{% set formClasses = "bg-gray-500 text-gray-50 placeholder-gray-300 focus:ring-2 focus:ring-blue-500 focus:ring-offset-2 focus:ring-offset-transparent m-2 p-3 rounded-lg hover:bg-gray-600 checked:text-gray-500" -%}
{% set requiredField = "<span class='inline-block text-[#f39] text-sm align-super'>* required</span>" -%}

<div id="mt-form" class="form text-lg w-full">
    <form id='form'
          hx-post="/api/camp-form"
          hx-encoding="multipart/form-data"
          autocomplete="on"
          method="post"
          target="_parent"
          class="w-full items-center flex flex-wrap">

        <h3 class="basis-full">Camp Form</h3>
        <div class="basis-full flex flex-wrap my-4">
            <label for="first-name" class="basis-full">What is your first and last name? <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
            <br/>
            <input type="text" id="first-name" name="first-name"
                   placeholder="First Name" class="peer flex-1 form-input {{ formClasses }}"
                   required>
            <input type="text" id="last-name" name="last-name"
                   placeholder="Last Name" class="peer flex-1 form-input {{ formClasses }}"
                   required>

            <label for="parent-first-name" class="basis-full mt-2">What is your guardian's first and last name? <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
            <input type="text" id="parent-first-name" name="parent-first-name"
                   class="peer flex-1 form-input {{ formClasses }}"
                   placeholder="First Name" required>
            <input type="text" id="parent-last-name" name="parent-last-name"
                   class="peer flex-1 form-input {{ formClasses }}"
                   placeholder="Last Name" required>
        </div>

        <label for="birth-date" class="basis-full">When were you born? <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
        <input type="date" id="birth-date" name="birth-date"
               class="basis-full form-date {{ formClasses }}" required>
        <label for="gender" class="basis-full">Gender <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
        <select id="gender" name="gender" class="basis-full form-select {{ formClasses }}" required>
            <option value="Male">Male</option>
            <option value="Female">Female</option>
        </select>

        <div class="basis-full flex flex-wrap my-4">
            <label for="street" class="basis-full">What is your address? <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
            <input type="text" id="street" name="street"
                   class="basis-full form-input {{ formClasses }}"
                   placeholder="Street Address" required>
            <input type="text" id="city" name="city"
                   class="flex-auto form-input {{ formClasses }}"
                   placeholder="City" required>
            <input type="text" id="state" name="state"
                   class="flex-auto form-input {{ formClasses }}"
                   placeholder="State" required>
            <input type="text" id="zip" name="zip"
                   class="flex-auto form-input {{ formClasses }}"
                   placeholder="Zip Code" required>
        </div>

        <div class="basis-full my-4">
            <label for="grade" class="">Grade this Fall <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
            <br/>
            <input type="radio" id="grade" name="grade" value="6"
                   class="form-input {{ formClasses }}" checked>
            <label for="grade" class="">6th</label>
            <br/>
            <input type="radio" id="grade" name="grade" value="7"
                   class="form-input {{ formClasses }}" checked>
            <label for="grade" class="">7th</label>
            <br/>
            <input type="radio" id="grade" name="grade" value="8"
                   class="form-input {{ formClasses }}" checked>
            <label for="grade" class="">8th</label>
            <br/>
            <input type="radio" id="grade" name="grade" value="freshman"
                   class="form-input {{ formClasses }}">
            <label for="grade" class="">Freshman</label>
            <br/>
            <input type="radio" id="grade" name="grade" value="sophomore"
                   class="form-input {{ formClasses }}">
            <label for="grade" class="">Sophomore</label>
            <br/>
            <input type="radio" id="grade" name="grade" value="junior"
                   class="form-input {{ formClasses }}">
            <label for="grade" class="">Junior</label>
            <br/>
            <input type="radio" id="grade" name="grade" value="senior"
                   class="form-input {{ formClasses }}">
            <label for="grade" class="">Senior</label>
            <br/>
            <input type="radio" id="grade" name="grade" value="college-freshman"
                   class="form-input {{ formClasses }}">
            <label for="grade" class="">College Freshman</label>
        </div>

        <label for="parent-phone" class="basis-full">Guardian's phone <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
        <input type="tel" id="parent-phone" name="parent-phone"
               class="basis-full peer form-input {{ formClasses }}
                     invalid:text-[#f39] invalid:ring-[#f39]
                     focus:invalid:ring-[#f39]
                     focus:invalid:border-[#f39]"
               required pattern="\(?\d{3}\)? ?-?\d{3} ?-?\d{4}"/>

        <!-- <div id="warning-phone"
             class="invisible flex
             rounded-lg h-0
             peer-invalid:p-2
             peer-invalid:visible
             peer-empty:invisible
             peer-empty:h-0
             peer-empty:mb-0
             peer-invalid:basis-full
             peer-invalid:mb-32">

             <span class="text-[#f39] ltr:pr-3 rtl:pl-3 content-right float-right">
             Make sure you have included a valid phone number for your guardian so we can contact them. Numbers are in the format "999-999-9999 or 0123456789". Make sure to include an area code.
             </span>
             </div>
        -->
        <div class="basis-full flex flex-wrap">
            
            <label for="parent-email" class="basis-full">Guardian's Email
                <span class='inline-block text-[#f39] text-sm align-sub'>* required</span>
            </label>
            <input type="email" id="parent-email" name="parent-email"
                   pattern="^[a-zA-Z0-9]+(?:\.[a-zA-Z0-9]+)*@[a-zA-Z0-9]+(?:\.[a-zA-Z0-9]+)*$"
                   class="basis-full peer form-input
                         {{ formClasses }}
                         invalid:text-[#F39]
                         invalid:ring-[#f39]
                         focus:invalid:ring-[#f39]
                         focus:invalid:border-[#f39]">

            <div id="warning-email"
                 class="invisible flex
                     rounded-lg h-0
                     peer-invalid:p-2 peer-invalid:visible
                     peer-invalid:basis-full
                     peer-invalid:mb-24">

                <span class="text-[#f39] ltr:pr-3 rtl:pl-3 content-right float-right">
                    Make sure you have included an email for your guardian so we can contact them. Emails are in the format "name@website.end".
                </span>
            </div>
        </div>
        <label for="allergies" class="basis-full">Do you have any food allergies?</label>
        <input type="text" id="allergies" name="allergies"
               class="basis-full form-input {{ formClasses }}">

        <label for="week" class="basis-full">My Camp Plan (The first week is filled, so if you'd like to be on a waiting list, you'll have to check the second option.)<span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label>
        <select id="week" name="week" class="flex-auto form-select {{ formClasses }}">
            <option value="week1">Week 1: July 21-25</option>
            <option value="week2">Week 2: July 28-Aug 1</option>
            <!-- <option value="waiting-list">Week 2: July 29-Aug 2, but on a waiting list for week 1</option> -->
        </select> 

        <label for="shirt" class="basis-full">T-Shirt Size <span class='inline-block text-[#f39] text-sm'>all t-shirts are in adult sizes only</span></label>
        <select id="shirt" name="shirt" class="mb-8 flex-auto form-select {{ formClasses }}">
            <option value="small">Small</option>
            <option value="medium">Medium</option>
            <option value="large">Large</option>
            <option value="xl">XL</option>
            <option value="xxl">2XL</option>
            <option value="xxxl">3XL</option>
        </select>

        <div class="basis-full my-2">
            <label for="final-agreement">
                I understand that in order to go to camp I need to have this form, a health form, and the total cost paid.
            </label>
            <div class="my-4">
                <input type="radio" value="yes" id="final-agreement" name="final-agreement"
                       class="form-input {{ formClasses }}" required>
                <label for="final-agreement" class="mt-4">
                    I understand <span class='inline-block text-[#f39] text-sm align-sub'>* required</span>
                </label>
            </div>
        </div>
        <label for="health-form" class="basis-full my-2">
            Would you like to fill out the health form now or later? Your health form is not required right now, but you cannot go to camp without one.
        </label>
        <div class="basis-full mt-4">
            <input type="radio" value="now" id="health-form" name="health-form"
                   class="form-input {{ formClasses }}" checked>
            <label for="health-form" class="">
                Now
            </label>
        </div>
        <div class="basis-full mb-4">
            <input type="radio" value="later" id="health-form" name="health-form"
                   class="form-input {{ formClasses }}">
            <label for="health-form" class="">
                Later
            </label>
        </div>
        <label for="registration" class="basis-full my-2">
            Would you like to pay the registration fee or the full cost now or later?
        </label>
        <!-- For early bird prices -->
        <div class="basis-full mt-4">
            <input type="radio" value="now" id="registration" name="registration"
                   class="form-input {{ formClasses }}" checked>
            <label for="registration" class="">
                Now - $85
            </label>
        </div>
        <div class="basis-full">
            <input type="radio" value="full" id="registration" name="registration"
                   class="form-input {{ formClasses }}">
            <label for="registration" class="">
                Full Cost - $185
            </label>
        </div>
        <div class="basis-full mb-4">
            <input type="radio" value="later" id="registration" name="registration"
                   class="form-input {{ formClasses }}">
            <label for="registration" class="">
                Later - Send $85 or $185 to the TFC Office
            </label>
        </div>
        <!-- For after early bird prices -->
        <!-- <div class="basis-full mt-4">
             <input type="radio" value="now" id="registration" name="registration"
             class="form-input {{ formClasses }}" checked>
             <label for="registration" class="">
             Now - $100
             </label>
             </div>
             <div class="basis-full">
             <input type="radio" value="full" id="registration" name="registration"
             class="form-input {{ formClasses }}">
             <label for="registration" class="">
             Full Cost - $200
             </label>
             </div>
             <div class="basis-full mb-4">
             <input type="radio" value="later" id="registration" name="registration"
             class="form-input {{ formClasses }}">
             <label for="registration" class="">
             Later - Send $100 or $200 to the TFC Office
             </label>
             </div> -->
        <div class="basis-full mt-8">
            <button type="submit" class="content-right rounded-lg bg-gray-700 h-12 w-24 focus:bg-gray-900 focus:ring focus:ring-primary-700 hover:bg-gray-900 float-right">Submit</button>
        </div>
    </form>
</div>