Files
2026-02-10 22:11:06 -05:00

27 lines
1.1 KiB
PHP

<div class="container mt-5">
<h2>Edit Emergency Contact</h2>
<form action="<?= base_url('administrator/emergency_contact/update/' . $contact['id']) ?>" method="post">
<?= csrf_field() ?>
<div class="form-group">
<label>Name:</label>
<input type="text" class="form-control" name="emergency_contact_name"
value="<?= esc($contact['emergency_contact_name']) ?>" required>
</div>
<div class="form-group">
<label>Phone:</label>
<input type="text" class="form-control" name="cellphone" value="<?= esc($contact['cellphone']) ?>"
required>
</div>
<div class="form-group">
<label>Relation:</label>
<input type="text" class="form-control" name="relation" value="<?= esc($contact['relation']) ?>"
required>
</div>
<button type="submit" class="btn btn-primary">Update</button>
<a href="<?= base_url('administrator/emergency_contact') ?>" class="btn btn-secondary">Cancel</a>
</form>
</div>