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inscription.html
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inscription.html
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<!DOCTYPE html>
<html lang="fr">
<head>
<meta charset="utf-8">
<title>Le site non officiel de Chuck Norris</title>
<link rel="stylesheet" type="text/css" href="styles/css.css">
</head>
<body>
<form action="sendToMySecondYear.php" method="get">
<div>
<fieldset>
<legend>Informations personnelles</legend>
<div>
<label for ="nom" >Nom*</label>
<input id="nom" name="nom" type="text" required>
</div>
<div>
<label for="prénom">Prénom</label>
<input id="prénom" name="prenom" type="text">
</div>
<div>
<label>Sexe : </label>
<div>
<label for="Sexe1">Homme</label>
<input id="Sexe1" name="Sexe" type="radio">
</div>
<div>
<label for="Sexe2">Femme</label>
<input id="Sexe2" name="Sexe" type="radio">
</div>
</div>
<div>
<label for="date">Date de naissance</label>
<input id="date" name="date" type="date">
</div>
<div>
<label for="email" >Email*</label>
<input id="email" name="email" type="email" placeholder="[email protected]" required>
</div>
</fieldset>
<fieldset>
<legend>Les sports de combat</legend>
<div>
<label for="combat" >Arts-martiaux </label>
<select id="combat" name="art" value="Kung fu" multiple="multiple">
<option value="kf" >Kung Fu</option>
<option value="ka" >Karaté</option>
<option value="fc" >Full-contact</option>
<option value="Tae" >Taekwendo</option>
<option value="ckd" >Chun kuk do</option>
</select>
</div>
<div>
<label for="lvlkarate">Niveau en karaté</label>
<input id="lvlkarate" name="lvl" type="number" min="0" max="5" placeholder="de 0 à 5">
</div>
</fieldset>
<fieldset>
<legend>Inscription</legend>
<div>
<div>
<label>Niveau d'engagement : </label>
</div>
<div>
<label for="basique">Basique (5€)</label>
<input id="basique" name="engage" type="radio">
</div>
<div>
<label for="gold">Gold (15€)</label>
<input id="gold" name="engage" type="radio">
</div>
<div>
<label for="tatane">TATANE IN YOUR FACE (50€)</label>
<input id="tatane" name="engage" type="radio">
</div>
</div>
<div>
<label for="clauses">J'ai bien lu les clauses inexistantes*</label>
<input id="clauses" name="clauses" type="checkbox" required>
</div>
<div>
<label for="origine">Pays d'origine</label>
<select id="origine" name="origine" value="fr">
<option value="fr">France</option>
<option value="US">USA</option>
<option value="Ch">Chine</option>
<option value="Viet">Viêt Nam</option>
</select>
</div>
<div>
<label for="libre" >Message à Chuck</label>
<textarea id="libre" name="msg" placeholder="Un inscrit sera tiré au sort, et verra son message transmis à Chuck Norris"></textarea>
</div>
<div>
<label for="mdp">Mot de passe*</label>
<input id="mdp" name="mdp" type="password" required pattern="[a-z0-9._-]{8,}">
</div>
</fieldset>
</div>
<div>
<input type="submit" value="Envoyer" >
</div>
</form>
</form>
<div><a href="./index.html">Accueil</a></div>
</body>
</html>