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

47 lines
1.6 KiB
HTML

<div id="student-form-template" class="d-none">
<div class="student-form">
<h4 class="form-title">Student-# Information</h4>
<div class="mb-3">
<label>Was your child with us last year? *</label><br>
<input type="radio" class="lastYearRadio" name="last_year_#" value="yes" required> Yes
<input type="radio" class="lastYearRadio" name="last_year_#" value="no" required> No
</div>
<div class="mb-3">
<label>First Name</label>
<input type="text" name="studentFirstName[]" class="form-control" required>
</div>
<div class="mb-3">
<label>Last Name</label>
<input type="text" name="studentLastName[]" class="form-control" required>
</div>
<div class="mb-3">
<label>Date of Birth</label>
<input type="date" name="dob[]" class="form-control" required>
</div>
<div class="mb-3">
<label>School Grade</label>
<select name="registration_grade[]" class="form-select dynamic-grade" required>
<option value="">Select School Grade</option>
</select>
</div>
<div class="mb-3">
<label>Gender</label>
<select name="gender[]" class="form-select" required>
<option value="">Select Gender</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
</select>
</div>
<div class="text-end">
<button type="button" class="btn btn-danger remove-student">Remove</button>
</div>
</div>
</div>