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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/subscribe.blade.php
<div class="contact-form subscribe-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('subscribe.process'), [], true), 'id' => 'subscribeForm', '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="date form-element">
                <span class="error-message {{($errors->has('date')? 'active' :'')}}">{{$errors->first('date')}}</span>
                {{Form::label('date',trans('translations.date'))}}
                {{ Form::text('date', Input::old('date'), ['id' => 'date', 'placeholder'=> trans('translations.date_placeholder')]) }}
            </div>

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


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

            <div id="photo_consent_container" class="photo_consent checkboxes form-element" data-error="@lang('translations.photo_consent_error')">
                <span class="error-message {{($errors->has('photo_consent')? 'active' :'')}}">{{$errors->first('photo_consent')}}</span>
                <span class="icon"></span>
                <label>
                    {{ Form::checkbox('photo_consent', 1, Input::old('photo_consent'), ['id' => 'photo_consent']) }}
                    @lang('translations.photo_consent')
                </label>
            </div>

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

        </div>

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

            @endunless

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


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

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

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


        {{ Form::close() }}

        @endif
    </div>
</div>