46 lines
1.6 KiB
HTML
46 lines
1.6 KiB
HTML
{% extends 'base.html' %}
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{% block title %}
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Title: Form
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{% endblock %}
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{% block content %}
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<center>
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<br><br>
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<h1>Trauzeugen-Antragsformular gem. Passierschein A38</h1>
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<form action='#' method='post'>
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<br><br>
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<p> Name:</p>
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<p><input type='text' name='name' /></p>
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<p> Email:</p>
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<p><input type='text' name='email' /></p>
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<br><br>
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<h5>Glatze vorhanden und entspiegelt?</h5>
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<br>
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<input type='radio' class='btn-check' name='glatze' id='option1' value='yes' autocomplete='off' checked>
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<label class='btn' for='option1'>Ja!</label>
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<input type='radio' class='btn-check' name='glatze' id='option2' value='no' autocomplete='off'>
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<label class='btn' for='option2'>Nein!</label>
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<br><br>
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<h5>Bock auf ein Trauzeugen-Happening am 20.07.24?</h5>
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<br><br>
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<input type='radio' class='btn-check' name='trauzeuge' id='option3' value='fuck yes' autocomplete='off' checked>
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<label class='btn' for='option3'>Fuck yes!</label>
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<input type='radio' class='btn-check' name='trauzeuge' id='option4' value='fuck no' autocomplete='off'>
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<label class='btn' for='option4'>Fuck no!</label>
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<input type='radio' class='btn-check' name='trauzeuge' id='option5' value='fuck you' autocomplete='off'>
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<label class='btn' for='option5'>Fuck you!</label><br><br>
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<br><br>
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<p> Kommentar:</p>
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<p><input type='text' name='comment' /></p>
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<br><br>
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<input type='submit' class='btn btn-primary' value='Antrag einreichen'/>
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</form>
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</center>
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{% endblock %} |