-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathstandby.php
54 lines (51 loc) · 2.03 KB
/
standby.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
<!DOCTYPE HTML>
<html lang="en" class="no-js" style="overflow: scroll;">
<head>
<title>LTFD | Standby Request</title>
<?php include_once 'Resources/PHP/includes.php' ?>
</head>
<body>
<?php include_once 'Resources/PHP/nav.php' ?>
<div class="container-fluid jumbotron text-center">
<h1>Request a standby!</h1>
</div>
<form class="card p-5 mb-5 col-lg-5 col-md-6 col-sm-12 mx-auto text-center">
<div class="form-group">
<input type="text" class="form-control" id="org"
placeholder="Organization Name" required>
<!-- <small id="emailHelp" class="form-text text-muted">We'll never share your email with anyone else.</small>-->
</div>
<div class="form-group">
<input type="text" class="form-control" id="name"
placeholder="Point of Contact Name" required>
</div>
<div class="form-group">
<input type="tel" class="form-control" id="tel"
placeholder="Telephone Number" required>
</div>
<div class="form-group">
<input type="text" class="form-control" id="type"
placeholder="Type of Event" required>
</div>
<div class="form-group">
<div class="row mx-auto">
<p>Date: </p>
<input type="date" id="date" name="date"
min="2020-01-01" max="2021-12-31" required>
<p> Start Time</p>
<input type="time" id="start" name="starttime"
min="09:00" max="18:00" required>
<p> End Time</p>
<input type="time" id="end" name="endtime"
min="09:00" max="18:00" required>
</div>
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input" id="twoweek" required>
<label class="form-check-label" for="twoweek">I agree that standby requests that aren't
submitted at least two weeks in advance may not be honored.</label>
</div>
<button type="submit" class="btn btn-primary">Submit</button>
</form>
</body>
</html>