@extends('layouts.app') @section('social_media') @endsection @section('content')

Anmeldung zur Kinderfeuerwehr


@if($expired)
Es tut uns Leid, aber der Anmeldezeitraum ist abgelaufen.
@else

Hiermit melde ich mein Kind zur Kinderfeuerwehr der Freiwilligen Feuerwehr Eppingen an. Weitere Informationen erhalten Sie nach erfolgreicher Anmeldung per Mail.

{{ csrf_field() }} @include('inc.forms.inputText', [ 'name' => 'lastnameParent', 'label' => 'Nachname des/der Erziehungsberechtigten *', 'placeholder' => 'Nachname des/der Erziehungsberechtigten', 'value' => $formdata->firstnameParent ]) @include('inc.forms.inputText', [ 'name' => 'firstnameParent', 'label' => 'Vorname des/der Erziehungsberechtigten *', 'placeholder' => 'Vorname des/der Erziehungsberechtigten', 'value' => $formdata->lastnameParent ]) @include('inc.forms.inputText', [ 'name' => 'firstnameChild', 'label' => 'Vorname des Kindes *', 'placeholder' => 'Vorname des Kindes', 'value' => $formdata->firstnameChild ]) @include('inc.forms.inputText', [ 'name' => 'birthday', 'label' => 'Geburtstag des Kindes*', 'placeholder' => 'tt.mm.jjjj', 'value' => $formdata->birthday ]) @include('inc.forms.inputText', [ 'name' => 'street', 'label' => 'Straße *', 'placeholder' => 'Straße', 'value' => $formdata->street ]) @include('inc.forms.inputText', [ 'name' => 'streetnumber', 'label' => 'Hausnummer *', 'placeholder' => 'Hausnummer', 'value' => $formdata->streetnumber ]) {{ $formdata->streetnumber }} @include('inc.forms.inputSelect', [ 'name' => 'city', 'label' => 'Wohnort *', 'placeholder' => 'Wohnort', 'selected' => old('city.0'), 'modelValue' => 'city', 'modelLabel' => 'city', 'models' => [ (object)['city' => ''], (object)['city' => 'Adelshofen'], (object)['city' => 'Elsenz'], (object)['city' => 'Eppingen'], (object)['city' => 'Kleingartach'], (object)['city' => 'Mühlbach'], (object)['city' => 'Richen'], (object)['city' => 'Rohrbach'] ] ]) @include('inc.forms.inputText', [ 'name' => 'phone', 'label' => 'Telefonnummer für Rückfragen *', 'placeholder' => 'Telefonnummer', 'value' => $formdata->phone ]) @include('inc.forms.inputText', [ 'name' => 'email', 'label' => 'Emailadresse für weiterführende Informationen *', 'placeholder' => 'Email', 'value' => $formdata->email ])
* Pflichtfeld
@endif
@endsection