<form>
<label for="name">Name</label>
<input type="text" name="name" id="name" />
<label for="email">Email</label>
<input type="email" name="email" id="email" />
<p>
<input type="checkbox" name="topics" id="javascript" value="javascript" />
<label for="javascript">JavaScript</label>
<input type="checkbox" name="topics" id="html" value="html" />
<label for="html">HTML</label>
<input type="checkbox" name="topics" id="css" value="css" />
<label for="css">CSS</label>
</p>
<button type="submit">Submit</button>
</form>