templates/registration/_formJunior.html.twig line 1

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  2.         <div class="col-md-6 col-12">
  3.             <label for="nom" class="text-muted">{{ '%nom%'|trans|capitalize }} (*)</label>
  4.             <input name="nom" class="form-control" required/>
  5.         </div>
  6.         <div class="col-md-6 col-12">
  7.             <div class="form-group">
  8.             <label for="prenom" class="text-muted">{{ '%prenom%'|trans|capitalize }} (*)</label>
  9.                 <input type="text" name="prenom" class="form-control" required/>
  10.             </div>
  11.         </div>
  12.         <div class="col-md-6 col-12">
  13.             <div class="form-group">
  14.             <label for="tel" class="text-muted">{{ '%Phone%'|trans|capitalize }} (*)</label>
  15.                 <input type="tel" name="tel" class="form-control" required onkeyup="this.value = this.value.replace(/[^0-9-]/g, '');"/>
  16.             </div>
  17.         </div>
  18.         <div class="col-md-6 col-12">
  19.             <div class="form-group">
  20.             <label for="email" class="text-muted">{{ '%E-mail%'|trans|capitalize }} (*)</label>
  21.                 <input type="email" name="email" class="form-control" required/>
  22.             </div>
  23.         </div>
  24.         <div class="col-md-6 col-12">
  25.             <div class="form-group">
  26.             <label for="password" class="text-muted">{{ '%Password%'|trans|capitalize }} (*)</label>
  27.                 <input type="password" name="plainPassword" class="form-control" minlength="6" required/>
  28.             </div>
  29.         </div>
  30.         <div class="col-md-6">
  31.             <label for="photoUser" class="text-muted">{{ '%uploadphotoUser%'|trans }} </label>
  32.             <input type="file" name="photoUser" value="photoUser" placeholder="{{ '%uploadphotoUser%'|trans }}" class="form-control" />
  33.         </div>
  34.         <div class="col-md-6 col-12">
  35.             <div class="form-group">
  36.             <label for="civilite" class="text-muted">{{ '%civilite%'|trans|capitalize }} (*)</label>
  37.                 <select name="civilite" id="civilite-select" class="form-control">
  38.                     <option value="Madame">{{'%Madame%'|trans}}</option>
  39.                     <option value="Mademoiselle">{{'%Mademoiselle%'|trans}}</option>
  40.                     <option value="Monsieur">{{'%Monsieur%'|trans}}</option>
  41.                 </select>
  42.             </div>
  43.         </div>
  44.         <div class="col-md-6 col-12">
  45.             <div class="form-group">
  46.                 {{ include('registration/_specialite.html.twig') }}
  47.             </div>
  48.         </div>
  49.         <div class="col-md-6 col-12">
  50.             <div class="form-group">
  51.             <label for="addresse" class="text-muted">{{ '%Address%'|trans|capitalize }}</label>
  52.                 <input type="text" name="addresse" class="form-control"/>
  53.             </div>
  54.         </div>
  55.         <div class="col-md-6">
  56.             <label for="pays" class="text-muted">{{'%pays%'|trans|capitalize }} (*)</label>
  57.             <input type="text" name="pays" class="form-control" required/>
  58.         </div>
  59.         <div class="col-md-6 col-12">
  60.             <div class="form-group">
  61.             <label for="ville" class="text-muted">{{ '%Ville%'|trans|capitalize }}</label>
  62.                 <input type="text" name="ville" class="form-control" />
  63.             </div>
  64.         </div>
  65.         <div class="col-md-6 col-12">
  66.             <div class="form-group">
  67.             <label for="code_postal" class="text-muted">{{ '%CodePostal%'|trans|capitalize }}</label>
  68.                 <input type="number" name="code_postal" class="form-control"/>
  69.             </div>
  70.         </div>
  71.         
  72.         <div class="col-md-6 offset-md-3">
  73.             <label for="proofofStatus" class="text-muted">{{ '%proofofStatus%'|trans }} (*)</label>
  74.             <input type="file" name="proofofStatus" value="proofofStatus" placeholder="{{ '%proofofStatus%'|trans }}" class="form-control" required/>
  75.         </div>
  76.