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<?php ?> <!-- Start Tab Section --> <section class="pad100"> <div class="container"> <div class="row"> <div class="section-title text-center"> <h3>Multiple Team Registration</h3> </div> </div> <div class="row"> <form id="contactForm" action="<?php echo base_url()."home/add_organizer"?>" class="contact-form" method="post" role="form"> <div class="col-md-6"> <div class="messages" style="padding-bottom: 10px; text-align: center;"><h4>Employer Information</h4></div> <div class="controls"> <div class="row"> <div class="col-md-12"> <div class="form-group"> <label class="control-label" for="employer_name"><?php _e("Employer Name"); ?></label> <input autocomplete="off" style="margin-bottom: 0px !important;" id="employer_name" type="text" maxlength="100" name="employer_name" class="form-control" placeholder="Employer Name *" required="required" data-error="Employer Name is required."> <div id="suggesstion-box"></div> <div id="employer_name_err" class="help-block with-errors"></div> </div> <div class="form-group"> <label class="control-label" for="role"><?php _e("Type"); ?></label> <select name="employer_type" id="employer_type" class="form-control"> <option value="S">State & Federal Govt</option> <option value="C">Corporation & Businesses</option> <option value="N">Nonprofit & Local</option> <option value="O">Open</option> </select> </div> <div class="form-group"> <label class="control-label" for="employer_address"><?php _e("Street Address"); ?></label> <input id="employer_address" type="text" maxlength="150" name="employer_address" class="form-control" placeholder="Street Address *" required="required" data-error="Employer Street Address is required."> <div id="employer_address_err" class="help-block with-errors"></div> </div> <div class="form-group"> <label class="control-label" for="employer_city"><?php _e("City"); ?></label> <input id="employer_city" type="text" maxlength="50" name="employer_city" class="form-control" placeholder="City *" required="required" data-error="Employer City is required."> <div id="employer_city_err" class="help-block with-errors"></div> </div> <div class="form-group"> <label class="control-label" for="role"><?php _e("State"); ?></label> <select name="employer_state" id="employer_state" class="form-control"> <option value="AL" >Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District Of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT" selected>Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </select> </div> <div class="form-group"> <label class="control-label" for="employer_zip"><?php _e("ZIP Code"); ?></label> <input id="employer_zip" pattern="[0-9]{5}" maxlength="5" name="employer_zip" class="form-control" placeholder="ZIP Code *" required="required" data-error="Please enter only digits with 5 characters"> <div id="employer_zip_err" class="help-block with-errors"></div> </div> </div> </div> </div> </div> <div class="col-md-6"> <div class="messages" style="padding-bottom: 10px; text-align: center;"><h4>Organizer Information</h4></div> <div class="controls"> <div class="row"> <div class="col-md-12"> <div class="form-group"> <label class="control-label" for="organizer_name"><?php _e("Organizer's Full Name"); ?></label> <input style="margin-bottom: 0px !important;" id="organizer_name" type="text" maxlength="100" autocomplete="off" name="organizer_name" class="form-control" placeholder="Organizer's Full Name *" required="required" data-error="Organizer's Full Name is required."> <div class="help-block with-errors" ></div><div id="check_team_name" style="color: #a94442;"></div> <input type="hidden" name="email_exists" id="email_exists" value="N"> <input type="hidden" name="team_exists" id="team_exists" value="N"> <input type="hidden" name="isNewEmployer" id="isNewEmployer" value="N"> </div> <div class="form-group"> <label class="control-label" for="organizer_email"><?php _e("Email Address"); ?></label> <input id="form_email" type="email" autocomplete="off" name="organizer_email" class="form-control" placeholder="Email Address *" required="required" data-error="Valid email is required."> <div class="help-block with-errors"></div><div id="check_org_email" style="color: #a94442;"></div> </div> <div class="form-group"> <label class="control-label" for="con_organizer_email"><?php _e("Confirm Email Address"); ?></label> <input id="con_organizer_email" type="text" autocomplete="off" name="con_organizer_email" class="form-control" placeholder="Confirm Email Address *" data-error="Confirm Email Address is required."> <div id="confirm_email" style="color: #a94442;"></div> </div> <div class="form-group"> <label class="control-label" for="password"><?php _e("Password"); ?></label> <input id="password" type="password" maxlength="32" name="password" class="form-control" placeholder="Password *" required="required" data-error="Password is required."> <div class="help-block with-errors"></div><div id="divPassLen" style="color: #a94442;"></div> </div> <div class="form-group"> <label class="control-label" for="c_password"><?php _e("Confirm Password"); ?></label> <input id="c_password" type="password" maxlength="32" name="c_password" class="form-control" placeholder="Confirm Password *" data-error="Confirm Password is required."> <div class="help-block with-errors"></div><div id="divCheckPasswordMatch" style="color: #a94442;"></div> </div> <div class="form-group"> <div class="g-recaptcha" data-callback="recaptchaCallback" style="transform:scale(.77);-webkit-transform:scale(.77);transform-origin:0 0;-webkit-transform-origin:0 0;" data-sitekey="6Le5OjwUAAAAADSA1l5jTeYjomg8GtKov8t29QIB"></div> <div id="captcha_msg" style="color: #a94442;"></div> </div> </div> </div> </div> </div> <div class="row"> <div class="col-md-12" style="text-align: center;"> <input type="submit" id="submit_btn" class="btn btn-primary" value="Submit"> </div> </div> </form> </div> </div> </section> <!-- End Tab Section --> <!-- Start Service Section --> <section class=""> <div class="container"> <div class="row"> <div class="col-md-12 mb30"> <div class="section-title left mb50"> <h3 style="font-size: 34px;">Note</h3> </div> <ul class="fa-ul"> <li><i class="fa-li fa fa-check-square"></i>If your team participates with a substitute or any other changes that should have been reported prior to May 8, 2017 at Midnight, your team will automatically be disqualified.</li> <li><i class="fa-li fa fa-check-square"></i>Each Team Member MUST Sign the Registration Form.</li> <li><i class="fa-li fa fa-check-square"></i>All qualified teams must consist of 3 persons. If less than 3, the team will not be eligible for an award.</li> <li><i class="fa-li fa fa-check-square"></i>All members on a team must be all walkers or runners not combined.</li> <li><i class="fa-li fa fa-check-square"></i>The age of each participant must be at least 16 years old (with parental permission if age = 16 or 17).</li> <li><i class="fa-li fa fa-check-square"></i>All members on a team must be employees, part or full time or retirees of the same employer.</li> <li><i class="fa-li fa fa-check-square"></i>If you work for the State of Vermont then your team must consist of individuals from the same Agency. </li> <li><i class="fa-li fa fa-check-square"></i>A violation of any of the above rules will result in disqualification of your team.</li> </ul> <a href="#" class="btn btn-primary mt20">View Info & rules</a> </div> </div> </div> </section> <script> $(document).ready(function(){ $('#contactForm').validator(); $("#c_password").keyup(checkPasswordMatch); $("#password").keyup(checkPasswordLength); $("#con_organizer_email").keyup(checkEmailMatch); $("#employer_name").keyup(function(){ $.ajax({ type: "POST", url: "<?php echo base_url()?>home/getEmployer_name", data:'keyword='+$(this).val(), beforeSend: function(){ //$("#search-box").css("background","#FFF url(LoaderIcon.gif) no-repeat 165px"); }, success: function(data){ $("#suggesstion-box").show(); $("#suggesstion-box").html(data); //$("#search-box").css("background","#FFF");jFrFrnYgcvJhQYsh } }); }); $("#form_email").keyup(function(){ $.ajax({ type: "POST", url: "<?php echo base_url()?>home/checkOrgEmail", data:'oemail='+$(this).val(), success: function(data3){ $("#check_team_email").show(); if(data3=='Y'){ $("#check_org_email").html("<p>Email Already Exists!</p>"); $("#email_exists").val('Y'); } if(data3=='N'){ $("#check_org_email").html(""); $("#email_exists").val('N'); } } }); }); }); function selectEmployer(eid) { $.ajax({ type:"POST", url:"<?php echo base_url()?>home/getEmployerDetails", data:{eid:eid}, dataType:"json", success:function(response) { $("#employer_name").val(response[0].employer_name);$("#employer_name").prop("disabled", true); $("#employer_type").val(response[0].employer_type);$("#employer_type").prop("disabled", true); $("#employer_address").val(response[0].employer_address);$("#employer_address").prop("disabled", true); $("#employer_city").val(response[0].employer_city);$("#employer_city").prop("disabled", true); $("#employer_state").val(response[0].employer_state);$("#employer_state").prop("disabled", true); $("#employer_zip").val(response[0].employer_zip);$("#employer_zip").prop("disabled", true); $("#isNewEmployer").val(response[0].eid); $("#suggesstion-box").hide(); $("#employer_name_err").hide(); $("#employer_address_err").hide(); $("#employer_city_err").hide(); $("#employer_zip_err").hide(); } }); } $('#contactForm').submit(function() { var recaptcha = $("#g-recaptcha-response").val(); if ($.trim($("#team_exists").val()) == "Y" || $.trim($("#email_exists").val()) == "Y" || recaptcha === "") { alert('Please Check your inputs!'); $("#captcha_msg").html("<p>Please check the recaptcha</p>"); return false; }else{ $body = $("body"); $body.addClass("loading"); return true; } }); function recaptchaCallback() { $("#captcha_msg").hide(); }; //http://jsfiddle.net/rpP4K/ //http://stackoverflow.com/questions/9717588/checking-password-match-while-typing function checkPasswordMatch() { var password = $("#password").val(); var confirmPassword = $("#c_password").val(); if (password != confirmPassword) $("#divCheckPasswordMatch").html("Passwords do not match!"); else $("#divCheckPasswordMatch").html(""); } function checkPasswordLength() { var password = $("#password").val().length; if (password < 8){ $("#divPassLen").html("Password must be at least 8 characters long!"); } else $("#divPassLen").html(""); } function checkEmailMatch() { var email = $("#form_email").val(); var confirmEmail = $("#con_organizer_email").val(); if (email != confirmEmail) $("#confirm_email").html("Email do not match!"); else $("#confirm_email").html(""); } </script>