Ok, try this:
Your row in a table:
<TR>
<TD><font face="Arial,Helv,Helvetica,Geneva" size="-1">Birthdate</font></td>
<TD> <font face="Arial,Helv,Helvetica,Geneva" size="-1">
<select name="month1">
<option value="01">January
<option value="02">February
<option value="03">March
<option value="04">April
<option value="05">May
<option value="06">June
<option value="07">July
<option value="08">August
<option value="09">September
<option value="10">October
<option value="11">November
<option value="12">December
</select>
<select name="day1">
<option>01
<option>02
<option>03
<option>04
<option>05
<option>06
<option>07
<option>08
<option>09
<option>10
<option>11
<option>12
<option>13
<option>14
<option>15
<option>16
<option>17
<option>18
<option>19
<option>20
<option>21
<option>22
<option>23
<option>24
<option>25
<option>26
<option>27
<option>28
<option>29
<option>30
<option>31
</select>
19<input type="text" name="year1" size=4 maxwidth=4>
</font>
</td>
</tr>
And then upon submission of that form:
$year=date("Y");
$month=date("m");
$day=date("d");
$today=date("Y-m-d");
$birthdate = "19".$year1."-".$month1."-".$day1;
//echo $birthdate;
# Set the sql variable and insert into database
$sql="INSERT INTO email
(site_id,first_name,last_name,address,city,state,zip,phone,email,birthdate,sex,creation_date)
VALUES ('$site_id','$first_name','$last_name','$address','$city','$state','$zip','$phone','$email','$birthdate','$sex','$today')";