this will generate a form to choose a date
 
Date Picker
Select a month:

Choose One
January
February
March
April
May
June
July
August
September
October
November
December

Select a day:

Choose One
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

Select a year:

Choose One
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018