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ericli1018
2025-06-13 12:29:06 +08:00
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resources/views/activitiesParticipantPlayFillForm.blade.php Normal file
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@extends('layouts.app')
@section('content')
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 main-area">
<h1 style="text-align: center;">活動站</h1>
<h3 style="text-align: center;"><hr style="width:2em; display: inline-block"></h3>
<h2 style="text-align: center;">快問快答抽獎登記</h2>
<form method="POST" action="?" style="font-size: 1.4em;">
@csrf
@if ($errors->any())
<div class="text-left mt-3 alert alert-block alert-dismissible alert-danger">
<span type="button" class="close" data-bs-dismiss="alert">×</span>
<ul>
@foreach ($errors->all() as $error)
<li>{{ $error }}</li>
@endforeach
</ul>
</div>
@endif
@if ($message = Session::get('success'))
<div class="text-left mt-3 alert alert-block alert-dismissible alert-success ">
<span type="button" class="close" data-bs-dismiss="alert">×</span>
<strong>{{ $message }}</strong>
</div>
@endif
<div class="card" style="display:none;">
<div class="card-body">
<div class="mb-3">
<label for="regName" class="form-label">姓名</label>
<input type="text" class="form-control" id="regName" name="name" required value="{{ old('name') }}">
</div>
<div class="mb-3">
<label for="regIdNumber" class="form-label">身份證字號</label>
<input type="text" class="form-control" id="regIdNumber" name="id_number" required value="{{ old('id_number') }}">
</div>
<div class="mb-3">
<label for="regEmail" class="form-label">電子信箱</label>
<input type="email" class="form-control" id="regEmail" name="email" required value="{{ old('email') }}">
</div>
<div class="mb-3">
<label for="regPhone" class="form-label">手機</label>
<input type="text" class="form-control" id="regPhone" name="phone" required value="{{ old('phone') }}" placeholder="範例：09xxxxxxxx">
</div>
<div class="mb-3">
<label for="county_box" class="form-label">戶籍地(限設籍高雄市民參與)</label>
<div class="dropdown">
<select name="address" id="county_box1" class="form-select" required>
<option value="" selected disabled>選擇縣市</option>
<option value="高雄市">高雄市</option>
</select>
<select name="district" id="district_box" style="visibility:hidden;">
<option value="">選擇鄉鎮市區</option>
</select>
<input type="text" id="zipcode_box" placeholder="郵遞區號" style="visibility:hidden;">
</div>
</div>
<div class="mb-3">
&nbsp;
</div>
<div class="mb-3">
<input type="checkbox" class="form-check-input" id="regAgree" required>
<label class="form-check-label" for="regAgree">我同意 &nbsp; <a href="/gdpr">個資法同意書</a></label>
</div>
<button type="submit" class="btn btn-primary">登記</button>
</div>
</div>
</form>
<p>&nbsp;</p>
</div>
</div>
</div>
@endsection