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adopt.php
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44 lines (33 loc) · 2.03 KB
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<?php require("./templates/header.php"); ?>
<?php require("./common.php"); ?>
<?php require("../configs/config.php"); ?>
<div class="container">
<?php require "./templates/nav.php" ?>
<div class="card" style="width: 50%">
<form method="post" style="padding: 20px" action="./submitapplication.php">
<div class="form-group">
<label for="name" class="text-primary">Name</label>
<input class="form-control" id="name" name="name">
<label for="phone" class="text-primary">Phone Number</label>
<input class="form-control" id="phone" name="phone">
<label for="email" class="text-primary">Email Address</label>
<input class="form-control" id="email" name="email">
<label for="address" class="text-primary">Address</label>
<input class="form-control" id="address" name="address">
<label for="currentPets" class="text-primary">Do you have any pets currently?</label>
<select class="form-control" id="currentPets" name="currentPets">
<option>Yes</option>
<option selected>No</option>
</select>
<label for="currentPetDetails" class="text-primary">If you do have current pets, what kind and how many?</label>
<textarea class="form-control" id="currentPetDetails" rows="3" name="currentPetDetails"></textarea>
<label for="animal" class="text-primary">Pet you want to adopt</label>
<input class="form-control" id="animal" name="animal">
<label for="comments" class="text-primary">Comments</label>
<textarea class="form-control" id="comments" rows="3" name="comments"></textarea>
</div>
<input type="submit" class="btn btn-primary" name="submit" value="Submit adoption application">
</form>
</div>
</div> <!-- container -->
<?php require("./templates/footer.php"); ?>