internetprogrammierung/segments/_entryForm.php
2018-06-11 00:24:37 +02:00

184 lines
9.2 KiB
PHP

<!-- Container fuer entry form-->
<div class="container">
<div class="row">
<div class="col-12">
<form id="entry-form" action="index.php" method="post">
<!-- Vorname-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Vorname*</span>
</div>
<input type="text" class="form-control" name="entryVorname" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Nachname-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Nachname*</span>
</div>
<input type="text" class="form-control" name="entryNachname" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Geburtstag-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Geburtstag</span>
</div>
<input type="text" class="form-control" name="entryGeburtstag" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Wohnort-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Wohnort</span>
</div>
<input type="text" class="form-control" name="entryOrt" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Strasse-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Straße</span>
</div>
<input type="text" class="form-control" name="entryStraße" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Woher kennen-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Woher kennen wir uns?*</span>
</div>
<input type="text" class="form-control" name="entryKennen" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Festnetz-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Festnetz</span>
</div>
<input type="text" class="form-control" name="entryFestnetz" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Handynummer-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Handynummer</span>
</div>
<input type="text" class="form-control" name="entryHandy" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- E-Mail-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">E-Mail*</span>
</div>
<input type="text" class="form-control" name="entryMail" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Hobbies-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Hobbies</span>
</div>
<input type="text" class="form-control" name="entryHobbies" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Berufswunsch-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Berufswunsch</span>
</div>
<input type="text" class="form-control" name="entryBeruf" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Essen-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Das könnte ich jeden Tag essen</span>
</div>
<input type="text" class="form-control" name="entryEssen" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Insel-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Was ich auf eine Insel mitnehmen würde</span>
</div>
<input type="text" class="form-control" name="entryInsel" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Film-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Lieblingsfilm</span>
</div>
<input type="text" class="form-control" name="entryFilm" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Sport-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Lieblingssport</span>
</div>
<input type="text" class="form-control" name="entrySport" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Charaker-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Coolster Film oder Spielecharaker</span>
</div>
<input type="text" class="form-control" name="entryCharakter" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Tier -->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Mein Lieblingstier</span>
</div>
<input type="text" class="form-control" name="entryTier" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Musik -->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Lieblingsmusik(Genre, Interpret, Titel)</span>
</div>
<input type="text" class="form-control" name="entryMusik" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Game -->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Geilstes Game</span>
</div>
<input type="text" class="form-control" name="entryGame" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Alk-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Lieblings alkoholisches Getränk</span>
</div>
<input type="text" class="form-control" name="entryAlk" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Story-->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Meine heftigste Suffstory</span>
</div>
<input type="text" class="form-control" name="entryStory" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Absturz -->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Letzer Absturz</span>
</div>
<input type="text" class="form-control" name="entryAbsturz" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Trinkspiel -->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Lieblings Trinkspiel</span>
</div>
<input type="text" class="form-control" name="entryTrinkspiel" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- TAN -->
<div class="input-group input-group-sm mb-3">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroup-sizing-sm">Eintrags-TAN*</span>
</div>
<input type="text" class="form-control" name="entryTan" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
</div>
<!-- Absenden Button-->
<div class="modal-footer">
<button id="entry" type="submit" class="btn btn-primary">Absenden</button>
</div>
</form>
</div>
</div>
</div> <!-- Ende container entry form -->