templates/pre_registration/newSecondaire.html.twig line 1

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  1. {% extends 'online.html.twig' %}
  3. {% block title %}Remplissez le formulaire | {{ parent() }}{% endblock %}
  4. {% block body %}
  5.     <div class="breadcrumb">
  6.         <h1 class="mr-2">{{ app_name }}</h1>
  7.         <ul>
  8.             <li><a href="{{ path('pre_registration') }}">Pré-inscription</a></li>
  9.             <li><a href="#">{{ establishment.name }}</a></li>
  10.             <li>Remplissez le formulaire</li>
  11.         </ul>
  12.     </div>
  13.     <div class="separator-breadcrumb border-top"></div>
  14.     <div class="row mb-4">
  15.         <div class="col-md-12 mb-4">
  16.             {{ include('_flash.html.twig') }}
  17.             <div class="row">
  18.                 <div class="col-md-12">
  19.                     {{ form_start(form, {'attr': {'id': 'target'}}) }}
  20.                         <div class="container" style="border: 2px solid blue; border-radius: 4px;">
  21.                             <br>
  22.                             <h4 style="color: blue; text-align: center;">INFORMATION GENERALE</h4>
  23.                             <br>
  24.                             <div class="form-group row">
  25.                                 <div class="col-sm-2 col-form-label text-right">
  26.                                     <label for="secondaire_registration_student_pre_registration_schoolYear">ANNEE SCOLAIRE *:</label>
  27.                                 </div>
  28.                                 <div class="col-sm-10">
  29.                                     {{ form_widget(form.schoolYear,{'attr': {'class': 'form-control select' }}) }}
  30.                                     <div class="text-danger">{{ form_errors(form.schoolYear) }}</div>
  31.                                 </div>
  32.                             </div>
  33.                             <div class="form-group row">
  34.                                 <div class="col-sm-2 col-form-label text-right">
  35.                                     <label for="secondaire_registration_student_pre_registration_entryLevel">CLASSE *:</label>
  36.                                 </div>
  37.                                 <div class="col-sm-10">
  38.                                     {{ form_widget(form.entryLevel,{'attr': {'class': 'form-control select' }}) }}
  39.                                     <div class="text-danger">{{ form_errors(form.entryLevel) }}</div>
  40.                                 </div>
  41.                             </div>
  42.                             <div class="form-group row">
  43.                                 <div class="col-sm-2 col-form-label text-right">
  44.                                     <label for="secondaire_registration_student_pre_registration_last_school_attended">DERNIERE ECOLE FREQUENTEE :</label>
  45.                                 </div>
  46.                                 <div class="col-sm-4">
  47.                                     {{ form_widget(form.last_school_attended,{'attr': {'class': 'form-control' }}) }}
  48.                                     <div class="text-danger">{{ form_errors(form.last_school_attended) }}</div>
  49.                                 </div>
  50.                                 <div class="col-sm-2 col-form-label text-right">
  51.                                     <label for="secondaire_registration_student_pre_registration_last_school_attended_type">TYPE :</label>
  52.                                 </div>
  53.                                 <div class="col-sm-4">
  54.                                     {{ form_widget(form.last_school_attended_type,{'attr': {'class': 'form-control' }}) }}
  55.                                     <div class="text-danger">{{ form_errors(form.last_school_attended_type) }}</div>
  56.                                 </div>
  57.                             </div>
  58.                             <div class="form-group row">
  59.                                 <div class="col-sm-2 col-form-label text-right">
  60.                                     <label for="secondaire_registration_student_pre_registration_is_redoubling">REDOUBLANT : <br>OUI/NON</label>
  61.                                 </div>
  62.                                 <div class="col-sm-10">
  63.                                     {{ form_widget(form.is_redoubling,{'attr': {'class': 'form-control' }}) }}
  64.                                     <div class="text-danger">{{ form_errors(form.is_redoubling) }}</div>
  65.                                 </div>
  66.                             </div>
  67.                             <div class="form-group row">
  68.                                 <div class="col-sm-2 col-form-label text-right">
  69.                                     <label for="secondaire_registration_student_pre_registration_lv1">LV1 :</label>
  70.                                 </div>
  71.                                 <div class="col-sm-10">
  72.                                     {{ form_widget(form.lv1,{'attr': {'class': 'form-control' }}) }}
  73.                                     <div class="text-danger">{{ form_errors(form.lv1) }}</div>
  74.                                 </div>
  75.                             </div>
  76.                             <div class="form-group row">
  77.                                 <div class="col-sm-2 col-form-label text-right">
  78.                                     <label for="secondaire_registration_student_pre_registration_lv2">LV2 :</label>
  79.                                 </div>
  80.                                 <div class="col-sm-10">
  81.                                     {{ form_widget(form.lv2,{'attr': {'class': 'form-control' }}) }}
  82.                                     <div class="text-danger">{{ form_errors(form.lv2) }}</div>
  83.                                 </div>
  84.                             </div>
  85.                             <div class="form-group row">
  86.                                 <div class="col-sm-2 col-form-label text-right">
  87.                                     <label for="secondaire_registration_student_pre_registration_registration_number">MATRICULE :</label>
  88.                                 </div>
  89.                                 <div class="col-sm-10">
  90.                                     {{ form_widget(form.registration_number,{'attr': {'class': 'form-control' }}) }}
  91.                                     <div class="text-danger">{{ form_errors(form.registration_number) }}</div>
  92.                                 </div>
  93.                             </div>
  94.                             <br>
  95.                             <h4 style="color: blue; text-align: center;">INFORMATION SUR L'ELEVE</h4>
  96.                             <br>
  97.                             <div class="form-group row">
  98.                                 <div class="col-sm-2 col-form-label text-right">
  99.                                     <label for="secondaire_registration_student_pre_registration_imageFile">PHOTO :</label>
  100.                                 </div>
  101.                                 <div class="col-sm-10">
  102.                                     {{ form_widget(form.imageFile,{'attr': {'class': '' }}) }}
  103.                                     <div class="text-danger">{{ form_errors(form.imageFile) }}</div>
  104.                                 </div>
  105.                             </div>
  106.                             <div class="form-group row">
  107.                                 <div class="col-sm-2 col-form-label text-right">
  108.                                     <label for="secondaire_registration_student_pre_registration_num_cmu">NUM. CMU:</label>
  109.                                 </div>
  110.                                 <div class="col-sm-10">
  111.                                     {{ form_widget(form.num_cmu,{'attr': {'class': 'form-control'}}) }}
  112.                                     <div class="text-danger">{{ form_errors(form.num_cmu) }}</div>
  113.                                 </div>
  114.                             </div>
  115.                             <div class="form-group row">
  116.                                 <div class="col-sm-2 col-form-label text-right">
  117.                                     <label for="secondaire_registration_student_pre_registration_last_name">NOM *:</label>
  118.                                 </div>
  119.                                 <div class="col-sm-10">
  120.                                     {{ form_widget(form.last_name,{'attr': {'class': 'form-control'}}) }}
  121.                                     <div class="text-danger">{{ form_errors(form.last_name) }}</div>
  122.                                 </div>
  123.                             </div>
  124.                             <div class="form-group row">
  125.                                 <div class="col-sm-2 col-form-label text-right">
  126.                                     <label for="secondaire_registration_student_pre_registration_first_name">PRENONS *:</label>
  127.                                 </div>
  128.                                 <div class="col-sm-10">
  129.                                     {{ form_widget(form.first_name,{'attr': {'class': 'form-control'}}) }}
  130.                                     <div class="text-danger">{{ form_errors(form.first_name) }}</div>
  131.                                 </div>
  132.                             </div>
  133.                             <div class="form-group row">
  134.                                 <div class="col-sm-2 col-form-label text-right">
  135.                                     <label for="secondaire_registration_student_pre_registration_birthday">DATE DE NAISSANCE *:</label>
  136.                                 </div>
  137.                                 <div class="col-sm-10">
  138.                                     {{ form_widget(form.birthday,{'attr': {'class': 'form-control'}}) }}
  139.                                     <div class="text-danger">{{ form_errors(form.birthday) }}</div>
  140.                                 </div>
  141.                             </div>
  142.                             <div class="form-group row">
  143.                                 <div class="col-sm-2 col-form-label text-right">
  144.                                     <label for="secondaire_registration_student_pre_registration_birth_location">LIEU DE NAISSANCE :</label>
  145.                                 </div>
  146.                                 <div class="col-sm-10">
  147.                                     {{ form_widget(form.birth_location,{'attr': {'class': 'form-control'}}) }}
  148.                                     <div class="text-danger">{{ form_errors(form.birth_location) }}</div>
  149.                                 </div>
  150.                             </div>
  151.                             <div class="form-group row">
  152.                                 <div class="col-sm-2 col-form-label text-right">
  153.                                     <label for="secondaire_registration_student_pre_registration_birth_certificate_number">{{'N° Ext./Jugement suppletif'|upper}} :</label>
  154.                                 </div>
  155.                                 <div class="col-sm-10">
  156.                                     {{ form_widget(form.birth_certificate_number,{'attr': {'class': 'form-control'}}) }}
  157.                                     <div class="text-danger">{{ form_errors(form.birth_certificate_number) }}</div>
  158.                                 </div>
  159.                             </div>
  160.                             <div class="form-group row">
  161.                                 <div class="col-sm-2 col-form-label text-right">
  162.                                     <label for="secondaire_registration_student_pre_registration_nationality">NATIONALITE :</label>
  163.                                 </div>
  164.                                 <div class="col-sm-10">
  165.                                     {{ form_widget(form.nationality,{'attr': {'class': 'form-control'}}) }}
  166.                                     <div class="text-danger">{{ form_errors(form.nationality) }}</div>
  167.                                 </div>
  168.                             </div>
  169.                             <div class="form-group row">
  170.                                 <div class="col-sm-2 col-form-label text-right">
  171.                                     <label for="secondaire_registration_student_pre_registration_gender">SEXE :</label>
  172.                                 </div>
  173.                                 <div class="col-sm-10">
  174.                                     {{ form_widget(form.gender,{'attr': {'class': 'form-control'}}) }}
  175.                                     <div class="text-danger">{{ form_errors(form.gender) }}</div>
  176.                                 </div>
  177.                             </div>
  178.                             <div class="form-group row">
  179.                                 <div class="col-sm-2 col-form-label text-right">
  180.                                     <label for="secondaire_registration_student_pre_registration_location">DOMICILE :</label>
  181.                                 </div>
  182.                                 <div class="col-sm-10">
  183.                                     {{ form_widget(form.location,{'attr': {'class': 'form-control'}}) }}
  184.                                     <div class="text-danger">{{ form_errors(form.location) }}</div>
  185.                                 </div>
  186.                             </div>
  187.                             <div class="form-group row">
  188.                                 <div class="col-sm-2 col-form-label text-right">
  189.                                     <label for="secondaire_registration_student_pre_registration_where_resides">L'ENFANT RESIDE :</label>
  190.                                 </div>
  191.                                 <div class="col-sm-10">
  192.                                     {{ form_widget(form.where_resides,{'attr': {'class': 'form-control'}}) }}
  193.                                     <div class="text-danger">{{ form_errors(form.where_resides) }}</div>
  194.                                 </div>
  195.                             </div>
  196.                             <br>
  197.                             <h4 style="color: blue; text-align: center;">INFORMATION SUR LA FAMILLE</h4>
  198.                             <br>
  199.                             <div class="form-group row">
  200.                                 <div class="col-sm-2 col-form-label text-right">
  201.                                     <label for="secondaire_registration_student_pre_registration_parent_status">STATUT PARENTS :</label>
  202.                                 </div>
  203.                                 <div class="col-sm-10">
  204.                                     {{ form_widget(form.parent_status,{'attr': {'class': 'form-control'}}) }}
  205.                                     <div class="text-danger">{{ form_errors(form.parent_status) }}</div>
  206.                                 </div>
  207.                             </div>
  208.                             <div class="row">
  209.                                 <div class="col-sm-6">
  210.                                     <div class="form-group row">
  211.                                         <div class="col-sm-4 col-form-label text-right">
  212.                                             <label for="secondaire_registration_student_pre_registration_is_parntal_authority_father">PERE : <br>Autorité parentale OUI/NON</label>
  213.                                         </div>
  214.                                         <div class="col-sm-8">
  215.                                             {{ form_widget(form.is_parntal_authority_father,{'attr': {'class': 'form-control'}}) }}
  216.                                             <div class="text-danger">{{ form_errors(form.is_parntal_authority_father) }}</div>
  217.                                         </div>
  218.                                     </div>
  219.                                     <div class="form-group row">
  220.                                         <div class="col-sm-4 col-form-label text-right">
  221.                                             <label for="secondaire_registration_student_pre_registration_father_last_name">NOM DU PERE :</label>
  222.                                         </div>
  223.                                         <div class="col-sm-8">
  224.                                             {{ form_widget(form.father_last_name,{'attr': {'class': 'form-control'}}) }}
  225.                                             <div class="text-danger">{{ form_errors(form.father_last_name) }}</div>
  226.                                         </div>
  227.                                     </div>
  228.                                     <div class="form-group row">
  229.                                         <div class="col-sm-4 col-form-label text-right">
  230.                                             <label for="secondaire_registration_student_pre_registration_father_first_name">PRENOMS DU PERE :</label>
  231.                                         </div>
  232.                                         <div class="col-sm-8">
  233.                                             {{ form_widget(form.father_first_name,{'attr': {'class': 'form-control'}}) }}
  234.                                             <div class="text-danger">{{ form_errors(form.father_first_name) }}</div>
  235.                                         </div>
  236.                                     </div>
  237.                                     <div class="form-group row">
  238.                                         <div class="col-sm-4 col-form-label text-right">
  239.                                             <label for="secondaire_registration_student_pre_registration_father_address">ADRESSE DU PERE :</label>
  240.                                         </div>
  241.                                         <div class="col-sm-8">
  242.                                             {{ form_widget(form.father_address,{'attr': {'class': 'form-control'}}) }}
  243.                                             <div class="text-danger">{{ form_errors(form.father_address) }}</div>
  244.                                         </div>
  245.                                     </div>
  246.                                     <div class="form-group row">
  247.                                         <div class="col-sm-4 col-form-label text-right">
  248.                                             <label for="secondaire_registration_student_pre_registration_father_phone_number">TEL DU PERE :</label>
  249.                                         </div>
  250.                                         <div class="col-sm-8">
  251.                                             {{ form_widget(form.father_phone_number,{'attr': {'class': 'form-control'}}) }}
  252.                                             <div class="text-danger">{{ form_errors(form.father_phone_number) }}</div>
  253.                                         </div>
  254.                                     </div>
  255.                                     <div class="form-group row">
  256.                                         <div class="col-sm-4 col-form-label text-right">
  257.                                             <label for="secondaire_registration_student_pre_registration_father_post">FONCTION DU PERE :</label>
  258.                                         </div>
  259.                                         <div class="col-sm-8">
  260.                                             {{ form_widget(form.father_post,{'attr': {'class': 'form-control'}}) }}
  261.                                             <div class="text-danger">{{ form_errors(form.father_post) }}</div>
  262.                                         </div>
  263.                                     </div>
  264.                                     <div class="form-group row">
  265.                                         <div class="col-sm-4 col-form-label text-right">
  266.                                             <label for="secondaire_registration_student_pre_registration_father_location">QUARTIER DU PERE :</label>
  267.                                         </div>
  268.                                         <div class="col-sm-8">
  269.                                             {{ form_widget(form.father_location,{'attr': {'class': 'form-control'}}) }}
  270.                                             <div class="text-danger">{{ form_errors(form.father_location) }}</div>
  271.                                         </div>
  272.                                     </div>
  273.                                     <div class="form-group row">
  274.                                         <div class="col-sm-4 col-form-label text-right">
  275.                                             <label for="secondaire_registration_student_pre_registration_father_email">EMAIL DU PERE :</label>
  276.                                         </div>
  277.                                         <div class="col-sm-8">
  278.                                             {{ form_widget(form.father_email,{'attr': {'class': 'form-control'}}) }}
  279.                                             <div class="text-danger">{{ form_errors(form.father_email) }}</div>
  280.                                         </div>
  281.                                     </div>
  282.                                     <div class="form-group row">
  283.                                         <div class="col-sm-4 col-form-label text-right">
  284.                                             <label></label>
  285.                                         </div>
  286.                                         <div class="col-sm-8">
  287.                                             <label for="secondaire_registration_student_pre_registration_is_father_call_to_emergency" class="checkbox checkbox-info">
  288.                                                 {{ form_widget(form.is_father_call_to_emergency,{'attr': {'class': 'checkbox'}}) }}
  289.                                                 <span>PERE: A PREVENIR EN CAS D'URGENCE ?</span>
  290.                                                 <span class="checkmark"></span>
  291.                                             </label>
  292.                                             <div class="text-danger">{{ form_errors(form.is_father_call_to_emergency) }}</div>
  293.                                         </div>
  294.                                     </div>
  295.                                 </div>
  296.                                 <div class="col-sm-6">
  297.                                     <div class="form-group row">
  298.                                         <div class="col-sm-4 col-form-label text-right">
  299.                                             <label for="secondaire_registration_student_pre_registration_is_parntal_authority_mother">MERE : <br>Autorité parentale OUI/NON</label>
  300.                                         </div>
  301.                                         <div class="col-sm-8">
  302.                                             {{ form_widget(form.is_parntal_authority_mother,{'attr': {'class': 'form-control'}}) }}
  303.                                             <div class="text-danger">{{ form_errors(form.is_parntal_authority_mother) }}</div>
  304.                                         </div>
  305.                                     </div>
  306.                                     <div class="form-group row">
  307.                                         <div class="col-sm-4 col-form-label text-right">
  308.                                             <label for="secondaire_registration_student_pre_registration_mother_last_name">NOM DE LA MERE :</label>
  309.                                         </div>
  310.                                         <div class="col-sm-8">
  311.                                             {{ form_widget(form.mother_last_name,{'attr': {'class': 'form-control'}}) }}
  312.                                             <div class="text-danger">{{ form_errors(form.mother_last_name) }}</div>
  313.                                         </div>
  314.                                     </div>
  315.                                     <div class="form-group row">
  316.                                         <div class="col-sm-4 col-form-label text-right">
  317.                                             <label for="secondaire_registration_student_pre_registration_mother_first_name">PRENOMS DE LA MERE :</label>
  318.                                         </div>
  319.                                         <div class="col-sm-8">
  320.                                             {{ form_widget(form.mother_first_name,{'attr': {'class': 'form-control'}}) }}
  321.                                             <div class="text-danger">{{ form_errors(form.mother_first_name) }}</div>
  322.                                         </div>
  323.                                     </div>
  324.                                     <div class="form-group row">
  325.                                         <div class="col-sm-4 col-form-label text-right">
  326.                                             <label for="secondaire_registration_student_pre_registration_mother_address">ADRESSE DE LA MERE :</label>
  327.                                         </div>
  328.                                         <div class="col-sm-8">
  329.                                             {{ form_widget(form.mother_address,{'attr': {'class': 'form-control'}}) }}
  330.                                             <div class="text-danger">{{ form_errors(form.mother_address) }}</div>
  331.                                         </div>
  332.                                     </div>
  333.                                     <div class="form-group row">
  334.                                         <div class="col-sm-4 col-form-label text-right">
  335.                                             <label for="secondaire_registration_student_pre_registration_mother_phone_number">TEL DE LA MERE :</label>
  336.                                         </div>
  337.                                         <div class="col-sm-8">
  338.                                             {{ form_widget(form.mother_phone_number,{'attr': {'class': 'form-control'}}) }}
  339.                                             <div class="text-danger">{{ form_errors(form.mother_phone_number) }}</div>
  340.                                         </div>
  341.                                     </div>
  342.                                     <div class="form-group row">
  343.                                         <div class="col-sm-4 col-form-label text-right">
  344.                                             <label for="secondaire_registration_student_pre_registration_mother_post">FONCTION DE LA MERE :</label>
  345.                                         </div>
  346.                                         <div class="col-sm-8">
  347.                                             {{ form_widget(form.mother_post,{'attr': {'class': 'form-control'}}) }}
  348.                                             <div class="text-danger">{{ form_errors(form.mother_post) }}</div>
  349.                                         </div>
  350.                                     </div>
  351.                                     <div class="form-group row">
  352.                                         <div class="col-sm-4 col-form-label text-right">
  353.                                             <label for="secondaire_registration_student_pre_registration_mother_location">QUARTIER DE LA MERE :</label>
  354.                                         </div>
  355.                                         <div class="col-sm-8">
  356.                                             {{ form_widget(form.mother_location,{'attr': {'class': 'form-control'}}) }}
  357.                                             <div class="text-danger">{{ form_errors(form.mother_location) }}</div>
  358.                                         </div>
  359.                                     </div>
  360.                                     <div class="form-group row">
  361.                                         <div class="col-sm-4 col-form-label text-right">
  362.                                             <label for="secondaire_registration_student_pre_registration_mother_email">EMAIL DE LA MERE :</label>
  363.                                         </div>
  364.                                         <div class="col-sm-8">
  365.                                             {{ form_widget(form.mother_email,{'attr': {'class': 'form-control'}}) }}
  366.                                             <div class="text-danger">{{ form_errors(form.mother_email) }}</div>
  367.                                         </div>
  368.                                     </div>
  369.                                     <div class="form-group row">
  370.                                         <div class="col-sm-4 col-form-label text-right">
  371.                                             <label></label>
  372.                                         </div>
  373.                                         <div class="col-sm-8">
  374.                                             <label for="secondaire_registration_student_pre_registration_is_mother_call_to_emergency" class="checkbox checkbox-info">
  375.                                                 {{ form_widget(form.is_mother_call_to_emergency,{'attr': {'class': 'checkbox'}}) }}
  376.                                                 <span>MERE: A PREVENIR EN CAS D'URGENCE ?</span>
  377.                                                 <span class="checkmark"></span>
  378.                                             </label>
  379.                                             <div class="text-danger">{{ form_errors(form.is_mother_call_to_emergency) }}</div>
  380.                                         </div>
  381.                                     </div>
  382.                                 </div>
  383.                             </div>
  384.                             <br>
  385.                             <h4 style="color: blue; text-align: center;">JE SOUHAITE INSCRIT MON ENFANT</h4>
  386.                             <br>
  387.                             <div class="row">
  388.                                 <div class="col-sm-6">
  389.                                     <div class="form-group row">
  390.                                         <div class="col-sm-4 col-form-label text-right">
  391.                                             <label></label>
  392.                                         </div>
  393.                                         <div class="col-sm-8">
  394.                                             <label for="secondaire_registration_student_pre_registration_is_need_transport" class="checkbox checkbox-info">
  395.                                                 {{ form_widget(form.is_need_transport,{'attr': {'class': 'checkbox'}}) }}
  396.                                                 <span>AU TRANSPORT SCOLAIRE? <br>(<a class="text-danger" href="{{ asset('download/REGLEMENT-INTERIEUR.pdf')}}" target="_blank">Tarif et conditions</a>)</span>
  397.                                                 <span class="checkmark"></span>
  398.                                             </label>
  399.                                             <div class="text-danger">{{ form_errors(form.is_need_transport) }}</div>
  400.                                         </div>
  401.                                     </div>
  402.                                 </div>
  403.                                 <div class="col-sm-6">
  404.                                     <div class="form-group row">
  405.                                         <div class="col-sm-4 col-form-label text-right">
  406.                                             <label></label>
  407.                                         </div>
  408.                                         <div class="col-sm-8">
  409.                                             <label for="secondaire_registration_student_pre_registration_is_need_extrat_activity" class="checkbox checkbox-info">
  410.                                                 {{ form_widget(form.is_need_extrat_activity,{'attr': {'class': 'checkbox'}}) }}
  411.                                                 <span>AUX ACTIVITES EXTRA SCOLAIRE? <br> (<a class="text-danger" href="{{ asset('download/REGLEMENT-INTERIEUR.pdf')}}" target="_blank">Tarif et conditions</a>)</span>
  412.                                                 <span class="checkmark"></span>
  413.                                             </label>
  414.                                             <div class="text-danger">{{ form_errors(form.is_need_extrat_activity) }}</div>
  415.                                         </div>
  416.                                     </div>
  417.                                 </div>
  418.                             </div>
  419.                             <br>
  420.                             <h4 style="color: blue; text-align: center;">PERSONNES AUTORISEES A RECUPERER L'ENFANT EN CAS D'ABSENSE</h4>
  421.                             <br>
  422.                             <div class="row">
  423.                                 <div class="col-sm-6">
  424.                                     <div class="form-group row">
  425.                                         <div class="col-sm-4 col-form-label text-right">
  426.                                             <label for="secondaire_registration_student_pre_registration_accompanying_person_name">NOM (1) :</label>
  427.                                         </div>
  428.                                         <div class="col-sm-8">
  429.                                             {{ form_widget(form.accompanying_person_name,{'attr': {'class': 'form-control'}}) }}
  430.                                             <div class="text-danger">{{ form_errors(form.accompanying_person_name) }}</div>
  431.                                         </div>
  432.                                     </div>
  433.                                 </div>
  434.                                 <div class="col-sm-6">
  435.                                     <div class="form-group row">
  436.                                         <div class="col-sm-4 col-form-label text-right">
  437.                                             <label for="secondaire_registration_student_pre_registration_accompanying_person_phone_number">CONTACT (1) :</label>
  438.                                         </div>
  439.                                         <div class="col-sm-8">
  440.                                             {{ form_widget(form.accompanying_person_phone_number,{'attr': {'class': 'form-control'}}) }}
  441.                                             <div class="text-danger">{{ form_errors(form.accompanying_person_phone_number) }}</div>
  442.                                         </div>
  443.                                     </div>
  444.                                 </div>
  445.                             </div>
  446.                             <div class="row">
  447.                                 <div class="col-sm-6">
  448.                                     <div class="form-group row">
  449.                                         <div class="col-sm-4 col-form-label text-right">
  450.                                             <label for="secondaire_registration_student_pre_registration_accompanying_person_name_2">NOM (2) :</label>
  451.                                         </div>
  452.                                         <div class="col-sm-8">
  453.                                             {{ form_widget(form.accompanying_person_name_2,{'attr': {'class': 'form-control'}}) }}
  454.                                             <div class="text-danger">{{ form_errors(form.accompanying_person_name_2) }}</div>
  455.                                         </div>
  456.                                     </div>
  457.                                 </div>
  458.                                 <div class="col-sm-6">
  459.                                     <div class="form-group row">
  460.                                         <div class="col-sm-4 col-form-label text-right">
  461.                                             <label for="secondaire_registration_student_pre_registration_accompanying_person_phone_number_2">CONTACT (2) :</label>
  462.                                         </div>
  463.                                         <div class="col-sm-8">
  464.                                             {{ form_widget(form.accompanying_person_phone_number_2,{'attr': {'class': 'form-control'}}) }}
  465.                                             <div class="text-danger">{{ form_errors(form.accompanying_person_phone_number_2) }}</div>
  466.                                         </div>
  467.                                     </div>
  468.                                 </div>
  469.                             </div>
  470.                             <div class="row">
  471.                                 <div class="col-sm-6">
  472.                                     <div class="form-group row">
  473.                                         <div class="col-sm-4 col-form-label text-right">
  474.                                             <label for="secondaire_registration_student_pre_registration_accompanying_person_name_3">NOM (3) :</label>
  475.                                         </div>
  476.                                         <div class="col-sm-8">
  477.                                             {{ form_widget(form.accompanying_person_name_3,{'attr': {'class': 'form-control'}}) }}
  478.                                             <div class="text-danger">{{ form_errors(form.accompanying_person_name_3) }}</div>
  479.                                         </div>
  480.                                     </div>
  481.                                 </div>
  482.                                 <div class="col-sm-6">
  483.                                     <div class="form-group row">
  484.                                         <div class="col-sm-4 col-form-label text-right">
  485.                                             <label for="secondaire_registration_student_pre_registration_accompanying_person_phone_number_3">CONTACT (3) :</label>
  486.                                         </div>
  487.                                         <div class="col-sm-8">
  488.                                             {{ form_widget(form.accompanying_person_phone_number_3,{'attr': {'class': 'form-control'}}) }}
  489.                                             <div class="text-danger">{{ form_errors(form.accompanying_person_phone_number_3) }}</div>
  490.                                         </div>
  491.                                     </div>
  492.                                 </div>
  493.                             </div>
  494.                             <br>
  495.                             <h4 style="color: blue; text-align: center;">INFORMATION SUR LA PERSONNE RESPONSABLE DE LA SCOLARITE</h4>
  496.                             <br>
  497.                             <div class="form-group row">
  498.                                 <div class="col-sm-2 col-form-label text-right">
  499.                                     <label for="secondaire_registration_student_pre_registration_responsible_of_schooling">RESPONSABLE DE LA SCOLARITE :</label>
  500.                                 </div>
  501.                                 <div class="col-sm-10">
  502.                                     {{ form_widget(form.responsible_of_schooling,{'attr': {'class': 'form-control'}}) }}
  503.                                     <div class="text-danger">{{ form_errors(form.responsible_of_schooling) }}</div>
  504.                                 </div>
  505.                             </div>
  506.                             <div class="row" id="otherResponsible">
  507.                                 <div class="col-sm-6">
  508.                                     <div class="form-group row">
  509.                                         <div class="col-sm-4 col-form-label text-right">
  510.                                             <label for="secondaire_registration_student_pre_registration_responsible_of_schooling_last_name">NOM :</label>
  511.                                         </div>
  512.                                         <div class="col-sm-8">
  513.                                             {{ form_widget(form.responsible_of_schooling_last_name,{'attr': {'class': 'form-control'}}) }}
  514.                                             <div class="text-danger">{{ form_errors(form.responsible_of_schooling_last_name) }}</div>
  515.                                         </div>
  516.                                     </div>
  517.                                     <div class="form-group row">
  518.                                         <div class="col-sm-4 col-form-label text-right">
  519.                                             <label for="secondaire_registration_student_pre_registration_responsible_of_schooling_first_name">PRENOMS :</label>
  520.                                         </div>
  521.                                         <div class="col-sm-8">
  522.                                             {{ form_widget(form.responsible_of_schooling_first_name,{'attr': {'class': 'form-control'}}) }}
  523.                                             <div class="text-danger">{{ form_errors(form.responsible_of_schooling_first_name) }}</div>
  524.                                         </div>
  525.                                     </div>
  526.                                     <div class="form-group row">
  527.                                         <div class="col-sm-4 col-form-label text-right">
  528.                                             <label for="secondaire_registration_student_pre_registration_responsible_of_schooling_address">ADRESSE :</label>
  529.                                         </div>
  530.                                         <div class="col-sm-8">
  531.                                             {{ form_widget(form.responsible_of_schooling_address,{'attr': {'class': 'form-control'}}) }}
  532.                                             <div class="text-danger">{{ form_errors(form.responsible_of_schooling_address) }}</div>
  533.                                         </div>
  534.                                     </div>
  535.                                 </div>
  536.                                 <div class="col-sm-6">
  537.                                     <div class="form-group row">
  538.                                         <div class="col-sm-4 col-form-label text-right">
  539.                                             <label for="secondaire_registration_student_pre_registration_responsible_of_schooling_phone_number">TEL :</label>
  540.                                         </div>
  541.                                         <div class="col-sm-8">
  542.                                             {{ form_widget(form.responsible_of_schooling_phone_number,{'attr': {'class': 'form-control'}}) }}
  543.                                             <div class="text-danger">{{ form_errors(form.responsible_of_schooling_phone_number) }}</div>
  544.                                         </div>
  545.                                     </div>
  546.                                     <div class="form-group row">
  547.                                         <div class="col-sm-4 col-form-label text-right">
  548.                                             <label for="secondaire_registration_student_pre_registration_responsible_of_schooling_post">FONCTION :</label>
  549.                                         </div>
  550.                                         <div class="col-sm-8">
  551.                                             {{ form_widget(form.responsible_of_schooling_post,{'attr': {'class': 'form-control'}}) }}
  552.                                             <div class="text-danger">{{ form_errors(form.responsible_of_schooling_post) }}</div>
  553.                                         </div>
  554.                                     </div>
  555.                                     <div class="form-group row">
  556.                                         <div class="col-sm-4 col-form-label text-right">
  557.                                             <label for="secondaire_registration_student_pre_registration_responsible_of_schooling_location">QUARTIER :</label>
  558.                                         </div>
  559.                                         <div class="col-sm-8">
  560.                                             {{ form_widget(form.responsible_of_schooling_location,{'attr': {'class': 'form-control'}}) }}
  561.                                             <div class="text-danger">{{ form_errors(form.responsible_of_schooling_location) }}</div>
  562.                                         </div>
  563.                                     </div>
  564.                                 </div>
  565.                             </div>
  566.                             <br>
  567.                             <h4 style="color: blue; text-align: center;">CONTACTS POUR LES NOTIFICATIONS</h4>
  568.                             <br>
  569.                             <div class="form-group row">
  570.                                 <div class="col-sm-2 col-form-label text-right">
  571.                                     <label for="secondaire_registration_student_pre_registration_notification_phone_number">N° SMS *:</label>
  572.                                 </div>
  573.                                 <div class="col-sm-10">
  574.                                     {{ form_widget(form.notification_phone_number,{'attr': {'class': 'form-control'}}) }}
  575.                                     <div class="text-danger">{{ form_errors(form.notification_phone_number) }}</div>
  576.                                 </div>
  577.                             </div>
  578.                             <div class="form-group row">
  579.                                 <div class="col-sm-2 col-form-label text-right">
  580.                                     <label for="secondaire_registration_student_pre_registration_notification_watsapp_number">N° WATSAPP :</label>
  581.                                 </div>
  582.                                 <div class="col-sm-10">
  583.                                     {{ form_widget(form.notification_watsapp_number,{'attr': {'class': 'form-control'}}) }}
  584.                                     <div class="text-danger">{{ form_errors(form.notification_watsapp_number) }}</div>
  585.                                 </div>
  586.                             </div>
  587.                             <div class="form-group row">
  588.                                 <div class="col-sm-2 col-form-label text-right">
  589.                                     <label for="secondaire_registration_student_pre_registration_notification_name">NOM :</label>
  590.                                 </div>
  591.                                 <div class="col-sm-10">
  592.                                     {{ form_widget(form.notification_name,{'attr': {'class': 'form-control'}}) }}
  593.                                     <div class="text-danger">{{ form_errors(form.notification_name) }}</div>
  594.                                 </div>
  595.                             </div>
  596.                             <br>
  597.                             <h4 style="color: blue; text-align: center;">OBSERVATIONS SUR L'ELEVE</h4>
  598.                             <br>
  599.                             <div class="form-group row">
  600.                                 <div class="col-sm-2 col-form-label text-right">
  601.                                     <label for="secondaire_registration_student_pre_registration_observation">OBSERVATIONS :</label>
  602.                                 </div>
  603.                                 <div class="col-sm-10">
  604.                                     {{ form_widget(form.observation,{'attr': {'class': 'form-control'}}) }}
  605.                                     <div class="text-danger">{{ form_errors(form.observation) }}</div>
  606.                                 </div>
  607.                             </div>
  608.                         </div>
  609.                         <hr>
  610.                         <div class="container">
  611.                             <div class="row">
  612.                                 <div class="col-sm-4">
  613.                                     <div class="form-group row">
  614.                                         <div class="col-sm-2 col-form-label text-right">
  615.                                             <label></label>
  616.                                         </div>
  617.                                         <div class="col-sm-10">
  618.                                             <label for="secondaire_registration_student_pre_registration_agree_parent_engagement" class="checkbox checkbox-info">
  619.                                                 {{ form_widget(form.agree_parent_engagement,{'attr': {'class': 'checkbox'}}) }}
  620.                                                 <span> * J'ai lu et approuvé l'engagement parent (<a class="text-danger" href="{{ asset('download/ENGAGEMENT-DES-PARENTS.pdf')}}" target="_blank">Cliquer ici</a>)</span>
  621.                                                 <span class="checkmark"></span>
  622.                                             </label>
  623.                                             <div class="text-danger">{{ form_errors(form.agree_parent_engagement) }}</div>
  624.                                         </div>
  625.                                     </div>
  626.                                 </div>
  627.                                 <div class="col-sm-4">
  628.                                     <div class="form-group row">
  629.                                         <div class="col-sm-2 col-form-label text-right">
  630.                                             <label></label>
  631.                                         </div>
  632.                                         <div class="col-sm-10">
  633.                                             <label for="secondaire_registration_student_pre_registration_agree_internal_rules" class="checkbox checkbox-info">
  634.                                                 {{ form_widget(form.agree_internal_rules,{'attr': {'class': 'checkbox'}}) }}
  635.                                                 <span> * J'ai lu et approuvé le règlement interieur (<a class="text-danger" href="{{ asset('download/REGLEMENT-INTERIEUR.pdf')}}" target="_blank">Cliquer ici</a>)</span>
  636.                                                 <span class="checkmark"></span>
  637.                                             </label>
  638.                                             <div class="text-danger">{{ form_errors(form.agree_internal_rules) }}</div>
  639.                                         </div>
  640.                                     </div>
  641.                                 </div>
  642.                                 <div class="col-sm-4">
  643.                                     <div class="form-group row" id="submitBtn">
  644.                                         <div class="col-sm-2 col-form-label text-right"></div>
  645.                                         <div class="col-sm-10 text-right">
  646.                                             <button type="button" class="btn btn-primary" onclick="submitTarget();"><i class="fa fa-save"></i> Sauvegarder</button>
  647.                                         </div>
  648.                                     </div>
  649.                                 </div>
  650.                             </div>
  651.                         </div>
  652.                     {{ form_end(form) }}
  653.                 </div>
  654.             </div>
  655.         </div>
  656.     </div>
  657. {% endblock %}
  658. {% block javascripts %}
  659.     {{ parent() }}
  660.    {{ include('pre_registration/_secondaireJs.html.twig') }}
  661. {% endblock %}