97 lines
4 KiB
Cheetah
97 lines
4 KiB
Cheetah
<TMPL_INCLUDE NAME="members-top.inc">
|
|
|
|
<h1>Add New Junior Member </h1><br>
|
|
<form action=/cgi-bin/koha/newjmember.pl method=post>
|
|
<!--<input type=hidden name=joining value="">
|
|
<input type=hidden name=expiry value="">
|
|
<input type=hidden name=type value="borrowers">-->
|
|
<input type=hidden name=borrowernumber value="<TMPL_VAR NAME=member>">
|
|
<input type=hidden name=updtype value=I>
|
|
<input type=hidden name=area value="<TMPL_VAR NAME=area>">
|
|
<input type=hidden name=city value="<TMPL_VAR NAME=city>">
|
|
<input type=hidden name=street value="<TMPL_VAR NAME=address>">
|
|
<input type=hidden name=streetaddress value="<TMPL_VAR NAME=streetaddress>">
|
|
<input type=hidden name=streetcity value="<TMPL_VAR NAME=streetcity>">
|
|
<input type=hidden name=phone value="<TMPL_VAR NAME=phone>">
|
|
<input type=hidden name=phoneday value="<TMPL_VAR NAME=phoneday>">
|
|
<input type=hidden name=faxnumber value="<TMPL_VAR NAME=faxnumber>">
|
|
<input type=hidden name=emailaddress value="<TMPL_VAR NAME=emailaddress>">
|
|
<input type=hidden name=contactname value="<TMPL_VAR NAME=contactname>">
|
|
<input type=hidden name=altphone value"<TMPL_VAR NAME=altphone>">
|
|
|
|
<table border=0 cellspacing=0 cellpadding=5 >
|
|
<tr valign=top bgcolor="99cc33" >
|
|
<td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
|
|
<B>PARENT OR GUARDIAN </b>
|
|
</td>
|
|
</tr>
|
|
<tr valign=top bgcolor=white>
|
|
<td>
|
|
<SELECT NAME="title" SIZE="1">
|
|
<OPTION value=" ">No Title
|
|
<TMPL_LOOP NAME=titleloop>
|
|
<OPTION value="<TMPL_VAR NAME=title>"<TMPL_VAR NAME=selected>><TMPL_VAR NAME=title>
|
|
</TMPL_LOOP>
|
|
</SELECT>
|
|
</td>
|
|
<td><input type=text name=firstname_guardian size=20 value="<TMPL_VAR NAME=firstname>"></td>
|
|
<td colspan=2><input type=text name=surname_guardian size=20 value="<TMPL_VAR NAME=surname>"></td>
|
|
<td><input type=text name=guardian_number size=20 value="<TMPL_VAR NAME=cardnumber>"></td>
|
|
</tr>
|
|
<tr valign=top bgcolor=white>
|
|
<td><FONT SIZE=2>Title</FONT></td>
|
|
<td><FONT SIZE=2>Given Names*</FONT></td>
|
|
<td colspan=2><FONT SIZE=2>Surname*</FONT></td>
|
|
<td><FONT SIZE=2>Membership No.</FONT></td>
|
|
</tr>
|
|
<TMPL_LOOP NAME=cmemloop>
|
|
<tr valign=top bgcolor="99cc33">
|
|
<td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
|
|
<B>CHILD <TMPL_VAR NAME=count></b>
|
|
</td>
|
|
</TR>
|
|
<TR>
|
|
<td COLSPAN=4 ALIGN=RIGHT ><font size=3 face='arial,helvetica'>
|
|
<STRONG>Member# <TMPL_VAR NAME=cmember></STRONG>, <b>Card Number*</b></STRONG>
|
|
</TD>
|
|
<TD>
|
|
<input type=text name=cardnumber_child_<TMPL_VAR NAME=i> size=20 value=""><br>
|
|
<input type=hidden name=bornumber_child_<TMPL_VAR NAME=i> value="<TMPL_VAR NAME=cmember>">
|
|
</td>
|
|
</TR>
|
|
<tr bgcolor=white>
|
|
<td><input type=text name=firstname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
|
|
<td><input type=text name=surname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
|
|
<td><input type=text name=dateofbirth_child_<TMPL_VAR NAME=i> size=10 value=""></TD>
|
|
<TD>
|
|
<input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="F"><b>F</b>
|
|
<input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="M"><b>M*</b>
|
|
</td>
|
|
<TD align=right><input type=text name=school_child_<TMPL_VAR NAME=i> size=20 value=""></TD>
|
|
</tr>
|
|
<tr valign=top bgcolor=white>
|
|
<td><FONT SIZE=2><b>Given Name*</b></FONT></td>
|
|
<td><FONT SIZE=2><b>Surname*</b></FONT></td>
|
|
<td><FONT SIZE=2><b>Date of Birth<BR>(<TMPL_VAR NAME=dateformat>)*</b></FONT></td>
|
|
<td><FONT SIZE=2> </FONT></td>
|
|
<td><FONT SIZE=2>School</FONT></td>
|
|
</tr>
|
|
<tr valign=top bgcolor=white>
|
|
<td COLSPAN=5><textarea name=altnotes_child_<TMPL_VAR NAME=i> wrap=physical cols=70 rows=3></textarea></td>
|
|
</tr>
|
|
<tr valign=top bgcolor=white>
|
|
<td><FONT SIZE=2>Notes</font></td>
|
|
</tr>
|
|
</TMPL_LOOP>
|
|
<tr valign=top bgcolor=white>
|
|
<td colspan=2 align="center"><input type=reset value="Clear all Fields"></td>
|
|
<td COLSPAN=3 align="center">
|
|
<input type=image src="<TMPL_VAR name="interface">/<TMPL_VAR name="theme">/images/2rightarrow.png" ALT="Add New Member" border=0>
|
|
</td>
|
|
</tr>
|
|
|
|
</TABLE>
|
|
</form>
|
|
|
|
|
|
<TMPL_INCLUDE NAME="members-bottom.inc">
|