92 lines
4.3 KiB
PHP
92 lines
4.3 KiB
PHP
<?php
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require_once 'general.php';
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returnHeader();
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?>
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<div class="relative flex flex-wrap">
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<div class="w-full relative">
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<div class="md:mt-6">
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<div class="hero container max-w-screen-lg mx-auto pb-10 flex justify-center">
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<img src="https://max-emden.net/iserv/logo/logo.jpg" class="w-2/4" alt="Logo Max-Windmüller Gymnasium"/>
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</div>
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<div class="text-center text-black font-semibold">
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Beschreibender Text
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</div>
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</div>
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<form action="submit.php" method="post" class="mt-8">
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<div class="mx-auto max-w-lg">
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<div class="py-1">
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<label class="px-1 text-sm text-gray-600" for="name">Name</label>
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<input type="text" name="name" id="name" required class="text-md block px-3 py-2 rounded-lg w-full bg-white border-2
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border-gray-300 placeholder-gray-600
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shadow-md focus:placeholder-gray-500 focus:bg-white focus:border-gray-600 focus:outline-none">
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</div>
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<div class="py-1">
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<label class="px-1 text-sm text-gray-600" for="email">E-Mail Adresse</label>
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<input type="email" name="email" id="email" required class="text-md block px-3 py-2 rounded-lg w-full bg-white border-2
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border-gray-300 placeholder-gray-600
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shadow-md focus:placeholder-gray-500 focus:bg-white focus:border-gray-600 focus:outline-none">
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</div>
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<div class="py-1">
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<label class="px-1 text-sm text-gray-600" for="year">Jahrgang</label>
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<select name="year" id="year" required class="text-md block px-3 py-2 rounded-lg w-full bg-white border-2
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border-gray-300 placeholder-gray-600
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shadow-md focus:placeholder-gray-500 focus:bg-white focus:border-gray-600 focus:outline-none">
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<?php
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for ($i = 1970; $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="py-1">
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<label class="px-1 text-sm text-gray-600" for="birthday">Geburtstag</label>
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<input type="date" name="birthday" id="birthday" required class="text-md block px-3 py-2 rounded-lg w-full bg-white border-2
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border-gray-300 placeholder-gray-600
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shadow-md focus:placeholder-gray-500 focus:bg-white focus:border-gray-600 focus:outline-none">
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</div>
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<div class="py-1">
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<label class="px-1 text-sm text-gray-600" for="vocation">Tätigkeit</label>
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<textarea name="vocation" id="vocation" required class="text-md block px-3 py-2 rounded-lg w-full bg-white border-2
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border-gray-300 placeholder-gray-600
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shadow-md focus:placeholder-gray-500 focus:bg-white focus:border-gray-600 focus:outline-none">
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</textarea>
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</div>
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<div class="flex justify-start">
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<label class="block text-gray-500 font-bold my-4 flex items-center">
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<input class="leading-loose text-pink-600 top-0" type="checkbox" id="terms" name="terms" required/>
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<span class="ml-2 text-sm py-2 text-gray-600 text-left">Ich akzeptiere hiermit
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<a href="https://max-emden.de/wordpress/impressum/" 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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</span>
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</label>
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</div>
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<button class="mt-3 text-lg font-semibold
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bg-gray-800 w-full text-white rounded-lg
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px-6 py-3 block shadow-xl hover:text-white hover:bg-black" type="submit">
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Eintragen
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</button>
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<br>
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</div>
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</form>
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</div>
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</div>
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<?php
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returnFooter();
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