root
94 lines
4.5 KiB
PHP
94 lines
4.5 KiB
PHP
<?php
|
|
$fullName = trim($contact['emergency_contact_name'] ?? '');
|
|
$nameParts = explode(' ', $fullName, 2);
|
|
$firstName = $nameParts[0] ?? '';
|
|
$lastName = $nameParts[1] ?? '';
|
|
?>
|
|
|
|
<div class="modal fade" id="editEmergencyContact<?= $contact['id'] ?>" tabindex="-1" aria-labelledby="editEmergencyContactLabel<?= $contact['id'] ?>" aria-hidden="true">
|
|
<div class="modal-dialog">
|
|
<form method="post" action="<?= site_url('parent/edit_emergency_contact/' . $contact['id']) ?>" onsubmit="return validateEmergencyContactForm(<?= $contact['id'] ?>)">
|
|
<?= csrf_field() ?>
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<h5 class="modal-title" id="editEmergencyContactLabel<?= $contact['id'] ?>">Edit Emergency Contact</h5>
|
|
<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
|
|
</div>
|
|
|
|
<div class="modal-body">
|
|
<!-- First Name -->
|
|
<div class="form-group mb-3">
|
|
<label for="emergencyFirstName<?= $contact['id'] ?>">First Name</label>
|
|
<input type="text"
|
|
id="emergencyFirstName<?= $contact['id'] ?>"
|
|
name="emergency_first_name"
|
|
class="form-control"
|
|
value="<?= esc($firstName) ?>"
|
|
required
|
|
maxlength="30"
|
|
title="Only letters, spaces, hyphens, and apostrophes allowed">
|
|
</div>
|
|
|
|
<!-- Last Name -->
|
|
<div class="form-group mb-3">
|
|
<label for="emergencyLastName<?= $contact['id'] ?>">Last Name</label>
|
|
<input type="text"
|
|
id="emergencyLastName<?= $contact['id'] ?>"
|
|
name="emergency_last_name"
|
|
class="form-control"
|
|
value="<?= esc($lastName) ?>"
|
|
required
|
|
maxlength="30"
|
|
title="Only letters, spaces, hyphens, and apostrophes allowed">
|
|
</div>
|
|
|
|
<!-- Phone -->
|
|
<div class="form-group mb-3">
|
|
<label for="cellPhone<?= $contact['id'] ?>">Cell Phone</label>
|
|
<input type="tel"
|
|
id="cellPhone<?= $contact['id'] ?>"
|
|
name="cellphone"
|
|
class="form-control"
|
|
value="<?= esc($contact['cellphone']) ?>"
|
|
required
|
|
maxlength="14"
|
|
inputmode="numeric"
|
|
title="Enter a valid 10-digit phone number">
|
|
</div>
|
|
|
|
<!-- Email -->
|
|
<div class="form-group mb-3">
|
|
<label for="email<?= $contact['id'] ?>">Email</label>
|
|
<input type="email"
|
|
id="email<?= $contact['id'] ?>"
|
|
name="email"
|
|
class="form-control"
|
|
value="<?= esc($contact['email'] ?? '') ?>"
|
|
required
|
|
maxlength="50"
|
|
title="Enter a valid email address">
|
|
</div>
|
|
|
|
<!-- Relation -->
|
|
<div class="form-group mb-3">
|
|
<label for="relation<?= $contact['id'] ?>">Relation</label>
|
|
<input type="text"
|
|
id="relation<?= $contact['id'] ?>"
|
|
name="relation"
|
|
class="form-control"
|
|
value="<?= esc($contact['relation']) ?>"
|
|
required
|
|
maxlength="30"
|
|
title="Only letters, spaces, hyphens, and apostrophes allowed">
|
|
</div>
|
|
</div>
|
|
|
|
<div class="modal-footer">
|
|
<button type="submit" class="btn btn-primary">Save Changes</button>
|
|
<button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Cancel</button>
|
|
</div>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</div>
|