96 lines
3.2 KiB
Text
96 lines
3.2 KiB
Text
% layout 'default';
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% title 'Register';
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% content_for css => begin
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<style>
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body {
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background: whitesmoke;
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padding-top: 70px;
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}
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.panel {
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background: white;
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padding: 16px;
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-webkit-box-shadow: 0px 2px 4px 0px rgba(0,0,0,0.2);
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-moz-box-shadow: 0px 2px 4px 0px rgba(0,0,0,0.2);
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box-shadow: 0px 2px 4px 0px rgba(0,0,0,0.2);
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}
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</style>
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% end
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% content_for javascript => begin
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% end
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<div class="container">
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% if ( defined $error ) {
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<div class="alert alert-danger" role="alert">
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<strong>Error!</strong><br>
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% for my $error_single ( @$error ) {
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<%= $error_single %><br>
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% }
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</div>
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% }
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<div class="row justify-content-center">
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<div class="col-8">
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<div class="register-form panel">
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<form action="<%= url_for %>" method="post">
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<div class="form-group">
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<label for="register-token">Invitation Token</label>
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<input type="text"
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id="register-token"
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class="form-control"
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name="token"
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value="<%= $form_data->{token} %>"
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required>
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</div>
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<div class="form-group">
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<label for="register-name">Full Name</label>
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<input type="text"
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id="register-name"
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class="form-control"
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name="name"
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value="<%= $form_data->{name} %>"
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required>
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</div>
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<div class="form-group">
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<label for="register-email">Email Address</label>
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<input type="email"
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id="register-email"
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class="form-control"
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name="email"
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value="<%= $form_data->{email} %>"
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required>
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</div>
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<div class="form-group">
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<label for="register-postcode">Postcode</label>
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<input type="text"
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id="register-postcode"
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class="form-control"
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name="postcode"
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value="<%= $form_data->{postcode} %>"
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required>
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</div>
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<div class="form-group">
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<label for="register-age">Age Range</label>
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<select id="register-age" class="form-control" name="agerange" required>
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% for my $agerange ( @$ageranges ) {
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<option value="<%= $agerange->{id} %>"<%= defined $form_data->{agerange} && $form_data->{agerange} eq $agerange->{id} ? ' selected' : '' %>>
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<%= $agerange->{string} %>
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</option>
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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 for="login-password">Password</label>
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<input type="password" id="login-password" class="form-control" name="password" required>
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</div>
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<div class="form-group">
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<label for="login-password">Confirm Password</label>
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<input type="password" id="login-password" class="form-control" name="password2" required>
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</div>
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<input type="submit" class="btn btn-block btn-primary" value="Register">
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</form>
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</div>
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</div>
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</div>
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</div><!-- Container fluid-->
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