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{% extends 'registration/base_client.html' %}
{% block title %}Modifica iscrizione{% endblock %}
{% block breadcrumb %}
<a href="#!" class="breadcrumb hide-on-med-and-down">Modifica iscrizione</a>
{% endblock %}
{% load app_filter %}
{% block content %}
<div class="row">
<div class="col l8 offset-l2 s12">
<div class="card-panel">
<div class="row">
<form id="form" action="{% url 'edit'%}" method="post" class="col s12">
{% csrf_token %}
<input type="hidden" name="doc" value="{{doc.id}}">
<div class="row">
<div class="input-field col s12">
<select>
<option disabled selected>{{doc.document_type.name}}</option>
</select>
<label>Iscrizione</label>
</div>
</div>
{% if personal_data %}
<div class="row">
<div class="col s12">
<div class="card {{color}}">
<div class="card-content">
<p style="color:white"><b>
Il documento conterrà le informazioni personali, prego verificare che siano corrette e aggiornate
</b></p>
</div>
</div>
</div>
</div>
{% endif %}
{% if medical_data %}
<div class="row">
<div class="col s12">
<div class="card {{color}}">
<div class="card-content">
<p style="color:white"><b>
Il documento conterrà le informazioni mediche, prego verificare che siano corrette e aggiornate
</b></p>
</div>
</div>
</div>
</div>
{% endif %}
{% if custom_message %}
<div class="row">
<div class="col s12">
<div class="card {{color}}">
<div class="card-content">
<p style="color:white"><b>
{{custom_message_text}}
</b></p>
</div>
</div>
</div>
</div>
{% endif %}
{% if custom_data %}
{% for key in keys %}
{% if key.key_extra|first in '!' %}
<div class="row">
<div class="col s12">
{% with arr=key.key_extra|parse_multiple_choice %}
{{arr.0}}
{% for val in arr.1 %}
{% if key.value == val %}
<p><label>
<input class="with-gap" name="{{key.key}}" value="{{val}}" type="radio" checked/>
<span>{{val}}</span>
</label></p>
{% else %}
<p><label>
<input class="with-gap" name="{{key.key}}" value="{{val}}" type="radio"/>
<span>{{val}}</span>
</label></p>
{% endif %}
{% endfor %}
{% endwith %}
</div>
</div>
{% else %}
<div class="row">
<div class="input-field col s12">
<input value="{{key.value}}" name="{{key.key}}" id="{{key.id}}" type="text">
<label for="{{key.id}}">{{key.key}}</label>
</div>
</div>
{% endif %}
{% endfor %}
{% endif %}
<div class="row">
<div class="col s12">
<br>
<a class="btn waves-effect waves-light {{color}}" onclick="window.history.back();" >
<i class="material-icons left">navigate_before</i>Indietro
</a>
<a class="btn waves-effect waves-light {{color}}" onclick="send('save')" >Salva
<i class="material-icons right">save</i>
</a>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
{% endblock %}
{% block script %}
$(document).ready(function(){
$('select').formSelect();
{% if error %}
M.toast({html: '{{ error_text}}', classes: 'orange'})
{% endif %}
});
function send(id) {
var form = document.getElementById('form')
form.submit()
}
{% endblock %}
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