tilmelding.html

---
layout: default
title: Tilmelding
permalink: /tilmelding/index.html
---
<div class="w3-container blue w3-padding-large">
    <div class="w3-row w3-padding-24">
        <div class="w3-col l1"><p></p></div>
        <div class="w3-col l10">
            <div class="w3-row w3-white">
                <div class="w3-white w3-container">
                    <h3>Her kan du tilmelde dig holdene i Dag- og aftenskolen i Rønde:</h3>
                    <form action="https://formsubmit.co/6256987aecab6cdc7e8c8b36a5c8d273" method="POST"
                          class="w3-container w3-padding">
                        <div class="w3-container w3-padding">
                            {% for course in site.data.courses %}
                            <input type="checkbox" name="hold{{ course.number }}">&nbsp;&nbsp;
                            <label class="w3-large">{{ course.number }}. {{ course.title }}{% if course.subtitle %}/{{
                                course.subtitle}}{% endif %}</label><br/>
                            {% endfor %}
                        </div>
                        <div class="w3-container w3-padding">
                            <label class="w3-large">Cpr-nr.:</label>
                            <input name="cpr" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">Fornavn:</label>
                            <input name="firstname" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">Efternavn:</label>
                            <input name="lastname" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">Adresse:</label>
                            <input name="address1" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">Adresse:</label>
                            <input name="address2" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">Postnr.:</label>
                            <input name="zip" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">By:</label>
                            <input name="zipcity" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">Telefon:</label>
                            <input name="phone" class="w3-input w3-border w3-round"><br/>
                            <label class="w3-large">Email:</label>
                            <input type="email" name="email" class="w3-input w3-border w3-round"><br/>
                            <input type="hidden" name="_next" value="{{site.url}}{% link tak.html %}"/>
                            <input type="text" name="_honey" style="display:none">
                            <input type="text" name="_gotcha" style="display:none"/>
                            <input type="hidden" name="_captcha" value="false">
                            <div class="w3-center w3-padding">
                                <input type="submit" value="Send tilmelding" class="w3-btn w3-white w3-border">
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
        <div class="w3-col l1"><p></p></div>
    </div>
</div>