@extends('layouts.guest') @section('head') @endsection @section('content')
{!! csrf_field() !!}
{!! Form::text('first_name', null, ['class' => 'form-control', 'placeholder' => 'First Name']) !!} @if ($errors->has('first_name')) {{ $errors->first('first_name') }} @endif
{!! Form::text('last_name', null, ['class' => 'form-control', 'placeholder' => 'Last Name']) !!} @if ($errors->has('last_name')) {{ $errors->first('last_name') }} @endif
{!! Form::text('birthday', null, ['class' => 'form-control', 'placeholder' => 'Birthday', 'data-inputmask' => "'alias': 'mm/dd/yyyy'", 'data-mask' => '', 'id' => 'datepicker']) !!} @if ($errors->has('birthday')) {{ $errors->first('birthday') }} @endif
@if ($errors->has('email')) {{ $errors->first('email') }} @endif
{!! Form::radio('gender', 'M', true) !!} {!! Form::label('gender', 'Male', ['class' => 'margin']) !!} {!! Form::radio('gender', 'F') !!} {!! Form::label('gender', 'Female', ['class' => 'margin']) !!}
{!! Form::text('username', null, ['class' => 'form-control', 'placeholder' => 'Username']) !!} @if ($errors->has('username')) {{ $errors->first('username') }} @endif
@if ($errors->has('password')) {{ $errors->first('password') }} @endif
@if ($errors->has('password_confirmation')) {{ $errors->first('password_confirmation') }} @endif
{{trans('general.membresia')}}
@endsection @section('foot') @endsection