73 lines
4.2 KiB
PHP
73 lines
4.2 KiB
PHP
@extends('theme::layout')
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@section('title', 'Connexion')
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@section('content')
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<div class="register floating grid">
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<div class="head-bloc"></div>
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<section class="main--bloc container">
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<div class="title-inscription1">
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<h1 class="post-title">S’inscrire au Club Le Gaulois</h1>
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<p class="info2">Merci de renseigner les champs ci-dessous :</p>
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@if ($errors->any())
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<div class="alert alert-danger">
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<ul>
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@foreach ($errors->all() as $error)
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<li>{{ $error }}</li>
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@endforeach
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</ul>
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</div>
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@endif
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</div>
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<div class="form-inscription1">
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<form class="flex" name="inscriptionForm" action="{{ route('fo.register') }}" method="POST" novalidate="novalidate">
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@csrf
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<p class="section">Votre profil</p>
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<!-- <select name="civilite">
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<option value="1">Mr</option>
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<option value="2">Mme</option>
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<option value="3">Mlle</option>
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</select> -->
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<input name="firstname" type="text" value="{{ old('firstname') }}" placeholder="Prénom*" maxlength="50" required>
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<input name="lastname" type="text" value="{{ old('lastname') }}" placeholder="Nom*" maxlength="50" required>
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<input name="birth_date" type="date" value="{{ old('birth_date') }}" placeholder="Date de naissance*" required>
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<p class="section">Vos identifiants</p>
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<input id="email" name="email" type="email" value="{{ old('email') }}" placeholder="E-mail*" maxlength="50"
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required>
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<input name="email_confirmation" type="email" value="{{ old('email_confirmation') }}" placeholder="Confirmation E-mail*"
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required>
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<input id="password" name="password" type="password" value="" aria-required="true"
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placeholder="Mot de passe* (min. 8 caractères)" maxlength="50" required>
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<input name="password_confirmation" type="password" aria-required="true" placeholder="Confirmation mot de passe*" required>
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<p class="section">Vos coordonnées</p>
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<input name="address" type="text" value="{{ old('address') }}" placeholder="Adresse*" maxlength="200" required>
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<input name="address2" type="text" value="{{ old('address2') }}" placeholder="Adresse complémentaire*" required>
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<input name="town" type="text" value="{{ old('town') }}" placeholder="Ville*" maxlength="50" required>
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<input name="postal_code" type="text" value="{{ old('postal_code') }}" placeholder="Code postal*" maxlength="10"
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required>
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<input name="country" type="text" value="{{ old('country') }}" placeholder="Pays*" required>
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<div class="chk--blocs">
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<div class="check-holder flex">
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<input id="checknews" name="news" type="checkbox">
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<label for="checknews">Je souhaite m'inscrire à la newsletter Le Gaulois</label>
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</div>
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<div class="check-holder flex">
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<input id="check" name="reglement" type="checkbox">
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<label for="check">J’ai lu et j’accepte le <a href="{{ route('fo.reglement') }}">règlement*</a></label>
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</div>
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</div>
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<input name="action" type="hidden" value="inscription_jeu">
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<div class="btn-form">
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<button class="btn">Je valide</button>
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</div>
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<span class="info">* champs obligatoires</span>
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</form>
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</div>
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</section>
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</div>
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@endsection
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