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Server: Microsoft-IIS/8.5
System: Windows NT YDAWBH120 6.3 build 9600 (Windows Server 2012 R2 Standard Edition) AMD64
User: tentjecom_web (0)
PHP: 7.4.14
Disabled: NONE
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File: D:/HostingSpaces/SBogers107/jeugdsportdagen.nl/app/views/forms/hostForm.blade.php
<div class="contact-form subscribe-form host-form @if(\Input::has('v') && \Input::get('v') == 'b') small-form @endunless ">
    <div class="inner">
        <h3>Inschrijfformulier</h3>

        @if(\Input::has('success') && \Input::get('success') == 'true')
            <div class="thanks">
                <h2>@lang('mail.thanks')</h2>
                <p>
                    @lang('mail.contact.thanksMessage')
                </p>
            </div>
        @else

            {{ Form::open(['url' => URL::to(route('hostForm.process'), [], true), 'id' => 'hostForm', 'class' => 'form']) }}
            <div class="form-first-column">
                <div class="name form-element multiple-elements">
                    <div class="first_name">
                        <span class="error {{($errors->has('first_name')? 'active' :'')}}">{{$errors->first('first_name')}}</span>
                        {{Form::label('first_name',trans('translations.first_name'))}}
                        {{ Form::text('first_name', Input::old('first_name'), ['id' => 'first_name', 'placeholder'=> trans('translations.first_name')]) }}
                    </div>
                    <div class="last_name">
                        <span class="error {{($errors->has('last_name')? 'active' :'')}}">{{$errors->first('last_name')}}</span>
                        {{Form::label('last_name',trans('translations.last_name'))}}
                        {{ Form::text('last_name', Input::old('last_name'), ['id' => 'last_name', 'placeholder'=> trans('translations.last_name')]) }}
                    </div>
                </div>

                <div class="address form-element">
                    <span class="error {{($errors->has('address')? 'active' :'')}}">{{$errors->first('address')}}</span>
                    {{Form::label('address',trans('translations.address'))}}
                    {{ Form::text('address', Input::old('address'), ['id' => 'address', 'placeholder'=> trans('translations.address')]) }}
                </div>

                <div class="city-location form-element multiple-elements">

                    <div class="zip">
                        <span class="error {{($errors->has('zip')? 'active' :'')}}">{{$errors->first('zip')}}</span>
                        {{Form::label('zip',trans('translations.zip'))}}
                        {{ Form::text('zip', Input::old('zip'), ['id' => 'zip', 'placeholder'=> trans('translations.zip')]) }}
                    </div>

                    <div class="city">
                        <span class="error {{($errors->has('city')? 'active' :'')}}">{{$errors->first('city')}}</span>
                        {{Form::label('city',trans('translations.city'))}}
                        {{ Form::text('city', Input::old('city'), ['id' => 'city', 'placeholder'=> trans('translations.city')]) }}
                    </div>

                </div>

                <div class="phone form-element">
                    <span class="error {{($errors->has('phone')? 'active' :'')}}">{{$errors->first('phone')}}</span>
                    {{Form::label('phone',trans('translations.mobilePhone'))}}
                    {{ Form::text('phone', Input::old('phone'), ['id' => 'phone', 'placeholder'=> trans('translations.mobilePhone')]) }}
                </div>


                <div class="email form-element">
                    <span class="error {{($errors->has('email')? 'active' :'')}}">{{$errors->first('email')}}</span>
                    {{Form::label('email',trans('translations.email_clean'))}}
                    {{ Form::email('email', Input::old('email'), ['id' => 'email', 'placeholder'=> trans('translations.email_clean')]) }}
                </div>

                @unless(\Input::has('v') && \Input::get('v') == 'b')

            </div>

            <div class="form-second-column">

                @endunless


                <div class="sleepPlaces select-element form-element">
                    {{Form::label('sleepPlaces',trans('translations.sleepPlaces'))}}
                    <span class="icon"></span>
                    {{Form::select('sleepPlaces',['2' => '2','3' => '3','4'=> '4','5'=> '5','6'=> '6',],Input::get('sleepPlaces'), ['id' =>'sleepPlaces'])}}
                </div>

                <div class="countryPreference select-element form-element">
                    {{Form::label('countryPreference',trans('translations.countryPreference'))}}
                    <span class="icon"></span>
                    {{Form::select('countryPreference',['Geen voorkeur' => 'Geen voorkeur', 'Belgiƫ' => 'Belgiƫ','Duitsland' => 'Duitsland','Luxemburg'=> 'Luxemburg'],Input::get('countryPreference'), ['id' =>'countryPreference'])}}
                </div>

                <div class="genderPreference select-element form-element">
                    {{Form::label('genderPreference','Voorkeur jongens of meisjes?')}}
                    <span class="icon"></span>
                    {{Form::select('genderPreference',['Geen voorkeur' => 'Geen voorkeur','Meisjes' => 'Meisjes','Jongens'=> 'Jongens',],Input::get('genderPreference'), ['id' =>'genderPreference'])}}
                </div>

                <div id="sport" class="sport checkboxes form-element">
                    <p>Voorkeur voor sporters?<br/><small>Bij geen voorkeur leeg laten.</small></p>
                    <span class="error-message {{($errors->has('sport')? 'active' :'')}}">{{$errors->first('sport')}}</span>
                    <span class="icon"></span>
                    @foreach(['Volleybal','Atletiek','Voetbal','Zwemmen','Basketbal'] as $key => $sport)
                        <label>
                            {{Form::checkbox('sport[]', $sport)}}
                            {{$sport}}
                        </label>
                    @endforeach
                </div>

                <div id="sport_type" class="sport_type checkboxes form-element">
                    <p>Ik bied plaats aan:<br/><small>Bij geen voorkeur leeg laten.</small></p>
                    <span class="error-message {{($errors->has('sport_type')? 'active' :'')}}">{{$errors->first('sport_type')}}</span>
                    <span class="icon"></span>
                    @foreach(['Sporters','Coaches'] as $key => $sport_type)
                        <label>
                            {{Form::checkbox('sport_type[]', $sport_type)}}
                            {{$sport_type}}
                        </label>
                    @endforeach
                </div>

                <div class="extra_message form-element text-area">
                    <span class="error {{($errors->has('formMessage')? 'active' :'')}}">{{$errors->first('formMessage')}}</span>
                    {{Form::label('formMessage',trans('translations.extraMessage2'))}}
                    {{ Form::textarea('formMessage', Input::old('formMessage') ,['id'=>'formMessage', 'rows'=>'6', 'data-autoresize'=>'', 'placeholder' => trans('translations.extraMessage2')]) }}
                </div>
                <div class="submit">
                    {{--<p>@lang('translations.send')</p>--}}
                    {{ Form::submit(trans('translations.send')) }}
                </div>
            </div>


            {{ Form::close() }}
        @endif
    </div>
</div>