root
58 lines
2.2 KiB
HTML
58 lines
2.2 KiB
HTML
<div id="student-form-template" class="d-none">
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<div class="student-form">
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<h4 class="form-title">Student-# Information</h4>
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<input type="hidden" name="last_year_#" value="no" data-last-year-default>
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<div class="mb-3">
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<label>First Name</label>
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<input type="text" name="studentFirstName[]" class="form-control" required>
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</div>
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<div class="mb-3">
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<label>Last Name</label>
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<input type="text" name="studentLastName[]" class="form-control" required>
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</div>
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<div class="mb-3">
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<label>Date of Birth</label>
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<input type="date" name="dob[]" class="form-control" required>
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</div>
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<div class="mb-3">
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<label>School Grade</label>
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<select name="registration_grade[]" class="form-select dynamic-grade" required>
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<option value="">Select School Grade</option>
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<option value="NA">Not enrolled in public school</option>
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<option value="KG">Pre-K / Kindergarten</option>
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<option value="1">Grade 1</option>
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<option value="2">Grade 2</option>
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<option value="3">Grade 3</option>
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<option value="4">Grade 4</option>
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<option value="5">Grade 5</option>
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<option value="6">Grade 6</option>
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<option value="7">Grade 7</option>
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<option value="8">Grade 8</option>
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<option value="9">Grade 9</option>
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<option value="10">Grade 10</option>
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<option value="11">Grade 11</option>
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<option value="12">Grade 12</option>
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</select>
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</div>
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<div class="mb-3">
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<label>Gender</label>
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<select name="gender[]" class="form-select" required>
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<option value="">Select Gender</option>
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<option value="Male">Male</option>
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<option value="Female">Female</option>
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</select>
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</div>
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<div class="text-end">
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<button type="button" class="btn btn-danger remove-student">Remove</button>
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</div>
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</div>
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</div>
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