94 lines
4.0 KiB
PHP
94 lines
4.0 KiB
PHP
<?php
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require_once 'general.php';
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returnHeader();
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$config = getConfig();
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$minDate = date("m-d-Y", strtotime("-120 years"));
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$maxDate = date("m-d-Y", strtotime("-10 years"));
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?>
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<div class="container">
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<div class="columns">
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<div class="column col-2"></div>
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<div class="column col-8">
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<div class="columns">
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<div class="column col-2"></div>
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<div class="column col-8">
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<img class="img-responsive" src="<?php echo $config['logo_url'] ?>" alt="Logo der Schule"/>
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</div>
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<div class="column col-2"></div>
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</div>
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<p class="text-center"><?php echo $config['description'] ?></p>
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<form action="submit.php" method="post">
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<div class="form-group">
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<label class="form-label" for="name">Name</label>
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<input type="text" name="name" id="name" required="required" class="form-input" placeholder="Erforderlich">
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</div>
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<div class="form-group">
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<label class="form-label" for="email">E-Mail Adresse</label>
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<input type="email" name="email" id="email" required="required" class="form-input" placeholder="Erforderlich">
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</div>
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<div class="form-group">
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<label class="form-label" for="phone">Telefonnummer</label>
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<input type="tel" name="phone" id="phone" class="form-input" placeholder="Optional">
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</div>
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<div class="form-group">
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<label class="form-label" for="location">Wohnort</label>
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<input type="text" name="location" id="location" class="form-input" placeholder="Optional">
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</div>
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<div class="form-group">
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<label class="form-label" for="year">Abschlussjahrgang</label>
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<select name="year" id="year" required="required" class="form-select">
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<option disabled="disabled" selected="selected" hidden="hidden">---</option>
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<?php
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for ($i = date("Y") - 80; $i < date("Y"); $i++) {
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?>
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<option><?php echo $i ?></option>
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<?php
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}
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?>
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</select>
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</div>
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<div class="form-group">
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<label class="form-label" for="birthday">Geburtstag</label>
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<input type="date" name="birthday" id="birthday" required="required" pattern="\d{2}-\d{2}-\d{4}" min="<?php echo $minDate ?>" max="<?php echo $maxDate ?>" class="form-input">
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</div>
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<div class="form-group">
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<label class="form-label" for="vocation">Tätigkeit</label>
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<textarea name="vocation" id="vocation" required="required" class="form-input" placeholder="Erforderlich"></textarea>
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</div>
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<div class="form-group">
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<label class="form-checkbox">
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<input type="checkbox" id="privacy" name="privacy" required="required">
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<i class="form-icon"></i>Ich akzeptiere hiermit<a
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href="<?php echo $config['privacy_url'] ?>" target="_blank"
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class="font-semibold text-black border-b-2 border-gray-200 hover:border-gray-500">
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die Datenschutzerklärung.</a>
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</label>
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</div>
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<button type="submit" class="btn">Eintragen</button>
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</form>
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</div>
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<div class="column col-2"></div>
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</div>
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</div>
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<br>
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<?php
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returnFooter();
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