<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>Title</title>
</head>
<body>
<table align="center" bgcolor="#faebd7" width="800" border="0" cellspacing="5" cellpadding="1">
<tr bgcolor="#faebd7">
<td align="right">*家长姓名：</td>
<td><input type="text"></td>
</tr>
<tr bgcolor="#faebd7">
<td align="right">*家长电话：</td>
<td><input type="text"></td>
</tr>
<tr bgcolor="#faebd7">
<td align="right">学生姓名：</td>
<td><input type="text"></td>
</tr>
<tr bgcolor="#faebd7">
<td align="right">学生年级：</td>
<td>
<label><input type="radio" name="stnj" checked>小学</label>
<label><input type="radio" name="stnj">初中</label>
<label><input type="radio" name="stnj">高中</label>
</td>
</tr>
<tr>
<td align="right">学生性别：</td>
<td>
<label><input type="radio" name="str" checked>男</label>
<label><input type="radio" name="str">女</label>
</td>
</tr>
<tr height ="300" bgcolor="#faebd7" >
<td align="right">问题：</td>
<td>
<textarea name="002" id="001" cols="80" rows="10"></textarea>
</td>
</tr>
</table>
</body>
</html>