{{ $formClasses := "bg-neutral-500 text-neutral-50 placeholder-neutral-300 focus:ring-2 focus:ring-primary-500 focus:ring-offset-2 focus:ring-offset-transparent m-2 p-3 rounded-lg hover:bg-neutral-500 checked:text-neutral-500" }} {{ $requiredField := "<span class='inline-block text-[#f39] text-sm align-super'>* required</span>" }} <script> function submitForm(e) { e.preventDefault(); const form = document.getElementById('form'); const data = new FormData(form); console.log(data.get("birthdate")); const birthdate = new Date(data.get("birthdate")); const age = calculate_age(birthdate); data.append("age", age); if (data.get("parentemail") == "") { document.getElementById('warning-email').style.visibility = 'visible'; document.getElementById('warning-email').style.height = ''; document.getElementById('warning-email').style.margin = ''; return false; } else { document.getElementById('warning-email').style.visibility = 'hidden'; document.getElementById('warning-email').style.height = '0'; document.getElementById('warning-email').style.margin = '0'; } var xhr = new XMLHttpRequest(); xhr.onreadystatechange = function() { if (this.readyState == 4 && this.status == 200) { let payment = data.get('registration'); console.log(payment); let health = data.get('health'); console.log(health); if (health === 'later') { if (payment === 'now') window.location.href = 'https://secure.myvanco.com/L-Z772/campaign/C-13JPJ'; else if (payment === 'full') window.location.href = 'https://secure.myvanco.com/L-Z772/campaign/C-13JQE'; else window.location.href = '/thankyou/'; } else { if (payment === 'later') window.location.href = '/thankyou/'; else window.location.href = '/camp-health-form?registration=' + payment; } } }; /* xhr.open("POST", "https://n8n.tfcconnection.org/webhook/mt-application"); */ xhr.open("POST", "https://n8n.tfcconnection.org/webhook/camp-form"); xhr.send(data); console.log(data); console.log("Hallo!"); /* return false; */ } function calculate_age(dob) { var diff_ms = Date.now() - dob.getTime(); var age_dt = new Date(diff_ms); return Math.abs(age_dt.getUTCFullYear() - 1970); } function process() { /* document.getElementById('mt-form').hidden = false */ document.getElementById('warning-email').style.visibility = 'hidden'; document.getElementById('warning-email').style.height = '0'; document.getElementById('warning-email').style.margin = '0'; } document.addEventListener('DOMContentLoaded', process); </script> <div id="mt-form" class="form text-lg w-full"> <form id='form' onsubmit="submitForm(event)" 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="firstname" 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="firstname" name="firstname" placeholder="First Name" class="flex-1 form-input {{ $formClasses }}"> <input type="text" id="lastname" name="lastname" placeholder="Last Name" class="flex-1 form-input {{ $formClasses }}"> </div> <div class="basis-full flex flex-wrap my-4"> <label for="parentfirstname" class="basis-full">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="parentfirstname" name="parentfirstname" class="flex-1 form-input {{ $formClasses }}" placeholder="First Name"> <input type="text" id="parentlastname" name="parentlastname" class="flex-1 form-input {{ $formClasses }}" placeholder="Last Name"> </div> <label for="birthdate" class="basis-full">When were you born? <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label> <input type="date" id="birthdate" name="birthdate" class="basis-full form-date {{ $formClasses }}"> <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 }}"> <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="parentphone" class="basis-full">Guardian's phone <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label> <input type="tel" id="parentphone" name="parentphone" class="basis-full form-input {{ $formClasses }}"> <label for="parentemail" class="basis-full">Guardian's Email <span class='inline-block text-[#f39] text-sm align-sub'>* required</span></label> <input type="parentemail" id="parentemail" name="parentemail" pattern="^[a-zA-Z0-9]+(?:\.[a-zA-Z0-9]+)*@[a-zA-Z0-9]+(?:\.[a-zA-Z0-9]+)*$" class="basis-full form-input {{ $formClasses }}"> <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 <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 17-21</option> <!-- <option value="week2">Week 2: July 24-28</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" 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" name="health" class="form-input {{ $formClasses }}" checked> <label for="health" class=""> Now </label> </div> <div class="basis-full mb-4"> <input type="radio" value="later" id="health" name="health" class="form-input {{ $formClasses }}"> <label for="health" 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> <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> <div class="basis-full mt-8"> <button type="submit" class="content-right rounded-lg bg-primary-700 h-12 w-24 focus:bg-primary-900 focus:ring focus:ring-primary-700 hover:bg-primary-900 float-right">Submit</button> </div> <div id="warning-email" class="basis-full mt-10 flex px-4 py-3 rounded-lg bg-[#ef4444] dark:bg-[#ef4444]"> <span class="text-[#fca5a5] ltr:pr-3 rtl:pl-3 content-right float-right"> {{ partial "icon.html" (.Get 0 | default "triangle-exclamation") }} Make sure you have included an email for your guardian so we can contact them. </span> </div> </form> </div>