<div {{ FormFieldDefaultArgs|safe }}>
	<select name="{{ FormFieldMonthFieldName|safe }}" {{ FormFieldMonthFieldArgs|safe }}>
		{{ FormFieldMonthOptions|safe }}
	</select>
	<select name="{{ FormFieldDayFieldName|safe }}" {{ FormFieldDayFieldArgs|safe }}>
		{{ FormFieldDayOptions|safe }}
	</select>
	<select name="{{ FormFieldYearFieldName|safe }}" {{ FormFieldYearFieldArgs|safe }}>
		{{ FormFieldYearOptions|safe }}
	</select>
</div>