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<?php
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/*
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* This Source Code Form is subject to the terms of the Mozilla Public
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* License, v. 2.0. If a copy of the MPL was not distributed with this
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* file, You can obtain one at http://mozilla.org/MPL/2.0/.
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*/
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if (empty($IN_SITE)) {
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die("Access denied.");
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}
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$familyname = "";
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$fathername = "";
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$mothername = "";
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$streetaddress = "";
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$city = "";
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$state = "";
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$zip = "";
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$phone = "";
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$email = "";
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$newsletter_method = "";
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$children = [];
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if (isset($_SESSION['familyid']) && $database->has('families', ['familyid' => $_SESSION['familyid']])) {
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$familyinfo = $database->get("families", ['familyname', 'phone', 'email', 'address', 'city', 'state', 'zip', 'father_name (fathername)', 'mother_name (mothername)', 'newsletter_method'], ['familyid' => $_SESSION['familyid']]);
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$children = $database->select("people", 'personid', ['familyid' => $_SESSION['familyid']]);
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$familyname = $familyinfo['familyname'];
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$fathername = $familyinfo['fathername'];
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$mothername = $familyinfo['mothername'];
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$streetaddress = $familyinfo['address'];
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$city = $familyinfo['city'];
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$state = $familyinfo['state'];
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$zip = $familyinfo['zip'];
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$phone = $familyinfo['phone'];
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$email = $familyinfo['email'];
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$newsletter_method = $familyinfo['newsletter_method'];
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}
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?>
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<div class="container mt-4">
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<form action="actions/submitmembership.php" method="post" id="membershipform">
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<?php
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// Add a hidden form element, to detect if the renewal session
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// expired before we submitted the thing
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if (isset($_SESSION['familyid'])) {
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?>
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<input type="hidden" name="renewing" value="1" />
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<?php
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}
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?>
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<div class="card mb-4">
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<div class="card-body">
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<div class="d-flex flex-wrap justify-content-around">
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<img class="img-fluid" style="max-height: 100px; min-width: 100px;" src="static/hachelogo.svg" alt="HACHE: Helena Area Christian Home Educators"/>
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<div class="ml-auto mr-auto pl-4 align-self-center text-center">
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<?php
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if (isset($_SESSION['familyid'])) {
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echo "<h1>Membership Renewal</h1>";
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} else {
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echo "<h1>Membership Application</h1>";
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}
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?>
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</div>
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</div>
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</div>
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</div>
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<?php
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if (!empty($_GET['error'])) {
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?>
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<div class="card mb-4 bg-danger text-white">
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<div class="card-body">
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<?php echo htmlspecialchars($_GET['error']); ?>
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</div>
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</div>
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<?php
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}
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?>
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<div class="card mb-4">
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<div class="card-header">
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<h3><i class="fas fa-info fa-fw"></i> Basic Information</h3>
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</div>
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<div class="card-body">
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<div class="row">
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<?php
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$textboxes = [
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[
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"label" => "Family Name (Last Name)",
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"icon" => "fas fa-users",
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"name" => "familyname",
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"maxlength" => 100,
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"value" => $familyname,
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"error" => "Enter your last name."
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],
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[
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"label" => "Father's Name",
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"icon" => "fas fa-male",
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"name" => "fathername",
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"maxlength" => 255,
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"value" => $fathername,
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"error" => "Enter the father's name."
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],
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[
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"label" => "Mother's Name",
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"icon" => "fas fa-female",
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"name" => "mothername",
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"maxlength" => 255,
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"value" => $mothername,
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"error" => "Enter the mother's name."
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],
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[
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"label" => "Street Address",
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"icon" => "fas fa-home",
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"name" => "streetaddress",
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"maxlength" => 500,
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"value" => $streetaddress,
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"error" => "Enter your address."
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],
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[
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"label" => "City",
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"icon" => "fas fa-city",
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"name" => "city",
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"maxlength" => 255,
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"width" => 3,
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"value" => $city,
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"error" => "Enter your city."
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],
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[
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"label" => "State",
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"icon" => "fas fa-flag",
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"name" => "state",
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"type" => "select",
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"value" => $state,
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"error" => "Choose a state.",
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"options" => [
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'MT' => 'Montana',
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'AL' => 'Alabama',
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'AK' => 'Alaska',
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'AZ' => 'Arizona',
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'AR' => 'Arkansas',
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'CA' => 'California',
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'CO' => 'Colorado',
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'CT' => 'Connecticut',
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'DE' => 'Delaware',
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'DC' => 'District of Columbia',
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'FL' => 'Florida',
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'GA' => 'Georgia',
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'HI' => 'Hawaii',
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'ID' => 'Idaho',
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'IL' => 'Illinois',
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'IN' => 'Indiana',
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'IA' => 'Iowa',
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'KS' => 'Kansas',
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'KY' => 'Kentucky',
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'LA' => 'Louisiana',
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'ME' => 'Maine',
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'MD' => 'Maryland',
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'MA' => 'Massachusetts',
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'MI' => 'Michigan',
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'MN' => 'Minnesota',
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'MS' => 'Mississippi',
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'MO' => 'Missouri',
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'MT' => 'Montana',
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'NE' => 'Nebraska',
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'NV' => 'Nevada',
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'NH' => 'New Hampshire',
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'NJ' => 'New Jersey',
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'NM' => 'New Mexico',
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'NY' => 'New York',
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'NC' => 'North Carolina',
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'ND' => 'North Dakota',
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'OH' => 'Ohio',
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'OK' => 'Oklahoma',
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'OR' => 'Oregon',
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'PA' => 'Pennsylvania',
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'RI' => 'Rhode Island',
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'SC' => 'South Carolina',
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'SD' => 'South Dakota',
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'TN' => 'Tennessee',
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'TX' => 'Texas',
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'UT' => 'Utah',
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'VT' => 'Vermont',
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'VA' => 'Virginia',
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'WA' => 'Washington',
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'WV' => 'West Virginia',
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'WI' => 'Wisconsin',
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'WY' => 'Wyoming'
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],
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"width" => 2
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],
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[
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"label" => "ZIP/Postal Code",
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"icon" => "fas fa-mail-bulk",
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"name" => "zip",
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"maxlength" => 10,
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"width" => 3,
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"value" => $zip,
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"pattern" => "[0-9]{5}(-?[0-9]{4})?",
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"error" => "Enter a valid 5 or 9 digit ZIP code."
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],
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[
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"label" => "Phone Number",
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"icon" => "fas fa-phone",
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"name" => "phone",
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"type" => "tel",
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"maxlength" => 20,
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"value" => $phone,
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"pattern" => "[0-9]{10}",
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"error" => "Enter a 10-digit phone number (numbers only)."
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],
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[
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"label" => "Email",
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"icon" => "fas fa-at",
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"name" => "email",
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"maxlength" => 255,
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"type" => "email",
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"value" => $email,
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"error" => "Enter your email address."
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],
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[
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"label" => "Newsletter Preference",
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"icon" => "fas fa-newspaper",
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"name" => "newsletter_method",
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"type" => "select",
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"value" => $newsletter_method,
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"options" => [
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"1" => "Email ($25)",
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"2" => "Paper ($35)",
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"3" => "Email and Paper ($35)"
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],
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"error" => "Choose a newsletter option."
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]
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];
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foreach ($textboxes as $item) {
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?>
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<div class="col-12 col-md-<?php echo (empty($item['width']) ? "4" : $item['width']); ?>">
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<div class="form-group mb-3">
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<label class="mb-0"><?php echo $item['label']; ?>:</label>
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<div class="input-group">
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<div class="input-group-prepend">
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<span class="input-group-text"><i class="<?php echo $item['icon']; ?>"></i></span>
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</div>
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<?php if (empty($item['type']) || $item['type'] != "select") { ?>
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<input type="<?php echo (empty($item['type']) ? "text" : $item['type']); ?>"
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name="<?php echo $item['name']; ?>"
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class="form-control"
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placeholder=""
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aria-label="<?php echo $item['label']; ?>"
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maxlength="<?php echo $item['maxlength']; ?>"
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<?php
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if (!empty($item['pattern'])) {
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?>
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pattern="<?php echo $item['pattern']; ?>"
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<?php
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}
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?>
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<?php
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if (!empty($item['value'])) {
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?>
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value="<?php echo htmlspecialchars($item['value']); ?>"
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<?php
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}
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?>required />
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<?php } else if ($item['type'] == "select") { ?>
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<select class="form-control"
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name="<?php echo $item['name']; ?>"
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aria-label="<?php echo $item['label']; ?>"
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required>
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<?php
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foreach ($item['options'] as $value => $label) {
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$selected = "";
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if (!empty($item['value']) && $value == $item['value']) {
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$selected = " selected";
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}
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echo "<option value=\"$value\"$selected>$label</option>\n";
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}
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?>
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</select>
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<?php
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}
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?>
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<div class="invalid-feedback">
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<?php echo $item['error']; ?>
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</div>
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</div>
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</div>
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</div>
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<?php
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}
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?>
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</div>
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<div class="card-text">
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<p>
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The membership fees (determined by your newsletter
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preference) cover costs of the following:
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phone; website; postage; distribution of newsletters and
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directories; publication of materials; library; and other
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HACHE related activities. Dues are reduced as of March 1st.
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HACHE will not restrict membership based on inability to
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pay. HACHE does not mandate curriculum choices or the
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manner in which curriculum is administered. We do encourage
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all members to follow and adhere to MT laws governing home
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schooling.
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</div>
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</div>
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</div>
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<div class="card mb-4">
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<div class="card-header">
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<h3><i class="fas fa-user-graduate fa-fw"></i> Children</h3>
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</div>
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<div class="card-body">
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<div class="card-text">
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<p>
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Please list your children's first names and birth dates. This
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information will appear in our members’ directory. Members
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agree that they will NOT make this information public.
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<div class="list-group" id="child_list">
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<?php
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if (count($children) > 0) {
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foreach ($children as $childid) {
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include __DIR__ . "/template_child_entry.php";
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}
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} else {
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include __DIR__ . "/template_child_entry.php";
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}
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?>
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</div>
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<div class="btn btn-sm btn-primary mt-1" id="add_child_row">
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<i class="fas fa-plus"></i> Add another
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</div>
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</div>
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</div>
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</div>
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<div class="card mb-4">
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<div class="card-header">
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<h3><i class="fas fa-check-circle fa-fw"></i> Consent</h3>
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</div>
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<div class="card-body">
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<div class="card-text">
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<p class="mb-0">HACHE members occasionally take pictures of students during
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home school functions and activities. These photos may be
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used in HACHE displays, brochures, website, etc.
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<p>I give permission for my photos to be included in such displays:
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<span class="form-check form-check-inline">
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<input class="form-check-input" type="radio" name="photo_permission" id="photo_permission" value="1" required>
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<label class="form-check-label" for="photo_permission">Yes</label>
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</span>
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<span class="form-check form-check-inline">
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<input class="form-check-input" type="radio" name="photo_permission" id="photo_permission" value="0" required>
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<label class="form-check-label" for="photo_permission">No</label>
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</span>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="checkbox" value="1" name="agree_terms" id="agree_terms" required>
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<label class="form-check-label" for="agree_terms">
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I/We home school our <span id="child_ren"><?php
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if (count($children) > 1) {
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echo "children";
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} else {
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echo "child";
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}
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?></span> and have read and understand this application. We also agree to abide by HACHE’s policy of common courtesy and respect for one another.
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</label>
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</div>
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</div>
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</div>
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<div class="card mb-4">
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<div class="card-header">
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<h3>
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<span class="fa-layers fa-fw">
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<i class="fas fa-basketball-ball" data-fa-transform="shrink-5 up-4.5 left-4.5"></i>
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<i class="fas fa-book" data-fa-transform="shrink-5 right-4.5 down-4.5"></i>
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</span>
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Activities
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</h3>
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</div>
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<div class="card-body">
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<div class="card-text">
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<p>HACHE is an all-volunteer organization. Listed below are events
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and activities that may occur throughout the year. If you are
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interested in helping with one or more of these events please
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select any and all events of interest so we can get you in touch
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with the member in charge of said event. Please feel free to
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contact Steering Committee members or the newsletter editor with
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ideas for field trips and or other activities that may be
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enjoyed by all. (Not all of these events are specifically
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HACHE events, but rather events HACHE supported events our
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members have participated in and enjoyed in past years.)
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</div>
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<?php
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$events = $database->select('events', ['eventid (id)', 'event (name)']);
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$eventcount = count($events);
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$cola = [];
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$colb = [];
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for ($i = 0; $i < $eventcount; $i++) {
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if ($i % 2 === 0) {
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$cola[] = $events[$i];
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} else {
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$colb[] = $events[$i];
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}
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}
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?>
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<div class="row">
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<div class="col-12 col-md-6">
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<ul class="list-group">
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<?php
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foreach ($cola as $ev) {
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?>
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<li class="list-group-item">
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<div class="form-check form-check-inline">
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|
<input class="form-check-input" type="checkbox" id="events_<?php echo $ev['id']; ?>" value="<?php echo $ev['id']; ?>" name="events[]">
|
|
|
<label class="form-check-label" for="events_<?php echo $ev['id']; ?>"><?php echo $ev['name']; ?></label>
|
|
|
</div>
|
|
|
</li>
|
|
|
<?php
|
|
|
}
|
|
|
?>
|
|
|
</ul>
|
|
|
</div>
|
|
|
|
|
|
<div class="col-12 col-md-6">
|
|
|
<ul class="list-group">
|
|
|
<?php
|
|
|
foreach ($colb as $ev) {
|
|
|
?>
|
|
|
<li class="list-group-item">
|
|
|
<div class="form-check form-check-inline">
|
|
|
<input class="form-check-input" type="checkbox" id="events_<?php echo $ev['id']; ?>" value="<?php echo $ev['id']; ?>" name="events[]">
|
|
|
<label class="form-check-label" for="events_<?php echo $ev['id']; ?>"><?php echo $ev['name']; ?></label>
|
|
|
</div>
|
|
|
</li>
|
|
|
<?php
|
|
|
}
|
|
|
?>
|
|
|
</ul>
|
|
|
</div>
|
|
|
</div>
|
|
|
|
|
|
</div>
|
|
|
</div>
|
|
|
|
|
|
<div class="card mb-4">
|
|
|
<div class="card-header">
|
|
|
<h3><i class="fas fa-dollar-sign fa-fw"></i> Pay and Submit</h3>
|
|
|
</div>
|
|
|
<div class="card-body">
|
|
|
<div class="card-text text-success mb-1">
|
|
|
<i class="fas fa-lock"></i> We can't see your card info; it's sent directly and securely from your computer to our payment processor.
|
|
|
</div>
|
|
|
<label for="card-element">
|
|
|
Credit or debit card
|
|
|
</label>
|
|
|
<div id="card-element" class="form-control">
|
|
|
|
|
|
</div>
|
|
|
<div id="card-errors" class="alert alert-danger d-none"></div>
|
|
|
<input type="hidden" name="stripeToken" id="stripe-token" required />
|
|
|
</div>
|
|
|
<div class="card-footer">
|
|
|
<button type="submit" class="btn btn-primary" id="savebutton">
|
|
|
<span id="savebutton-text">
|
|
|
<i class="fas fa-arrow-right"></i> Submit<span class="d-none d-sm-inline"> Application and Payment</span>
|
|
|
</span>
|
|
|
<span id="savebutton-wait" class="d-none">
|
|
|
<i class="fas fa-spinner fa-spin"></i> Working...
|
|
|
</span>
|
|
|
</button>
|
|
|
</div>
|
|
|
</div>
|
|
|
</form>
|
|
|
</div>
|
|
|
|
|
|
<script src="https://js.stripe.com/v3/"></script>
|
|
|
<script>
|
|
|
var stripe_pubkey = '<?php echo $SETTINGS["stripe"]["pubkey"]; ?>';
|
|
|
</script>
|
|
|
<script src="static/signup.js"></script>
|