92 lines
3.1 KiB
PHP
92 lines
3.1 KiB
PHP
<?php
|
|
/**
|
|
* @copyright 2009 City of Bloomington, Indiana
|
|
* @license http://www.gnu.org/copyleft/gpl.html GNU/GPL, see LICENSE.txt
|
|
* @author Cliff Ingham <inghamn@bloomington.in.gov>
|
|
*/
|
|
?>
|
|
<h1>Add Internment</h1>
|
|
<form method="post" action="<?php echo $_SERVER['SCRIPT_NAME']; ?>">
|
|
<fieldset><legend>Internment Info</legend>
|
|
<table>
|
|
|
|
<tr><td><label for="internment-section">Section</label></td>
|
|
<td><input name="internment[section]" id="internment-section"
|
|
size="5" maxlength="5" />
|
|
<label for="internment-lot">Lot</label>
|
|
<input name="internment[lot]" id="internment-lot"
|
|
size="5" maxlength="5" />
|
|
</td>
|
|
</tr>
|
|
|
|
<tr><td><label for="internment-book">Book</label></td>
|
|
<td><input name="internment[book]" id="internment-book"
|
|
size="4" maxlength="4" />
|
|
<label for="internment-pageNumber">Page</label>
|
|
<input name="internment[pageNumber]" id="internment-pageNumber"
|
|
size="5" maxlength="5" />
|
|
</td>
|
|
</tr>
|
|
<tr><td><label for="internment-firstname">Name</label></td>
|
|
<td><label for="internment-firstname">First</label>
|
|
<input name="internment[firstname]" id="internment-firstname" />
|
|
<label for="internment-middleInitial">MI</label>
|
|
<input name="internment[middleInitial]" id="internment-middleInitial" />
|
|
<label for="internment-lastname">Last</label>
|
|
<input name="internment[lastname]" id="internment-lastname" />
|
|
</td>
|
|
</tr>
|
|
|
|
|
|
<tr><td><label for="internment-birthPlace">Place of Birth</label></td>
|
|
<td><input name="internment[birthPlace]" id="internment-birthPlace" />
|
|
</td>
|
|
</tr>
|
|
|
|
<tr><td><label for="internment-lastResidence">Last Residence</label></td>
|
|
<td><input name="internment[lastResidence]" id="internment-lastResidence" />
|
|
</td>
|
|
</tr>
|
|
|
|
<tr><td><label for="internment-deceasedDate">Date of Death</label></td>
|
|
<td><input name="internment[deceasedDate]" id="internment-deceasedDate" size="10" />
|
|
<label for="internment-age">Age</label>
|
|
<input name="internment[age]" id="internment-age" size="3" maxlength="3" />
|
|
<label for="internment-sex">Gender</label>
|
|
<select name="internment[sex]" id="internment-sex">
|
|
<option></option>
|
|
<option>M</option>
|
|
<option>F</option>
|
|
</select>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr><td><label for="internment-cemetery_id">Cemetery</label></td>
|
|
<td><select name="internment[cemetery_id]" id="internment-cemetery_id">
|
|
<option></option>
|
|
<?php
|
|
$list = new CemeteryList();
|
|
$list->find();
|
|
foreach ($list as $cemetery) {
|
|
$name = View::escape($cemetery->getName());
|
|
echo "<option value=\"{$cemetery->getId()}\">$name</option>";
|
|
}
|
|
?>
|
|
</select>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr><td><label for="internment-notes">Notes</label></td>
|
|
<td><textarea name="internment[notes]" id="internment-notes" rows="3" cols="60"></textarea>
|
|
</td>
|
|
</tr>
|
|
|
|
|
|
</table>
|
|
|
|
<button type="submit" class="submit">Submit</button>
|
|
<button type="button" class="cancel" onclick="document.location.href='<?php echo BASE_URL; ?>/internments';">
|
|
Cancel
|
|
</button>
|
|
</fieldset>
|
|
</form>
|