@extends('Layouts/simplified')

@section('content')
	{!! Form::open(['data-toggle' => 'validator']) !!}
        @if (isset($product))
		    <h1>Selected product</h1>
            <div class="alert alert-info">
                <div class="row">
                    <div class="col-xs-8 mb-0">
                        {{ $product->name }}
                    </div>
                    <div class="col-xs-4 text-right mb-0">
                        1 &times; 
                        @if ($product->price)
                            {{ $currency->symbol}}{{ $product->price }}
                        @else
                            free
                        @endif
                    </div>
                </div>
            </div>
        @endif
        <h1>User details</h1>
        <div class="form-group @if (isset($errors->first_name)) has-error @endif">
            {!! Form::label('data[User][first_name]', t('First Name')) !!}
            {!! Form::text(
                'data[User][first_name]',
                (isset($data->first_name) ? $data->first_name : null),
                [
                    'placeholder' => t('First Name'),
                    'data-error' => t('This field is required'),
                    'class' => 'form-control input-huge input-cusive',
                    'required'
                ]
            ) !!}
            <div class="help-block with-errors">
                @if (isset($errors->first_name))
                    {{ $errors->first_name[0] }}
                @endif
            </div>
        </div>

        <div class="form-group @if (isset($errors->last_name)) has-error @endif">
            {!! Form::label('data[User][last_name]', t('Last Name')) !!}
            {!! Form::text(
                'data[User][last_name]',
                (isset($data->last_name) ? $data->last_name : null),
                [
                    'placeholder' => t('Last Name'),
                    'data-error' => t('This field is required'),
                    'class' => 'form-control input-huge input-cusive',
                    'required'
                ]
            ) !!}
            <div class="help-block with-errors">
                @if (isset($errors->last_name))
                    {{ $errors->last_name[0] }}
                @endif
            </div>
        </div>

		<div class="form-group @if (isset($errors->email)) has-error @endif">
            {!! Form::label('data[User][email]', t('Email')) !!}
            {!! Form::email(
                'data[User][email]',
                (isset($data->email) ? $data->email : null),
                [
                    'placeholder' => t('Email'),
                    'data-error' => t('This field is required and need to be valid email'),
                    'class' => 'form-control input-huge input-cusive',
                    'required'
                ]
            ) !!}
            <div class="help-block with-errors">
                @if (isset($errors->email))
                    {{ $errors->email[0] }}
                @endif
            </div>
        </div>

        <div class="form-group @if (isset($errors->phone)) has-error @endif">
		    {!! Form::label('data[User][phone]', t('Phone')) !!}
		    {!! Form::text(
		        'data[User][phone]',
		        (isset($data->phone) ? $data->phone : null),
		        [
		            'placeholder' => t('Phone'),
		            'data-error' => t('Please add valid mobile phone number'),
		            'class' => 'form-control input-huge input-cusive',
		            'pattern' => '^(\+|0)[0-9]{10,15}$'
		        ]
		    ) !!}
		    <div class="help-block with-errors">
                @if (isset($errors->phone))
                    {{ $errors->phone[0] }}
                @endif
            </div>
		</div>
		<div class="form-group">
			{!! Form::label('data[User][birthday]', t('Date of Birth')) !!}
			{!! Form::text(
				'data[User][birthday]',
				(isset($data->birthday) ? $data->birthday : null),
				[
					'class' => 'form-control birthdaypicker select-huge'
				]
			) !!}
		</div>

		@include('Elements/User/toc_promotions', ['data' => []])

		{!! Form::submit(
	        t('Submit'), 
	        ['class' => 'btn btn-huge btn-pink btn-block']
	    ) !!}
	{!! Form::close() !!}
    <br><br><br>
    <div class="text-center">
        <a href="{{ action('DataCapture/DataController@secure_start', [$venue_id]) }}">Start over</a>
    </div>
    <br><br><br>
@endsection