{% extends 'front.html.twig' %}
{% block title %} Demande d'adhésion {% endblock %}
{% block body %}
    <!-- Start Main Banner -->
    <div class="page-title">
        <div class="d-table">
            <div class="d-table-cell">
                <div class="container">
                    <div class="row">
                        <div class="col-lg-12 col-md-12">
                            <h3>Demande d’adhésion</h3>
                            <ul>
                                <li><a href="">Home</a></li>
                                <li>/</li>
                                <li class="active">Demande d’adhésion</li>
                            </ul>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <!-- End Main Banner -->

    <!-- login section start -->
    <section class="ptb-100">
        <div class="container">
        <br/><br/>
            <div class="section-title">
                <h3>Demande d’adhésion</h3>
            </div>

            <div class="row">
                <div class="col-lg-10 offset-lg-1">
                    <div class="get-in-touch">

                        {{ include('default/flash_bag.html.twig') }}

                        {{ form_start(form) }}
                        <div class="row" id="contactForm" style="margin-top:15px">
                            <div class="col-md-6">
                                <div class="form-group">
                                    {{ form_widget(form.nom , { 'attr': {'class': 'form-control'}} ) }}
                                    <span class="text text-danger">{{ form_errors(form.nom) }}</span>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    {{ form_widget(form.prenom, { 'attr': {'class': 'form-control'}} ) }}
                                    <span class="text text-danger">{{ form_errors(form.prenom) }}</span>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    {{ form_widget(form.specialite, { 'attr': {'class': 'form-control'}} ) }}
                                    <span class="text text-danger">{{ form_errors(form.specialite) }}</span>
                                </div>
                            </div>
                            <div class="col-md-6">
                                {{ form_widget(form.grade, { 'attr': {'class': 'form-control'}} ) }}
                                <span class="text text-danger">{{ form_errors(form.grade) }}</span>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">

                                    {{ form_widget(form.service, { 'attr': {'class': 'form-control'}} ) }}
                                    <span class="text text-danger">{{ form_errors(form.service) }}</span>
                                </div>
                            </div>
                            <div class="col-md-6">
                                {{ form_widget(form.adresse, { 'attr': {'class': 'form-control'}} ) }}
                                <span class="text text-danger">{{ form_errors(form.adresse) }}</span>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    {{ form_widget(form.telephone, { 'attr': {'class': 'form-control'}} ) }}
                                    <span class="text text-danger">{{ form_errors(form.telephone) }}</span>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    {{ form_widget(form.email, { 'attr': {'class': 'form-control'}} ) }}
                                    <span class="text text-danger">{{ form_errors(form.email) }}</span>
                                </div>
                            </div>
                            <div class="col-md-12">
                                <div class="login-form-btn">
                                    <input id="enregistre" type="submit" class="btn theme-btn btn-primary"
                                    value="Valider" name="submit" style="margin-bottom: 50px;float: right">
                                </div>
                            </div>
                        </div>
                        {{ form_end(form) }}
                    </div>
                </div>
            </div>
        </div>
    </section>

    <script>

        $(document).ready(function () {
            $.noConflict();
        });

    </script>
{% endblock %}