Add DOB and Address to edit profile page

# Date of Birth and Address in Edit profile

Looks like:

![dob2](https://cloud.githubusercontent.com/assets/1170410/2617214/d7113d38-bc0f-11e3-94b4-e6242b2be613.png)

This pull request adds the fields for Date of Birth and Address to the `/account/edit` page bringing us closer towards feature parity with R2.

Layout/design is UX approved for the time being.

Tagging @Nick-Smith for the scala portion of this work.

![pq0kugd](https://cloud.githubusercontent.com/assets/1170410/2617235/12ef7f22-bc10-11e3-92cd-b039cf126b51.gif)