forked from WEB-IMB-WS2526/lab-development-imb
68 lines
2.4 KiB
HTML
68 lines
2.4 KiB
HTML
<!DOCTYPE html>
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<html lang="de">
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<head>
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<meta charset="utf-8">
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<link rel="stylesheet" href="styles_workshop.css">
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<title>Workshop-Anmeldung</title>
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</head>
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<body>
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<h1>Workshop-Anmeldung</h1>
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<form action="https://web-637691723779.europe-west2.run.app/registrierung" method="post">
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<fieldset>
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<legend>Persönliche Angaben:</legend>
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<label for="vorname">Vorname:</label><br>
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<input type="text" name="vorname" id="vorname" placeholder="Vorname" required><br>
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<label for="nachname">Nachname:</label><br>
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<input type="text" name="nachname" id="nachname" placeholder="Nachname" required><br>
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<label for="email">E-Mail:</label><br>
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<input type="email" name="email" id="email" autocomplete="email"><br>
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<label for="telefon">Handynummer:</label><br>
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<input type="tel" name="telefon" id="telefon" pattern="^01[5-7][0-9]{7,10}$"><br><br>
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</fieldset>
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<fieldset>
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<legend>Kursauswahl:</legend>
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<label for="kurs">Kurs:</label><br>
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<input type="text" name="kurs" id="kurs" value="Webentwicklung Basics" readonly disabled><br><br>
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<label for="sessions">Bevorzugte Sessions:</label><br>
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<select id="sessions" name="sessions" class="styled-select" multiple size="4">
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<option value="vormittag">Vormittag</option>
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<option value="nachmittag">Nachmittag</option>
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<option value="abendsession">Abend</option>
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<option value="wochenende">Wochenende</option>
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</select><br>
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</fieldset>
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<fieldset>
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<legend>Zusätzliche Optionen:</legend>
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<input type="checkbox" id="agb" name="agb" class="styled-checkbox" required>
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<label for="agb">Ich akzeptiere die Teilnahmebedingungen.</label><br>
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<input type="checkbox" id="newsletter" name="newsletter" value="ja" class="styled-checkbox" >
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<label for="newsletter">Newsletter abonnieren.</label><br>
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<input type="checkbox" id="equipment" name="equipment" value="ja" class="styled-checkbox" >
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<label for="equipment">Ich benötige spezielles Equipment.</label><br>
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</fieldset>
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<fieldset>
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<legend>Teilnahmeformat:</legend>
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Format wählen:<br>
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<input type="radio" id="online" name="format" value="online" class="styled-radio" required>
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<label for="online">Online</label><br>
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<input type="radio" id="praesenz" name="format" value="praesenz" class="styled-radio">
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<label for="praesenz">Präsenz</label><br>
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</fieldset>
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<br>
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<input type="submit" value="Jetzt anmelden">
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</form>
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</body>
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</html> |