@extends('layouts.app')

@section('social_media')
	<meta property="fb:app_id" content="{{ config('social-media-manager.facebook.app_id') }}"/>
	<meta property="og:type" content="website"/>
@endsection

@section('content')
	<article class="post-item card pt-3 pb-3 mb-lg-5 shadow-sm">
		<div class="row">
			<h1 class="col-lg-12 card-title">
				Anmeldung zur Corona-Schutzimpfung für Feuerwehrangehörige der Freiwilligen Feuerwehr Eppingen
			</h1>
		</div>
		<div class="row">
			<div class="col-lg-12">
				<hr>
			</div>
		</div>
		<!-- -- >
		<div class="row">
			<div class="col-lg-6">
				Links
			</div>
			<div class="col-lg-6 text-right">
				Rechts
			</div>
		</div>
		<div class="row">
			<div class="col-lg-12">
				<hr>
			</div>
		</div>
		<!-- -->
		@if($expired)
			<div class="row">
				<div class="col">
					Es tut uns Leid, aber der Anmeldezeitraum für die Corona-Impfung ist abgelaufen.
					Sobald wieder Kontingente zur Verfügung stehen, werden wir das Formular wieder freischalten.
				</div>
			</div>
		@else
			<div class="row">
				<div class="col">
					<ul>
						<li>
							Wann: Mittwoch, 21.04.2021, 13:30 - 21 Uhr. Die genaue Uhrzeit ist nicht frei wählbar und wird noch mitgeteilt.
						</li>
						<li>
							Wo: Kreisimpfzentrum Ilsfeld
						</li>
						<li>
							Impfstoff: AstraZeneca
						</li>
					</ul>
				</div>
				<div class="row">
					<div class="col">
						Aufgrund des begrenzten Kontingents an Impfstoff kann nicht garantiert werden, dass jeder angemeldete Feuerwehrangehörige auch einen tatsächlichen Impftermin erhält.
					</div>
				</div>
			</div>
			<div class="row">
				<div class="col-lg-12 card-content">
					<form action="{{ config('app.url') . '/anmeldung/abschliessen' }}" method="POST">
						<input type="hidden" value="{{ csrf_token() }}" name="_token" />
						@include('inc.forms.inputText', [
							'name'			=> 'lastname',
							'label'			=> 'Nachname *',
							'placeholder'	=> 'Nachname',
							'value'			=> $formdata->firstname
						])
						@include('inc.forms.inputText', [
							'name'			=> 'firstname',
							'label'			=> 'Vorname *',
							'placeholder'	=> 'Vorname',
							'value'			=> $formdata->lastname
						])
						@include('inc.forms.inputText', [
							'name'			=> 'birthday',
							'label'			=> 'Geburtstag *',
							'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.inputSelect', [
							'name'			=> 'department',
							'label'			=> 'Abteilung *',
							'placeholder'	=> 'Abteilung',
							'selected'		=> old('department.0'),
							'modelValue'	=> 'department',
							'modelLabel'	=> 'department',
							'models'		=> [
								(object)['department'		=> ''],
								(object)['department'		=> 'Adelshofen'],
								(object)['department'		=> 'Elsenz'],
								(object)['department'		=> 'Eppingen'],
								(object)['department'		=> 'Kleingartach'],
								(object)['department'		=> 'Mühlbach'],
								(object)['department'		=> 'Richen'],
								(object)['department'		=> 'Rohrbach']
							]
						])

						<div class="form-group">
							* Pflichtfeld
						</div>
						<div class="form-group">
							<button class="btn btn-primary">Anmelden</button>
						</div>
					</form>
				</div>
			</div>
		@endif
		<div class="row mt-3">
			<div class="col-lg-12 social-share">
				@include('inc.social_media.facebook.likeShare')
			</div>
		</div>
	</article>
@endsection