templates/app/child/registration-certificate-modal.html.twig line 1

  1. <div
  2.   id="registration-certificate-modal"
  3.   class="modal fade"
  4.   tabindex="-1"
  5.   role="dialog"
  6.   aria-labelledby="registration-certificate-modal-label"
  7.   aria-hidden="true"
  8.   data-bs-backdrop="static"
  9.   data-bs-keyboard="true"
  10. >
  11.   <div class="modal-dialog modal-md">
  12.     <form
  13.       action="{{ path('app_child_registration_certificate') }}"
  14.       method="POST"
  15.     >
  16.       <div class="modal-content">
  17.         <div class="modal-header">
  18.           <h5 class="modal-title" id="registration-certificate-modal-label">
  19.             {% trans %} Générer un certificat d'enregistrement {% endtrans %}
  20.           </h5>
  21.           <button
  22.             type="button"
  23.             class="btn-close"
  24.             data-bs-dismiss="modal"
  25.             aria-label="Close"
  26.           ></button>
  27.         </div>
  28.         <div class="modal-body">
  29.           <input
  30.             type="hidden"
  31.             id="child_registration_certificate_id"
  32.             name="child_registration_certificate[id]"
  33.           />
  35.           <div class="mb-3 row">
  36.             <label class="col-sm-3 col-form-label">
  37.               <label for="child_registration_certificate_company">
  38.                 {% trans %} Crèche {% endtrans %}
  39.               </label>
  40.             </label>
  41.             <div class="col-sm-8">
  42.               <input
  43.                 disabled
  44.                 type="text"
  45.                 id="child_registration_certificate_company"
  46.                 name="child_registration_certificate[company]"
  47.                 required="required"
  48.                 class="form-control"
  49.                 placeholder=""
  50.                 value="{{ company ? company.name : '' }}"
  51.               />
  52.             </div>
  53.           </div>
  55.           <div class="mb-3 row">
  56.             <label class="col-sm-3 col-form-label">
  57.               <label for="child_registration_certificate_manager">
  58.                 {% trans %} Directrice {% endtrans %}
  59.               </label>
  60.             </label>
  61.             <div class="col-sm-8">
  62.               <input
  63.                 type="text"
  64.                 id="child_registration_certificate_manager"
  65.                 name="child_registration_certificate[manager]"
  66.                 required="required"
  67.                 class="form-control"
  68.                 placeholder=""
  69.                 value="{{ app.user ? app.user.getLastName : '' }} {{
  70.                   app.user ? app.user.getFirstName : ''
  71.                 }}"
  72.               />
  73.             </div>
  74.           </div>
  76.           <br />
  78.           <div class="mb-3 row">
  79.             <label class="col-sm-3 col-form-label">
  80.               <label for="child_registration_certificate_child_name">
  81.                 {% trans %} Enfant {% endtrans %}
  82.               </label>
  83.             </label>
  84.             <div class="col-sm-8">
  85.               <input
  86.                 disabled
  87.                 type="text"
  88.                 id="child_registration_certificate_child_name"
  89.                 name="child_registration_certificate[child_name]"
  90.                 required="required"
  91.                 class="form-control"
  92.               />
  93.             </div>
  94.           </div>
  96.           <div class="mb-3 row">
  97.             <label class="col-sm-3 col-form-label">
  98.               <label for="child_registration_certificate_child_date_of_birth">
  99.                 {% trans %} Date de naissance {% endtrans %}
  100.               </label>
  101.             </label>
  102.             <div class="col-sm-8">
  103.               <input
  104.                 disabled
  105.                 type="text"
  106.                 id="child_registration_certificate_child_date_of_birth"
  107.                 name="child_registration_certificate[child_date_of_birth]"
  108.                 class="form-control"
  109.               />
  110.             </div>
  111.           </div>
  113.           <div class="mb-3 row">
  114.             <label class="col-sm-3 col-form-label">
  115.               <label for="child_registration_certificate_child_place_of_birth">
  116.                 {% trans %} Lieu de naissance {% endtrans %}
  117.               </label>
  118.             </label>
  119.             <div class="col-sm-8">
  120.               <input
  121.                 type="text"
  122.                 id="child_registration_certificate_child_place_of_birth"
  123.                 name="child_registration_certificate[child_place_of_birth]"
  124.                 class="form-control"
  125.               />
  126.             </div>
  127.           </div>
  129.           <br />
  131.           <div class="mb-3 row">
  132.             <label class="col-sm-3 col-form-label">
  133.               <label for="child_registration_certificate_child_start_date">
  134.                 {% trans %} Date de début {% endtrans %}
  135.               </label>
  136.             </label>
  137.             <div class="col-sm-8">
  138.               <input
  139.                 type="text"
  140.                 id="child_registration_certificate_child_start_date"
  141.                 name="child_registration_certificate[child_start_date]"
  142.                 class="form-control"
  143.               />
  144.             </div>
  145.           </div>
  147.           <div class="mb-3 row">
  148.             <label class="col-sm-3 col-form-label">
  149.               <label for="child_registration_certificate_child_end_date">
  150.                 {% trans %} À {% endtrans %}
  151.               </label>
  152.             </label>
  153.             <div class="col-sm-8">
  154.               <input
  155.                 type="date"
  156.                 id="child_registration_certificate_child_end_date"
  157.                 name="child_registration_certificate[child_end_date]"
  158.                 class="form-control"
  159.               />
  160.             </div>
  161.           </div>
  163.           <div class="mb-3 row">
  164.             <label class="col-sm-3 col-form-label"></label>
  165.             <div class="col-sm-8">
  166.               <div class="form-check form-switch form-switch-md mb-3" dir="ltr">
  167.                 <input
  168.                   type="checkbox"
  169.                   class="form-check-input"
  170.                   name="child_registration_certificate[to_this_day]"
  171.                   id="child_registration_certificate_to_this_day"
  172.                 />
  173.                 <label
  174.                   class="form-check-label"
  175.                   for="child_registration_certificate_to_this_day"
  176.                 >
  177.                   {% trans %} À ce jour {% endtrans %}
  178.                 </label>
  179.               </div>
  180.             </div>
  181.           </div>
  182.         </div>
  183.         <div class="modal-footer">
  184.           <button
  185.             type="button"
  186.             class="btn btn-secondary waves-effect"
  187.             data-bs-dismiss="modal"
  188.           >
  189.             {% trans %} Annuler {% endtrans %}
  190.           </button>
  191.           <button
  192.             type="submit"
  193.             class="btn btn-primary waves-effect waves-light"
  194.           >
  195.             {% trans %} Imprimer {% endtrans %}
  196.           </button>
  197.         </div>
  198.       </div>
  199.     </form>
  200.   </div>
  201. </div>