@extends('layouts.front')
@section('content')
<section>
    <div class="lgx-banner lgx-banner-inner">
        <div class="lgx-inner">
            <div class="container">
                <div class="row">
                    <div class="col-xs-12">
                        <div class="lgx-heading-area">
                            <div class="lgx-heading lgx-heading-white">
                                <h2 class="heading-title">Online Inquiry/Registration</h2>
                            </div>
                            <ul class="breadcrumb">
                                <li><a href="{{ url('/') }}"><i class="icon-home6"></i>Home</a></li>
                                <li class="active">Online Inquiry/Registration</li>
                            </ul>
                        </div>
                    </div>
                </div>
                <!--//.ROW-->
            </div>
            <!-- //.CONTAINER -->
        </div>
        <!-- //.INNER -->
    </div>
</section>
<section>
    <div id="lgx-contact" class="lgx-contact">
    <div class="lgx-inner">
        <div class="container" style="background-color: #ffffff; padding: 22px;">
            <div class="row">
                <div class="col-sm-2"></div>
                <div class="col-sm-8 text-center">
                    <h2 class="register-heading">Vidya Shree Academy</h2>
                    <h4 class="register-subtitle">84, Krishna Vihar, Gopalpura ByPass, Jaipur 302015 <br> Email:vsajaipur@gmail.com <br> Phone:+91-80589-99828, 94603-56652</h4>
                    <h5 class="register-form">Registration Form</h5>
                    <p class="notice">Note: All '<span class="text-danger">*</span>' marked fields are mandatory.</p>
                </div>
                <div class="col-sm-2"></div>
            </div>
            <div class="row">
                <div class="col-sm-12 col-md-12">
                    <form method="post" class="" action="{{ route('registration.store') }}">
                        @csrf
                        <h4 class="form-label">Student Details:</h4>
                        <div>&nbsp;</div>
                        <div class="row">
                            <div class="col-md-6">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Select Class For Admission<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <select class="form-control" name="class_id">
                                        <option value=""> - Select Class - </option>
                                        @if(isset($class) && !empty($class))
                                        @foreach($class as $key => $value)
                                        <option value="{{ $value->id }}" @if(old('class_id') == $value->id) selected="selected" @endif>{{ $value->class_name }}</option>
                                        @endforeach
                                        @endif
                                    </select>
                                    @if($errors->has('class_id'))
                                    <span class="text-danger"> {{ $errors->first('class_id') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div class="col-md-6 mob-pd">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Student Name<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <input type="text" name="sname" class="form-control lgxname" placeholder="Student Name" value="{{ old('sname') }}">
                                    @if($errors->has('sname'))
                                    <span class="text-danger"> {{ $errors->first('sname') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div>&nbsp;</div>
                        </div>
                        <div class="row">
                            <div class="col-md-6">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Gender<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <select class="form-control" name="gender">
                                        <option value=""> - Select Gender - </option>
                                        <option value="Male" @if(old('gender') == 'Male') selected="selected" @endif>Male</option>
                                        <option value="Female" @if(old('gender') == 'Female') selected="selected" @endif>Female</option>
                                    </select>
                                    @if($errors->has('gender'))
                                    <span class="text-danger"> {{ $errors->first('gender') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div class="col-md-6 mob-pd">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Date of Birth<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <input type="date" class="form-control lgxname" placeholder="DOB" name="dob" value="{{ old('dob')}}">
                                    @if($errors->has('dob'))
                                    <span class="text-danger"> {{ $errors->first('dob') }} </span>
                                    @endif
                                </div>
                            </div>
                        </div>
                        <div>&nbsp;</div>
                        <h4 class="form-label">Father's Details</h4>
                        <div>&nbsp;</div>
                        <div class="row">
                            <div class="col-md-6">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Father's Name<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <input type="text" class="form-control lgxname" placeholder="Father's Name" name="fname" value="{{ old('fname') }}">
                                    @if($errors->has('fname'))
                                    <span class="text-danger"> {{ $errors->first('fname') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div class="col-md-6 mob-pd">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Mobile Number(Father)<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <input type="text" class="form-control lgxname" placeholder="Mobile Number(Father)" name="fmobile" value="{{ old('fmobile') }}">
                                    @if($errors->has('fmobile'))
                                    <span class="text-danger"> {{ $errors->first('fmobile') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div>&nbsp;</div>
                        </div>
                        <div class="row">
                            <div class="col-md-6">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">WhatsApp Number(Father)<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <input type="text" class="form-control lgxname" placeholder="WhatsApp Number(Father)" name="fwhatsap_no"value="{{ old('fwhatsap_no') }}">
                                    @if($errors->has('fwhatsap_no'))
                                    <span class="text-danger"> {{ $errors->first('fwhatsap_no') }} </span>
                                    @endif
                                </div>
                            </div>
                        </div>
                        <div>&nbsp;</div>
                        <h4 class="form-label">Mother's Details:</h4>
                        <div>&nbsp;</div>
                        <div class="row">
                            <div class="col-md-6">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Mother's Name<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <input type="text" class="form-control lgxname" placeholder="Mother's Name" name="mname" value="{{ old('mname') }}">
                                    @if($errors->has('mname'))
                                    <span class="text-danger"> {{ $errors->first('mname') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div class="col-md-6 mob-pd">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">Mobile Number(Mother)<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-6">
                                    <input type="text" class="form-control lgxname" placeholder="Mobile Number(Mother)" name="mmobile" value="{{ old('mmobile') }}">
                                    @if($errors->has('mmobile'))
                                    <span class="text-danger"> {{ $errors->first('mmobile') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div>&nbsp;</div>
                        </div>
                        <div class="row">
                            <div class="col-md-6">
                                <div class="col-md-6">
                                    <label class="mob-label-pd">WhatsApp Number(Mother)</label>
                                </div>
                                <div class="col-md-6">
                                    <input type="text" class="form-control lgxname" placeholder="WhatsApp Number(Mother)" name="mwhatsap_no" value="{{ old('mwhatsap_no') }}">
                                    @if($errors->has('mwhatsap_no'))
                                    <span class="text-danger"> {{ $errors->first('mwhatsap_no') }} </span>
                                    @endif
                                </div>
                            </div>
                        </div>
                        <div>&nbsp;</div>
                        <h4 class="form-label">Permanent Address:</h4>
                        <div>&nbsp;</div>
                        <div class="row">
                            <div class="col-md-12">
                                <div class="col-md-3">
                                    <label class="mob-label-pd">Address<span class="text-danger">*</span></label>
                                </div>
                                <div class="col-md-9">
                                    <textarea class="form-control lgxmessage" name="address" rows="5" placeholder="Address">{{ old('address') }}</textarea>
                                    @if($errors->has('address'))
                                    <span class="text-danger"> {{ $errors->first('address') }} </span>
                                    @endif
                                </div>
                            </div>
                            <div>&nbsp;</div>
                        </div>
                        <hr>
                        <div class="row">
                            <div class="col-md-12" style="text-align:center;">
                                <input class="text-danger" type="checkbox" name="fees_mode" value="1"> {{-- Do You Want To Convert Your Inquiry/Registration into Admission (Pay rs 1000/- adjustable in fees) --}} The above information is given by me is true and correct and nothing has been concealed there in. 
                                <br>
                                @if($errors->has('fees_mode'))
                                <span class="text-danger"> {{ $errors->first('fees_mode') }} </span>
                                @endif
                            </div>
                            <div class="col-md-12 text-center">
                                <div>&nbsp;</div>
                                <div class="text-center">
                                    <button type="submit" class="btn btn-primary">Submit</button>
                                </div>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</section>
@endsection