szurubooru/client/html/user_deletion.hbs

<div id='user-delete'>
    <form>
        <div class='input'>
            <ul>
                <li>
                    <input id='confirm-deletion' name='confirm-deletion' type='checkbox' required/>
                    <label for='confirm-deletion' class='checkbox'>
                        I confirm that I want to delete {{#if this.isLoggedIn}}my{{else}}this{{/if}} account.
                    </label>
                </li>
            </ul>
        </div>
        <div class='messages'></div>
        <div class='buttons'>
            <input type='submit' value='Delete account'/>
        </div>
    </form>
</div>