45 lines
2.8 KiB
PHP
45 lines
2.8 KiB
PHP
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<div class="col-md-12">
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<?php
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echo View::factory('field/select')->set('data',['field'=>'room[id]','value'=>ORM::factory('Rooms')->where_external()->list_select(),'default'=>$room_id,'text'=>'Program','class'=>'col-md-4']);
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?>
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<fieldset>
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<legend>Child Details</legend>
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<?php
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echo View::factory('field/text')->set('data',['field'=>'child[first_name]','value'=>$co->first_name,'text'=>'First Name','class'=>'col-md-5']);
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echo View::factory('field/text')->set('data',['field'=>'child[family_name]','value'=>$co->family_name,'text'=>'Last Name','class'=>'col-md-5']);
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echo View::factory('field/date')->set('data',['field'=>'child[dob]','value'=>$co->dob ? $co->dob : time(),'text'=>'Date of Birth','enddate'=>'new Date()']);
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?>
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</fieldset>
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<fieldset>
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<legend>Parent Details</legend>
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<?php
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echo View::factory('field/text')->set('data',['field'=>'account[first_name]','value'=>$ao->first_name,'text'=>'First Name','class'=>'col-md-5']);
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echo View::factory('field/text')->set('data',['field'=>'account[last_name]','value'=>$ao->last_name,'text'=>'Last Name','class'=>'col-md-5']);
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echo View::factory('field/text')->set('data',['field'=>'account[email]','value'=>$ao->email,'text'=>'Email','class'=>'col-md-5']);
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echo View::factory('field/text')->set('data',['field'=>'account[address1]','value'=>$ao->address1,'text'=>'Address','class'=>'col-md-5']);
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echo View::factory('field/text')->set('data',['field'=>'account[address2]','value'=>$ao->address2,'text'=>'Address','class'=>'col-md-5']);
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echo View::factory('field/text')->set('data',['field'=>'account[city]','value'=>$ao->city,'text'=>'City','class'=>'col-md-5']);
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echo View::factory('field/text')->set('data',['field'=>'account[state]','value'=>$ao->state ? $ao->state : 'Vic','text'=>'State','class'=>'col-md-1']);
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echo View::factory('field/text')->set('data',['field'=>'account[zip]','value'=>$ao->zip,'text'=>'Post Code','class'=>'col-md-1']);
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?>
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<input type="hidden" name="account[language_id]" value="1">
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<input type="hidden" name="account[country_id]" value="61">
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<input type="hidden" name="year" value="<?php echo $year; ?>">
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<input type="hidden" name="child[date_reg]" value="<?php echo time(); ?>">
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</fieldset>
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<?php #@todo This should be in a database ?>
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<hr>
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<p>Thank you for your enrolment. An enrolment application of $10 will be invoiced to the email address you have included above.<p>
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<p>This fee must be paid within 2 days for your application to be accepted. Paying this fee via the method in the email will also confirm that your email address is correct.<p>
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<p>We send all correspondence via email, so if you change your email, or dont recieve the enrolment application invoice via email, please contact us.<p>
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<p>This application will be automatically deleted in 2 days if your payment has not been received.
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<?php echo View::factory('field/submit'); ?>
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</div>
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