95 lines
5.7 KiB
HTML
95 lines
5.7 KiB
HTML
<!DOCTYPE html>
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<html xmlns:th="http://www.thymeleaf.org">
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<head>
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<meta charset="UTF-8">
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<title>AS Talange - Formulaire d'inscription</title>
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<script src="https://cdn.tailwindcss.com"></script>
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<link href="https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap" rel="stylesheet">
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<style> body { font-family: 'Inter', sans-serif; } </style>
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</head>
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<body class="bg-gray-50 flex items-center justify-center min-h-screen py-12">
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<div class="max-w-xl w-full bg-white rounded-xl shadow-md p-8 border border-gray-100">
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<img src="/images/logo.png" alt="AS Talange" class="h-24 w-auto mx-auto mb-4 object-contain drop-shadow-sm" onerror="this.style.display='none'">
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<h2 class="text-2xl font-bold text-gray-900 mb-2 text-center">Formulaire de pré-inscription</h2>
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<p class="text-sm text-gray-500 mb-8 text-center">Veuillez remplir les informations concernant le futur licencié.</p>
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<form th:action="@{/inscription-public/formulaire}" th:object="${preInscription}" method="post" class="space-y-6">
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<input type="hidden" name="token" th:value="${tokenUuid}" />
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<div class="grid grid-cols-2 gap-4">
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<div>
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<label class="block text-sm font-medium text-gray-700 mb-1">Nom <span class="text-red-500">*</span></label>
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<input type="text" th:field="*{nom}" required class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none uppercase">
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</div>
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<div>
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<label class="block text-sm font-medium text-gray-700 mb-1">Prénom <span class="text-red-500">*</span></label>
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<input type="text" th:field="*{prenom}" required class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none capitalize">
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</div>
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</div>
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<div class="grid grid-cols-1 md:grid-cols-2 gap-4">
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<div>
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<label class="block text-sm font-medium text-gray-700 mb-1">Date de naissance <span class="text-red-500">*</span></label>
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<input type="date" id="dateNaissance" th:field="*{dateNaissance}" required class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none">
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</div>
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<div>
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<label class="block text-sm font-medium text-gray-700 mb-1">Ville de naissance <span class="text-red-500">*</span></label>
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<input type="text" th:field="*{lieuNaissanceVille}" required class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none">
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</div>
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</div>
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<div class="grid grid-cols-1 md:grid-cols-2 gap-4">
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<div>
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<label class="block text-sm font-medium text-gray-700 mb-1">Pays de naissance <span class="text-red-500">*</span></label>
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<input type="text" th:field="*{lieuNaissancePays}" required class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none">
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</div>
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<div>
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<label class="block text-sm font-medium text-gray-700 mb-1">Nationalité <span class="text-red-500">*</span></label>
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<input type="text" th:field="*{nationalite}" required class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none">
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</div>
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</div>
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<div id="representantBlock" class="hidden bg-blue-50 p-4 rounded-lg border border-blue-100">
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<label class="block text-sm font-medium text-blue-800 mb-1">Représentant légal <span class="text-red-500">*</span></label>
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<p class="text-xs text-blue-600 mb-2">Obligatoire pour les mineurs.</p>
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<input type="text" id="representantLegal" th:field="*{representantLegal}" placeholder="Nom et Prénom du parent" class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none">
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</div>
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<div>
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<label class="block text-sm font-medium text-gray-700 mb-1">Email <span class="text-red-500">*</span></label>
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<input type="email" th:field="*{email}" required class="w-full border border-gray-300 rounded-lg px-4 py-2 text-sm focus:ring-2 focus:ring-blue-500 outline-none">
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</div>
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<!-- Removed Adresse -->
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<button type="submit" class="w-full bg-blue-600 hover:bg-blue-700 text-white font-medium py-3 px-4 rounded-lg transition-colors mt-4">
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Soumettre le dossier
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</button>
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</form>
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</div>
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<script>
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document.getElementById('dateNaissance').addEventListener('change', function() {
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const dateInput = this.value;
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const repBlock = document.getElementById('representantBlock');
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const repInput = document.getElementById('representantLegal');
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if (dateInput) {
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const dob = new Date(dateInput);
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const ageDifMs = Date.now() - dob.getTime();
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const ageDate = new Date(ageDifMs);
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const age = Math.abs(ageDate.getUTCFullYear() - 1970);
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if (age < 18) {
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repBlock.classList.remove('hidden');
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repInput.required = true;
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} else {
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repBlock.classList.add('hidden');
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repInput.required = false;
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}
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}
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});
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</script>
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</body>
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</html>
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