1 <TMPL_INCLUDE NAME="members-top.inc">
3 <FONT SIZE=6><em>Add New Junior Member </em></font><br>
4 <form action=/cgi-bin/koha/newjmember.pl method=post>
5 <!--<input type=hidden name=joining value="">
6 <input type=hidden name=expiry value="">
7 <input type=hidden name=type value="borrowers">-->
8 <input type=hidden name=borrowernumber value="<TMPL_VAR NAME=member>">
9 <input type=hidden name=updtype value=I>
10 <input type=hidden name=area value="<TMPL_VAR NAME=area>">
11 <input type=hidden name=city value="<TMPL_VAR NAME=city>">
12 <input type=hidden name=street value="<TMPL_VAR NAME=address>">
13 <input type=hidden name=streetaddress value="<TMPL_VAR NAME=streetaddress>">
14 <input type=hidden name=streetcity value="<TMPL_VAR NAME=streetcity>">
15 <input type=hidden name=phone value="<TMPL_VAR NAME=phone>">
16 <input type=hidden name=phoneday value="<TMPL_VAR NAME=phoneday>">
17 <input type=hidden name=faxnumber value="<TMPL_VAR NAME=faxnumber>">
18 <input type=hidden name=emailaddress value="<TMPL_VAR NAME=emailaddress>">
19 <input type=hidden name=contactname value="<TMPL_VAR NAME=contactname>">
20 <input type=hidden name=altphone value"<TMPL_VAR NAME=altphone>">
22 <table border=0 cellspacing=0 cellpadding=5 >
23 <tr valign=top bgcolor="99cc33" >
24 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
25 <B>PARENT OR GUARDIAN </b>
28 <tr valign=top bgcolor=white>
30 <SELECT NAME="title" SIZE="1">
31 <OPTION value=" ">No Title
32 <TMPL_LOOP NAME=titleloop>
33 <OPTION value="<TMPL_VAR NAME=title>"<TMPL_VAR NAME=selected>><TMPL_VAR NAME=title>
37 <td><input type=text name=firstname_guardian size=20 value="<TMPL_VAR NAME=firstname>"></td>
38 <td colspan=2><input type=text name=surname_guardian size=20 value="<TMPL_VAR NAME=surname>"></td>
39 <td><input type=text name=guardian_number size=20 value="<TMPL_VAR NAME=cardnumber>"></td>
41 <tr valign=top bgcolor=white>
42 <td><FONT SIZE=2>Title</FONT></td>
43 <td><FONT SIZE=2>Given Names*</FONT></td>
44 <td colspan=2><FONT SIZE=2>Surname*</FONT></td>
45 <td><FONT SIZE=2>Membership No.</FONT></td>
47 <TMPL_LOOP NAME=cmemloop>
48 <tr valign=top bgcolor="99cc33">
49 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
50 <B>CHILD <TMPL_VAR NAME=count></b>
54 <td COLSPAN=4 ALIGN=RIGHT ><font size=3 face='arial,helvetica'>
55 <STRONG>Member# <TMPL_VAR NAME=cmember></STRONG>, <b>Card Number*</b></STRONG>
58 <input type=text name=cardnumber_child_<TMPL_VAR NAME=i> size=20 value=""><br>
59 <input type=hidden name=bornumber_child_<TMPL_VAR NAME=i> value="<TMPL_VAR NAME=cmember>">
63 <td><input type=text name=firstname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
64 <td><input type=text name=surname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
65 <td><input type=text name=dateofbirth_child_<TMPL_VAR NAME=i> size=10 value=""></TD>
67 <input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="F"><b>F</b>
68 <input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="M"><b>M*</b>
70 <TD align=right><input type=text name=school_child_<TMPL_VAR NAME=i> size=20 value=""></TD>
72 <tr valign=top bgcolor=white>
73 <td><FONT SIZE=2><b>Given Name*</b></FONT></td>
74 <td><FONT SIZE=2><b>Surname*</b></FONT></td>
75 <td><FONT SIZE=2><b>Date of Birth<BR>(<TMPL_VAR NAME=dateformat>)*</b></FONT></td>
76 <td><FONT SIZE=2> </FONT></td>
77 <td><FONT SIZE=2>School</FONT></td>
79 <tr valign=top bgcolor=white>
80 <td COLSPAN=5><textarea name=altnotes_child_<TMPL_VAR NAME=i> wrap=physical cols=70 rows=3></textarea></td>
82 <tr valign=top bgcolor=white>
83 <td><FONT SIZE=2>Notes</font></td>
86 <tr valign=top bgcolor=white>
87 <td colspan=2 align="center"><input type=reset value="Clear all Fields"></td>
88 <td COLSPAN=3 align="center">
89 <input type=image src="<TMPL_VAR name="interface">/<TMPL_VAR name="theme">/images/2rightarrow.png" ALT="Add New Member" border=0>
97 <TMPL_INCLUDE NAME="members-bottom.inc">