wn-discoteam-theme/partials/anfrage/default.htm

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<form data-request="anfrage::onSubmit" data-request-flash class="grid sm:grid-cols-2 md:grid-cols-1 lg:grid-cols-2 gap-3">
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<div>
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<label for="reason" class="block text-sm font-medium text-gray-900 dark:text-white">Grund für die Feier</label>
<input id="reason" name="reason" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="z.B. 18. Geburtstag">
</div>
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<div>
<label for="date" class="block text-sm font-medium text-gray-900 dark:text-white">Gewünschtes Datum</label>
<input id="date" name="date" datepicker datepicker-autohide datepicker-format="dd.mm.yyyy" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
</div>
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<div>
<label for="firstname" class="block text-sm font-medium text-gray-900 dark:text-white">Vorname</label>
<input id="firstname" name="firstname" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
</div>
<div>
<label for="lastname" class="block text-sm font-medium text-gray-900 dark:text-white">Nachname</label>
<input id="lastname" name="lastname" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
</div>
<div>
<label for="phone" class="block text-sm font-medium text-gray-900 dark:text-white">Telefonnummer</label>
<input id="phone" name="phone" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
</div>
<div>
<label for="email" class="block text-sm font-medium text-gray-900 dark:text-white">E-Mail-Adresse</label>
<input id="email" name="email" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
</div>
<div>
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<label for="guests" class="block text-sm font-medium text-gray-900 dark:text-white">Anzahl Gäste (ca)</label>
<input id="guests" name="guests" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
<div>
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<label for="birthday" class="block text-sm font-medium text-gray-900 dark:text-white">Geburtsdatum</label>
<input id="birthday" name="birthday" datepicker datepicker-autohide datepicker-format="dd.mm.yyyy" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
<div class="col-span-full">
<label for="misc" class="block text-sm font-medium text-gray-900 dark:text-white">Was du sonst noch loswerden willst …</label>
<textarea id="misc" name="misc" rows="5" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light"></textarea>
</div>
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<div class="relative col-span-full">
<div class="grid grid-cols-1 gap-2">
<label for="datenschutz" class="p-0 block leading-none relative flex items-start">
<input id="datenschutz" type="checkbox" name="datenschutz" class="peer absolute invisible" />
<span class="border-neutral-400 border-4 border-solid peer-checked:border-neutral-800 absolute left-0 w-6 h-6 rounded block top-0"></span>
<span class="peer-checked:bg-neutral-800 left-[0.5rem] top-[0.5rem] w-2 h-2 absolute rounded block top-0"></span>
<span class="pl-8 pt-1 @sm:pt-0 text-gray-600 text-sm @sm:text-base">
<span>Ich habe die <a href="/datenschutzerklaerung" class="font-semibold" target="_BLANK">Datenschutzerklärung</a> zur Kenntnis genommen und akzeptiere diese.</span>
<span class="text-red-800">*</span>
</span>
</label>
</div>
</div>
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<div class="flex justify-center col-span-full mt-5">
<button class="py-2 px-6 rounded bg-blue-900 hover:bg-blue-800 text-lg font-bold text-gray-300" type="submit">Absenden</button>
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</div>
</form>
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