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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
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File: D:/HostingSpaces/fire-tech/fire-tech.nl/resources/views/site/pages/subscribe.blade.php
@extends('site.master', ['view' => 'default'])

@section('title', $page->translation->meta_title)
@section('meta_description', $page->translation->meta_description)

@section('content')

    <section class="dynamic-content">
        <div class="grid-row">
            @include('site.partials.dynamic.dynamicBlocks', [ 'dynamicContent' => $page->translation->description ])
            @if(\Session::has('sent'))
                <div class="content kms-content">
                    <h3>Bedankt voor uw inschrijving</h3>
                    {{--<h4 style="color: #373c41;">Wij nemen zo snel mogelijk contact met u op.</h4>--}}
                </div>
            @else

                @if($errors->any())
                    <ul class="c-form-feedback" style="line-height: 1.4" data-feedback="@lang('site/contact.feedback_message')">
                        @foreach($errors->all() as $error)
                            <li>
                                {{ $error }}
                            </li>
                        @endforeach
                    </ul>
                @endif

                <div class="content kms-content">
                    <h3>Inschrijven</h3>

                    @if( empty($subscribe_step) )
                        <form class="form" method="post">
                            {{csrf_field()}}
                            <input type="hidden" name="step" value="1">
                            {{-- show courses --}}
                            @foreach($courses as $course)
                                <label class="radio"><input type="radio"
                                                            name="courseId"
                                                            {{ old('course') == $course->id ? 'checked' : '' }}
                                                            value="{{$course->id}}"/>
                                    <h5>{{$course->translation->name}}</h5>
                                </label><br/>
                            @endforeach
                            <input type="submit" value="Naar stap 2">
                        </form>
                        stap 1
                    @elseif( $subscribe_step == '1' )
                        @if(count($dates) > 0)
                            <form class="form" method="post">
                                <h5>{{$course->translation->name}}</h5>
                                @if(is_numeric($course->price))
                                    <p>De kosten hiervoor bedragen &euro; {{number_format($course->price, 2, ',', '.')}} excl. BTW.</p>
                                @elseif(!empty($course->price))
                                    <p>{{$course->price}}</p>
                                @endif
{{--                                @if(isset($course->extra_costs) && !empty($course->extra_costs))--}}

{{--                                    @if(is_numeric($course->extra_costs))--}}
{{--                                        <p style="font-style: italic">Voor de CCV punten (code 95) zijn de extra kosten &euro; {{number_format($course->extra_costs, 2, ',', '.')}} excl. BTW.</p>--}}
{{--                                    @else--}}
{{--                                        <p>Extra kosten: {{$course->extra_costs}}</p>--}}
{{--                                    @endif--}}

{{--                                @endif--}}
                                <br/>
                                {{csrf_field()}}
                                <input type="hidden" name="step" value="2">
                                <input type="hidden" name="courseId" value="{{$course->id}}">
                                <div class="dates form-element ">
                                    <p><strong>Cursusdata:</strong></p>
                                    <span class="error-message {{($errors->has('date')? 'active' :'')}}">{{ucfirst($errors->first('date'))}}</span>
                                    @foreach($dates as $date)
                                        @if(\Carbon\Carbon::parse($date['dateA'])->isFuture())
                                            <label class="radio {{ $date['full'] ? 'disabled' : '' }}">
                                                <input
                                                        type="radio"
                                                        name="date"
                                                        {{ old('date') == $date['dateA'] ? 'checked' : '' }}
                                                        {{ $date['full'] ? 'disabled' : '' }}
                                                        value="{{$date['dateA']}} {{ $date['remark'] ? ' | '.$date['remark'] : '' }} @if(!empty($date['dateB']))<br/>{{$date['dateB']}} @endif">
                                                <h5>{{$date['dateA']}} {{ $date['remark'] ? ' | '.$date['remark'] : '' }}
                                                    @if(!empty($date['dateB']))<br/>{{$date['dateB']}} {{ $date['remarkB'] ? ' | '.$date['remarkB'] : '' }} @endif
                                                </h5>
                                            </label>&nbsp;&nbsp;
                                            {{ $date['full'] ? 'vol' : '' }}
                                            <br/>
                                        @endif
                                    @endforeach
                                </div>
                                <p>Bel of mail ons voor eventuele andere cursusdata!</p>
                                <input type="submit" value="Naar stap 3">
                            </form>
                        @else
                            <div class="content kms-content form">
                                <p><strong>Cursusdata</strong></p>
                                <p>Er zijn op dit moment geen data beschikbaar voor deze opleiding</p>
                            </div>
                        @endif
                    @elseif( $subscribe_step == '2' )
                        <form class="form" method="post" action="{{route('subscribe')}}">
                            <h5>{{$course->translation->name}} op <br/> {!! $date !!}</h5>
                            @if(is_numeric($course->price))
                                <p>De kosten hiervoor bedragen &euro; {{number_format($course->price, 2, ',', '.')}} excl. BTW.</p>
                            @else
                                <p>{{$course->price}}</p>
                            @endif
{{--                            @if(isset($course->extra_costs) && !empty($course->extra_costs))--}}
{{--                                @if(is_numeric($course->extra_costs))--}}
{{--                                    <p style="font-style: italic">Voor de CCV punten (code 95) zijn de extra kosten &euro; {{number_format($course->extra_costs, 2, ',', '.')}} excl. BTW.</p>--}}
{{--                                @else--}}
{{--                                    <p style="font-style: italic">Voor de CCV punten (code 95) zijn de extra kosten &euro; {{$course->extra_costs}} excl. BTW.</p>--}}
{{--                                @endif--}}
{{--                            @endif--}}
                            <br/>
                            {{csrf_field()}}
                            <input type="hidden" name="step" value="2">
                            <input type="hidden" name="courseId" value="{{$course->id}}">
                            <input type="hidden" name="date" value="{{$date}}">
                            {{-- show form --}}

                            @if(count($errors) > 0)
                                <h4 class="error-message active" style="font-size: 1rem;">Het formulier is foutief of
                                    onvolledig ingevuld.<br>Controleer uw gegevens en probeer het opnieuw.</h4>
                            @endif

                            <p><strong>Uw bedrijfsinformatie:</strong></p>
                            <div class="company form-element ">
                                <span class="error-message {{($errors->has('company')? 'active' :'')}}">{{ucfirst($errors->first('company'))}}</span>

                                <label for="company">@lang('site/form.company.label')</label>
                                <input type="text" id="company" name="company"
                                       placeholder="@lang('site/form.company.placeholder')"
                                       value="{{ old('company') }}"/>
                            </div>

                            <div class="company_email form-element ">
                                <span class="error-message {{($errors->has('email')? 'active' :'')}}">{{ucfirst($errors->first('email'))}}</span>

                                <label for="email">@lang('site/form.company_email.label')</label>
                                <input type="text" id="email" name="email"
                                       placeholder="@lang('site/form.company_email.placeholder')"
                                       value="{{ old('email') }}"/>
                            </div>

                            <div class="company_street form-element ">
                                <span class="error-message {{($errors->has('street')? 'active' :'')}}">{{ucfirst($errors->first('street'))}}</span>

                                <label for="street">@lang('site/form.company_street.label')</label>
                                <input type="text" id="street" name="street"
                                       placeholder="@lang('site/form.company_street.placeholder')"
                                       value="{{ old('street') }}"/>
                            </div>

                            <div class="company_housenumber form-element ">
                                <span class="error-message {{($errors->has('housenumber')? 'active' :'')}}">{{ucfirst($errors->first('housenumber'))}}</span>

                                <label for="housenumber">@lang('site/form.company_housenumber.label')</label>
                                <input type="text" id="housenumber" name="housenumber"
                                       placeholder="@lang('site/form.company_housenumber.placeholder')"
                                       value="{{ old('housenumber') }}"/>
                            </div>

                            <div class="company_postal_code form-element ">
                                <span class="error-message {{($errors->has('postal_code')? 'active' :'')}}">{{ucfirst($errors->first('postal_code'))}}</span>

                                <label for="city">@lang('site/form.company_postal_code.label')</label>
                                <input type="text" id="postal_code" name="postal_code"
                                       placeholder="@lang('site/form.company_postal_code.placeholder')"
                                       value="{{ old('postal_code') }}"/>
                            </div>

                            <div class="company_city form-element ">
                                <span class="error-message {{($errors->has('city')? 'active' :'')}}">{{ucfirst($errors->first('city'))}}</span>

                                <label for="city">@lang('site/form.company_city.label')</label>
                                <input type="text" id="city" name="city"
                                       placeholder="@lang('site/form.company_city.placeholder')"
                                       value="{{ old('city') }}"/>
                            </div>

                            {{--<div class="company_country form-element ">--}}
                            {{--<span class="error-message {{($errors->has('country')? 'active' :'')}}">{{ucfirst($errors->first('country'))}}</span>--}}

                            {{--<label for="country">@lang('site/form.company_country.label')</label>--}}
                            {{--<input type="text" id="country" name="country"--}}
                            {{--placeholder="@lang('site/form.company_country.placeholder')"--}}
                            {{--value="{{ old('country') }}"/>--}}
                            {{--</div>--}}

                            <div class="company_phone form-element ">
                                <span class="error-message {{($errors->has('phone')? 'active' :'')}}">{{ucfirst($errors->first('phone'))}}</span>

                                <label for="phone">@lang('site/form.company_phone.label')</label>
                                <input type="text" id="phone" name="phone"
                                       placeholder="@lang('site/form.company_phone.placeholder')"
                                       value="{{ old('phone') }}"/>
                            </div>

{{--                            <div class="code95 form-element ">--}}
{{--                                <span class="error-message {{($errors->has('code95')? 'active' :'')}}">{{ucfirst($errors->first('code95'))}}</span>--}}

{{--                                <div class="genders">--}}
{{--                                    <label for="code95">@lang('site/form.code95.label')</label>--}}
{{--                                    <input id="code95_ja" name="code95" type="radio"--}}
{{--                                           value="1" {{ old('code95') == 1 ? 'checked' : '' }}/>--}}
{{--                                    <label for="code95_ja" class="radioLabelSpan">Ja</label>--}}
{{--                                    <input id="code95_nee" name="code95" type="radio"--}}
{{--                                           value="0" {{ !old('code95') == 0 ? 'checked' : '' }} />--}}
{{--                                    <label for="code95_nee" class="radioLabelSpan">Nee</label>--}}
{{--                                </div>--}}
{{--                            </div>--}}

                            <div class="course_legal form-element ">
                                <span class="error-message {{($errors->has('course_legal')? 'active' :'')}}">{{ucfirst($errors->first('course_legal'))}}</span>

                                <div class="genders">
                                    <label for="code95">@lang('site/form.course_legal.label')</label>
                                    <input id="course_legal" name="course_legal" type="hidden" value="0"/>
                                    <input id="course_legal" name="course_legal" type="checkbox"
                                           value="1" {{ old('course_legal') == 1 ? 'checked' : '' }}/>
                                    <label for="course_legal" class="radioLabelSpan">Ik accepteer de <a
                                                href="{{$links->course_legal->route}}">Cursusvoorwaarden</a></label>
                                </div>
                            </div>

                            <br/>

                            <p><strong>Deelnemers</strong></p>
                            @for($i = 0; $i < 30; $i++)
                                <div class="student form-element"
                                     @if(empty(old('students.'.$i.'.name')) && $i >= 1) hidden @endif>
                                    <span class="error-message {{($errors->has('students')? 'active' :'')}}">{{ucfirst($errors->first('students'))}}</span>
                                    {{-- VCA opleidingen (VCA-Basis en VCA-VOL) --}}
                                    {{-- https://app.asana.com/0/1208258625560451/1208268844280863/f --}}
                                    @if($course->id === 15)
                                        <div class="genders">
                                            <label>Keuze</label>
                                            <input id="vcabasis{{$i}}" name="students[{{$i}}][vca]" type="radio"
                                                   value="VCA-Basis" {{ old('students.'.$i.'.vca') == 'VCA-Basis' ? 'checked' : '' }}/>
                                            <label for="vcabasis{{$i}}" class="radioLabelSpan">VCA-Basis</label>
                                            <input id="vcavol{{$i}}" name="students[{{$i}}][vca]" type="radio"
                                                   value="VCA-Vol" {{ old('students.'.$i.'.vca') == 'VCA-Vol' ? 'checked' : '' }} />
                                            <label for="vcavol{{$i}}" class="radioLabelSpan">VCA-Vol</label>
                                        </div>
                                    @endif
                                    <div class="genders">
                                        <label>Aanhef</label>
                                        <input id="man{{$i}}" name="students[{{$i}}][gender]" type="radio"
                                               value="man" {{ old('students.'.$i.'.gender') == 'man' ? 'checked' : '' }}/>
                                        <label for="man{{$i}}" class="radioLabelSpan">Dhr.</label>
                                        <input id="vrouw{{$i}}" name="students[{{$i}}][gender]" type="radio"
                                               value="vrouw" {{ old('students.'.$i.'.gender') == 'vrouw' ? 'checked' : '' }} />
                                        <label for="vrouw{{$i}}" class="radioLabelSpan">Mevr.</label>
                                    </div>
                                    <label>@lang('site/form.student_name.label')</label>
                                    <input type="text"
                                           class="student_name"
                                           name="students[{{$i}}][name]"
                                           placeholder="@lang('site/form.student_name.placeholder')"
                                           value="{{ old('students.'.$i.'.name') }}"
                                    />
                                    <label for="email">@lang('site/form.student_mail.label')</label>
                                    <input type="text" id="email" name="students[{{$i}}][email]"
                                           placeholder="@lang('site/form.student_mail.placeholder')"
                                           value="{{ old('students.'.$i.'.email') }}"/>

                                    <label>Geboortedatum</label>
                                    <div class="birthdateInputs">
                                        <input type="text" name="students[{{$i}}][birthday]" id="dag"
                                               class="datum_geboorte" value="{{ old('students.'.$i.'.birthday')  }}"
                                               placeholder="dag" maxlength="2" size="2"/> -
                                        <input type="text" name="students[{{$i}}][birthmonth]" id="maand"
                                               class="datum_geboorte" value="{{ old('students.'.$i.'.birthmonth')  }}"
                                               placeholder="maand" maxlength="2" size="2"/> -
                                        <input type="text" name="students[{{$i}}][birthyear]" id="jaar"
                                               class="datum_geboorte" value="{{ old('students.'.$i.'.birthyear')  }}"
                                               placeholder="jaar" maxlength="4" size="4"/>
                                    </div>
                                </div>
                            @endfor
                            <p class="add-student"><a href=""
                                                      onclick="CourseFormHandler.addStudent(); return false;"><span>+</span>Voeg
                                    een deelnemer
                                    toe</a></p><br/><br/>

                            <input type="submit" value="Inschrijven">
                        </form>
                    @endif
                </div>
            @endif
        </div>
    </section>

    @include('site.partials.blocks.ctaRow', [
        'ctaTrigger1' => (object)[
            'title' => trans('site/global.ctaRow.title'),
            'subTitle' => trans('site/global.ctaRow.subTitle'),
            'button' => (object)[
                'link' => "/".$links->contact->route,
                'text' => trans('site/home.contactUs'),
            ],
        ],

       'ctaPerson' => (object)[
            'image' => '/img/contact-person.jpg',
            'name' => 'Thijs Neeskens',
            'text' => trans('site/global.ctaRow.phoneTitle'),
            'button' => (object)[
              'link' => 'tel:' . \Config::get('site.company.phone.call'),
              'text' => \Config::get('site.company.phone.display')
            ]
        ],
    ])



@endsection