!---->
    <!---->
  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element ng-star-inserted">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger ng-tns-c3736059725-4 hideErrorMessage mat-mdc-form-field-type-mat-input mat-mdc-form-field-has-icon-suffix mat-form-field-appearance-outline mat-form-field-hide-placeholder mat-primary ng-untouched ng-pristine ng-invalid mat-mdc-tooltip-disabled ng-star-inserted"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-4 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-4">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-4 mdc-notched-outline--upgraded ng-star-inserted">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-4 ng-star-inserted" id="mat-mdc-form-field-label-8" for="mat-input-4" style=""><mat-label
                      _ngcontent-ng-c3882090359="" class="ng-tns-c3736059725-4">Password</mat-label><span aria-hidden="true"
                      class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-4 ng-star-inserted"></span><!----></label><!----><!----><!----></div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-4"><!---->
                <input _ngcontent-ng-c3882090359="" matinput="" autocomplete="off" cy-data="password"
                  class="mat-mdc-input-element ng-tns-c3736059725-4 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" style="width: 268px;" type="password"
                  placeholder="Password" id="mat-input-4" required="" name="Password" aria-required="true">
              </div><!---->
              <div class="mat-mdc-form-field-icon-suffix ng-tns-c3736059725-4 ng-star-inserted"><mat-icon _ngcontent-ng-c3882090359="" role="img" matsuffix=""
                  class="mat-icon notranslate visibility-icon opacity-74 material-icons mat-ligature-font mat-icon-no-color ng-tns-c3736059725-4" aria-hidden="true" data-mat-icon-type="font">visibility_off</mat-icon></div><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-4">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-4"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <div _ngcontent-ng-c3882090359="" class="login-help-text">
          <span _ngcontent-ng-c3882090359="">Your password must be at least eight (8) characters in length, include a minimum of three (3) of the following mix of characters: uppercase letter, lowercase letter, number, and special character
            (!@#$%^&amp;*). The password cannot contain the word "password" or your email.</span>
        </div>
      </div><!---->
      <!---->
    </div><!---->
    <!----><!---->
    <!---->
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  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element ng-star-inserted">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger ng-tns-c3736059725-5 mat-mdc-form-field-type-mat-input mat-mdc-form-field-has-icon-suffix mat-form-field-appearance-outline mat-form-field-hide-placeholder mat-primary ng-untouched ng-pristine ng-invalid mat-mdc-tooltip-disabled ng-star-inserted"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-5 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-5">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-5 mdc-notched-outline--upgraded ng-star-inserted">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-5 ng-star-inserted" id="mat-mdc-form-field-label-10" for="mat-input-5" style=""><mat-label
                      _ngcontent-ng-c3882090359="" class="ng-tns-c3736059725-5">Confirm Password</mat-label><span aria-hidden="true"
                      class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-5 ng-star-inserted"></span><!----></label><!----><!----><!----></div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-5"><!---->
                <input _ngcontent-ng-c3882090359="" matinput="" autocomplete="off" cy-data="confirmPassword"
                  class="mat-mdc-input-element ng-tns-c3736059725-5 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" style="width: 268px;" type="password"
                  placeholder="Confirm Password" id="mat-input-5" required="" name="ConfirmPassword" aria-required="true">
              </div><!---->
              <div class="mat-mdc-form-field-icon-suffix ng-tns-c3736059725-5 ng-star-inserted"><mat-icon _ngcontent-ng-c3882090359="" role="img" matsuffix=""
                  class="mat-icon notranslate visibility-icon opacity-74 material-icons mat-ligature-font mat-icon-no-color ng-tns-c3736059725-5" aria-hidden="true" data-mat-icon-type="font">visibility_off</mat-icon></div><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-5">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-5"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <!---->
      </div>
      <!---->
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    </div><!---->
    <!----><!---->
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  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
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    <!---->
    <!---->
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger number-input ng-tns-c3736059725-6 hideErrorMessage mat-mdc-form-field-type-mat-input mat-mdc-form-field-has-icon-suffix mat-form-field-appearance-outline mat-primary ng-untouched ng-pristine ng-valid mat-mdc-tooltip-disabled ng-star-inserted"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-6 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-6">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-6 mdc-notched-outline--notched mdc-notched-outline--upgraded ng-star-inserted">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch" style="width: calc(106px * var(--mat-mdc-form-field-floating-label-scale, 0.75) + 9px);"><label matformfieldfloatinglabel=""
                    class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-6 mdc-floating-label--float-above ng-star-inserted" id="mat-mdc-form-field-label-12" for="mat-input-6" style=""><mat-label _ngcontent-ng-c3882090359=""
                      class="ng-tns-c3736059725-6">Date Of Birth</mat-label><span aria-hidden="true"
                      class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-6 ng-star-inserted"></span><!----></label><!----><!----><!----></div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-6"><!---->
                <input _ngcontent-ng-c3882090359="" matinput="" autocomplete="off" cy-data="date"
                  class="mat-mdc-input-element mat-datepicker-input ng-tns-c3736059725-6 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" placeholder="Date Of Birth"
                  id="mat-input-6" required="" name="DateOfBirth" aria-invalid="false" aria-required="true" aria-haspopup="dialog" data-mat-calendar="mat-datepicker-0">
                <mat-datepicker _ngcontent-ng-c3882090359="" class="ng-tns-c3736059725-6"></mat-datepicker><!---->
              </div><!---->
              <div class="mat-mdc-form-field-icon-suffix ng-tns-c3736059725-6 ng-star-inserted"><mat-datepicker-toggle _ngcontent-ng-c3882090359="" matsuffix="" cy-data="openCalendar" class="mat-datepicker-toggle ng-tns-c3736059725-6"
                  data-mat-calendar="mat-datepicker-0"><button mat-icon-button="" type="button" mat-ripple-loader-uninitialized="" mat-ripple-loader-class-name="mat-mdc-button-ripple"
                    class="mdc-icon-button mat-mdc-icon-button mat-unthemed mat-mdc-button-base" mat-ripple-loader-centered="" aria-haspopup="dialog" aria-label="Open calendar" tabindex="0"><span
                      class="mat-mdc-button-persistent-ripple mdc-icon-button__ripple"></span><svg viewBox="0 0 24 24" width="24px" height="24px" fill="currentColor" focusable="false" aria-hidden="true"
                      class="mat-datepicker-toggle-default-icon ng-star-inserted">
                      <path d="M19 3h-1V1h-2v2H8V1H6v2H5c-1.11 0-1.99.9-1.99 2L3 19c0 1.1.89 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm0 16H5V8h14v11zM7 10h5v5H7z"></path>
                    </svg><!----><span class="mat-mdc-focus-indicator"></span><span class="mat-mdc-button-touch-target"></span></button></mat-datepicker-toggle></div><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-6">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-6 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-6"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <!---->
      </div>
    </div><!---->
    <!----><!---->
  </div>
  <!---->
  <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
    <!---->
    <!---->
    <!---->
    <div _ngcontent-ng-c3882090359="" class="ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="form-element">
        <mat-form-field _ngcontent-ng-c3882090359="" mattooltip="This field is not editable" mattooltipposition="right" appearance="outline"
          class="mat-mdc-form-field mat-mdc-tooltip-trigger ng-tns-c3736059725-7 hideErrorMessage mat-mdc-form-field-type-mat-select mat-form-field-appearance-outline mat-primary ng-untouched ng-pristine ng-valid mat-mdc-tooltip-disabled ng-star-inserted"
          aria-describedby="cdk-describedby-message-ng-1-2" cdk-describedby-host="ng-1"><!---->
          <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-7 mdc-text-field--outlined"><!---->
            <div class="mat-mdc-form-field-flex ng-tns-c3736059725-7">
              <div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-7 mdc-notched-outline--upgraded ng-star-inserted mdc-notched-outline--notched">
                <div class="mdc-notched-outline__leading"></div>
                <div class="mdc-notched-outline__notch" style="width: calc(36px * var(--mat-mdc-form-field-floating-label-scale, 0.75) + 9px);"><label matformfieldfloatinglabel=""
                    class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-7 ng-star-inserted mdc-floating-label--float-above" id="mat-mdc-form-field-label-14" style=""><mat-label _ngcontent-ng-c3882090359=""
                      class="ng-tns-c3736059725-7">Sex</mat-label><span aria-hidden="true" class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-7 ng-star-inserted"></span><!----></label><!----><!----><!----></div>
                <div class="mdc-notched-outline__trailing"></div>
              </div><!----><!----><!---->
              <div class="mat-mdc-form-field-infix ng-tns-c3736059725-7"><!---->
                <mat-select _ngcontent-ng-c3882090359="" role="combobox" aria-autocomplete="none" aria-haspopup="listbox" autocomplete="off"
                  class="mat-mdc-select ng-tns-c1771602899-8 ng-tns-c3736059725-7 mat-mdc-select-required ng-untouched ng-pristine ng-valid ng-star-inserted" aria-labelledby="mat-mdc-form-field-label-14 mat-select-value-1" id="mat-select-0"
                  tabindex="0" aria-expanded="false" aria-required="true" aria-disabled="false" aria-invalid="false" required="">
                  <div cdk-overlay-origin="" class="mat-mdc-select-trigger ng-tns-c1771602899-8">
                    <div class="mat-mdc-select-value ng-tns-c1771602899-8" id="mat-select-value-1"><span class="mat-mdc-select-value-text ng-tns-c1771602899-8 ng-star-inserted"><span
                          class="mat-mdc-select-min-line ng-tns-c1771602899-8 ng-star-inserted">Male</span><!----><!----></span><!----><!----></div>
                    <div class="mat-mdc-select-arrow-wrapper ng-tns-c1771602899-8">
                      <div class="mat-mdc-select-arrow ng-tns-c1771602899-8"><svg viewBox="0 0 24 24" width="24px" height="24px" focusable="false" aria-hidden="true" class="ng-tns-c1771602899-8">
                          <path d="M7 10l5 5 5-5z" class="ng-tns-c1771602899-8"></path>
                        </svg></div>
                    </div>
                  </div><!---->
                </mat-select>
              </div><!----><!---->
            </div><!---->
          </div>
          <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-7">
            <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-7 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-7"></div>
            </div><!----><!---->
          </div>
        </mat-form-field><!---->
        <!---->
      </div>
    </div><!---->
    <!----><!---->
    <!---->
  </div>
  <!----><!---->
  <div _ngcontent-ng-c3882090359="" class="spaced-checkboxes">
    <div _ngcontent-ng-c3882090359="" class="checkbox-holder">
      <mat-checkbox _ngcontent-ng-c3882090359="" formcontrolname="privacyPolicy" cy-data="privacyPolicy" class="mat-mdc-checkbox mat-accent ng-untouched ng-pristine ng-invalid" id="mat-mdc-checkbox-1">
        <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
          <div class="mdc-checkbox">
            <div class="mat-mdc-checkbox-touch-target"></div><input type="checkbox" class="mdc-checkbox__native-control" id="mat-mdc-checkbox-1-input" tabindex="0">
            <div class="mdc-checkbox__ripple"></div>
            <div class="mdc-checkbox__background"><svg focusable="false" viewBox="0 0 24 24" aria-hidden="true" class="mdc-checkbox__checkmark">
                <path fill="none" d="M1.73,12.91 8.1,19.28 22.79,4.59" class="mdc-checkbox__checkmark-path"></path>
              </svg>
              <div class="mdc-checkbox__mixedmark"></div>
            </div>
            <div mat-ripple="" class="mat-ripple mat-mdc-checkbox-ripple mat-mdc-focus-indicator"></div>
          </div><label class="mdc-label" for="mat-mdc-checkbox-1-input"></label>
        </div>
      </mat-checkbox>
      <label _ngcontent-ng-c3882090359="" class="external-label">
        <span _ngcontent-ng-c3882090359="">I have read and agree with the terms and conditions of the</span> <a _ngcontent-ng-c3882090359="" class="default-link"><span _ngcontent-ng-c3882090359="">Privacy Policy</span></a>
      </label>
    </div>
    <div _ngcontent-ng-c3882090359="" class="checkbox-holder">
      <mat-checkbox _ngcontent-ng-c3882090359="" formcontrolname="eulaPolicy" cy-data="eulaPolicy" class="mat-mdc-checkbox mat-accent ng-untouched ng-pristine ng-invalid" id="mat-mdc-checkbox-2">
        <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
          <div class="mdc-checkbox">
            <div class="mat-mdc-checkbox-touch-target"></div><input type="checkbox" class="mdc-checkbox__native-control" id="mat-mdc-checkbox-2-input" tabindex="0">
            <div class="mdc-checkbox__ripple"></div>
            <div class="mdc-checkbox__background"><svg focusable="false" viewBox="0 0 24 24" aria-hidden="true" class="mdc-checkbox__checkmark">
                <path fill="none" d="M1.73,12.91 8.1,19.28 22.79,4.59" class="mdc-checkbox__checkmark-path"></path>
              </svg>
              <div class="mdc-checkbox__mixedmark"></div>
            </div>
            <div mat-ripple="" class="mat-ripple mat-mdc-checkbox-ripple mat-mdc-focus-indicator"></div>
          </div><label class="mdc-label" for="mat-mdc-checkbox-2-input"></label>
        </div>
      </mat-checkbox>
      <label _ngcontent-ng-c3882090359="" class="external-label">
        <span _ngcontent-ng-c3882090359="">I have read and agree with the terms and conditions of the</span> <a _ngcontent-ng-c3882090359="" class="default-link"><span _ngcontent-ng-c3882090359="">End User Level Agreement</span></a>
      </label>
    </div>
  </div>
  <wr-message _ngcontent-ng-c3882090359="" theme="red" _nghost-ng-c2459982004="" class="ng-star-inserted">
    <div _ngcontent-ng-c2459982004="" class="wr-message-component red ng-star-inserted">
      <div _ngcontent-ng-c3882090359="" class="content">
        <p _ngcontent-ng-c3882090359="" class="paragraph">
          <span _ngcontent-ng-c3882090359="">You must agree to the Privacy Policy and End User License Agreement to continue.</span>
        </p>
      </div>
      <!---->
    </div><!---->
  </wr-message><!---->
  <!---->
  <!---->
  <div _ngcontent-ng-c3882090359="" class="form-action-button-holder ng-star-inserted">
    <div _ngcontent-ng-c3882090359="">
      <button _ngcontent-ng-c3882090359="" type="button" cy-data="cancel" mat-button="" mat-ripple-loader-uninitialized="" mat-ripple-loader-class-name="mat-mdc-button-ripple" class="mdc-button mat-mdc-button mat-unthemed mat-mdc-button-base"><span
          class="mat-mdc-button-persistent-ripple mdc-button__ripple"></span><span class="mdc-button__label">
          <span _ngcontent-ng-c3882090359="">Cancel</span>
        </span><span class="mat-mdc-focus-indicator"></span><span class="mat-mdc-button-touch-target"></span></button>
      <button _ngcontent-ng-c3882090359="" type="submit" cy-data="submitBtn" mat-raised-button="" color="primary" mat-ripple-loader-uninitialized="" mat-ripple-loader-class-name="mat-mdc-button-ripple"
        class="mdc-button mdc-button--raised mat-mdc-raised-button mat-primary mat-mdc-button-disabled mat-mdc-button-base" mat-ripple-loader-disabled="" disabled="true"><span class="mat-mdc-button-persistent-ripple mdc-button__ripple"></span><span
          class="mdc-button__label">
          <span _ngcontent-ng-c3882090359="">Register</span>
        </span><span class="mat-mdc-focus-indicator"></span><span class="mat-mdc-button-touch-target"></span></button>
    </div>
  </div><!---->
  <div _ngcontent-ng-c3882090359="" class="spaced-checkboxes">
    <div _ngcontent-ng-c3882090359="" class="checkbox-holder">
      <mat-checkbox _ngcontent-ng-c3882090359="" cy-data="rememberMyDeviceChkBox" class="mat-mdc-checkbox no-wrap mat-accent ng-untouched ng-pristine ng-valid mat-mdc-checkbox-checked" id="mat-mdc-checkbox-3">
        <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
          <div class="mdc-checkbox">
            <div class="mat-mdc-checkbox-touch-target"></div><input type="checkbox" class="mdc-checkbox__native-control mdc-checkbox--selected" id="mat-mdc-checkbox-3-input" tabindex="0">
            <div class="mdc-checkbox__ripple"></div>
            <div class="mdc-checkbox__background"><svg focusable="false" viewBox="0 0 24 24" aria-hidden="true" class="mdc-checkbox__checkmark">
                <path fill="none" d="M1.73,12.91 8.1,19.28 22.79,4.59" class="mdc-checkbox__checkmark-path"></path>
              </svg>
              <div class="mdc-checkbox__mixedmark"></div>
            </div>
            <div mat-ripple="" class="mat-ripple mat-mdc-checkbox-ripple mat-mdc-focus-indicator"></div>
          </div><label class="mdc-label" for="mat-mdc-checkbox-3-input">
            <div _ngcontent-ng-c3882090359="" class="content">
              <label _ngcontent-ng-c3882090359="" class="external-label">
                <span _ngcontent-ng-c3882090359="">Remember my device for future logins (Uncheck if this is a shared device)</span>
              </label>
            </div>
          </label>
        </div>
      </mat-checkbox>
    </div>
  </div>
</form>

Text Content

Registration
First Name



Last Name



Email



Confirm Email





Password


visibility_off

Your password must be at least eight (8) characters in length, include a minimum
of three (3) of the following mix of characters: uppercase letter, lowercase
letter, number, and special character (!@#$%^&*). The password cannot contain
the word "password" or your email.
Confirm Password


visibility_off

Date Of Birth




Sex

Male



I have read and agree with the terms and conditions of the Privacy Policy

I have read and agree with the terms and conditions of the End User Level
Agreement

You must agree to the Privacy Policy and End User License Agreement to continue.

Cancel Register
Remember my device for future logins (Uncheck if this is a shared device)
If you need help, contact Support at support@wellright.com
Copyright 2024 WellRight, Inc.
Trademarks are the property of WellRight, Inc.


This field is not editable