gcg-website/layouts/anmeldeformular/list.html
Denys Konovalov 4c3cb1ad6b
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Switch from formtools to postalion forms (#256)
Reviewed-on: #256
2024-01-05 21:37:27 +01:00

66 lines
3.8 KiB
HTML

{{ define "main" }}
<section class="section" data-pagefind-body>
<div class="container">
<div class="row">
<div class="col-lg-8 mb-4 mb-lg-0">
<form action="https://forms.cantorgymnasium.de/form/gcg-aufnahmeformular" method="post" enctype="multipart/form-data">
<div hidden>
<input type="text" id="bad_email" name="bad_email" value="" />
</div>
<div class="input-group">
<input type="text" class="form-control mb-3" id="student_surname" name="student_surname" placeholder="Name (Schüler/in)" required>
<input type="text" class="form-control mb-3" id="student_name" name="student_name" placeholder="Vorname" required>
</div>
<div class="input-group mb-3">
<span class="input-group-text">Geburtsdatum</span>
<input type="date" class="form-control" id="student_birthday" name="student_birthday" min="2005-01-01" required>
</div>
<input type="text" class="form-control mb-3" id="street" name="street" placeholder="Straße" required>
<div class="input-group">
<input type="text" class="form-control mb-3" id="house" name="house" placeholder="Hausnummer" required>
<input type="text" class="form-control mb-3" id="adresszusatz" name="adresszusatz" placeholder="Adresszusatz">
</div>
<div class="input-group">
<input type="text" inputmode="numeric" class="form-control mb-3" id="zipcode" name="zipcode" placeholder="PLZ" pattern="[0-9]{5}" title="Postleitzahlen bestehen aus exakt 5 Ziffern" required>
<input type="text" class="form-control mb-3" id="city" name="city" placeholder="Stadt" required>
</div>
<input type="text" class="form-control mb-3" id="landkreis" name="landkreis" placeholder="Landkreis">
<div class="input-group">
<input type="tel" class="form-control mb-3" id="tpriv" name="tpriv" placeholder="Telefon privat">
<input type="tel" class="form-control mb-3" id="tdienstl" name="tdienstl" placeholder="Telefon dienstl.">
</div>
<input type="text" class="form-control mb-3" id="parent_name" name="parent_name" placeholder="Abweichender Elternname">
<input type="text" class="form-control mb-3" id="grundschule" name="grundschule" placeholder="Grundschule" required>
<input type="email" class="form-control mb-3" id="parent_email" name="parent_email" placeholder="Ihre E-Mail-Adresse" required>
<textarea id="message" name="message" class="form-control mb-3" placeholder="Bemerkungen"></textarea>
<div class="input-group mb-3">
<input type="file" class="form-control" id="zeugnis_1" name="zeugnis_1" accept="image/*,.pdf">
<span class="input-group-text">Zeugnis (Vorderseite)</span>
</div>
<div class="input-group mb-3">
<input type="file" class="form-control" id="zeugnis_2" name="zeugnis_2" accept="image/*,.pdf">
<span class="input-group-text">Zeugnis (Rückseite)</span>
</div>
<div class="input-group mb-3">
<input type="file" class="form-control" id="slbe" name="slbe" accept="image/*,.pdf">
<span class="input-group-text">Schullaufbahnempfehlung</span>
</div>
<div class="input-group mb-3">
<div class="input-group-text">
<input type="checkbox" class="form-check-input" id="accept" name="accept" required>
</div>
<p class="form-control mb-0">Hiermit melden wir unser Kind verbindlich zur Aufnahmeprüfung an.</p>
</div>
<button type="submit" value="send" class="btn btn-primary">Senden</button>
</form>
</div>
<div class="col-lg-4">
{{ .Content }}
</div>
</div>
</div>
</section>
{{ end }}