onlineanmeldung-pegnitz/templates/betrieb/_form.html.twig

105 lines
4.1 KiB
Twig

{{ form_start(form) }}
<div class="row">
<div class="col-sm-12">
<label class="labelFont{{ form.name.vars.required ? ' required' }}">Name des Betriebs</label>
<div class="form-error">
{{ form_errors(form.name) }}
</div>
{{ form_widget(form.name, {'attr':{'placeholder': 'Beispielfirma GmbH', 'class':'form-control',}}) }}
</div>
</div>
<div class="row">
<div class="col-sm-6">
<label class="labelFont{{ form.strasse.vars.required ? ' required' }}">Straße</label>
<div class="form-error">
{{ form_errors(form.strasse) }}
</div>
{{ form_widget(form.strasse, {'attr':{'placeholder': 'Musterstraße', 'class':'form-control'}}) }}
</div>
<div class="col-sm-6">
<label class="labelFont{{ form.hsnr.vars.required ? ' required' }}">Hausnummer</label>
<div class="form-error">
{{ form_errors(form.hsnr) }}
</div>
{{ form_widget(form.hsnr, {'attr': {'placeholder': '15', 'class': 'form-control',}}) }}
</div>
</div>
<div class="row">
<div class="col-sm-6">
<label class="labelFont{{ form.plz.vars.required ? ' required' }}">Postleitzahl</label>
<div class="form-error">
{{ form_errors(form.plz) }}
</div>
{{ form_widget(form.plz, {'attr':{'placeholder': '91234', 'class':'form-control'}}) }}
</div>
<div class="col-sm-6">
<label class="labelFont{{ form.ort.vars.required ? ' required' }}">Ort</label>
<div class="form-error">
{{ form_errors(form.ort) }}
</div>
{{ form_widget(form.ort, {'attr':{'placeholder': 'Musterstadt', 'class':'form-control'}}) }}
</div>
</div>
<div class="row">
<div class="col-sm-6">
<label class="labelFont{{ form.telZentrale.vars.required ? ' required' }}">Telefonnummer der Zentrale</label>
<div class="form-error">
{{ form_errors(form.telZentrale) }}
</div>
{{ form_widget(form.telZentrale, {'attr':{'placeholder': '0124/56789', 'class':'form-control'}}) }}
</div>
<div class="col-sm-6">
<label class="labelFont{{ form.kammer.vars.required ? ' required' }}">Kammer</label>
<div class="form-error">
{{ form_errors(form.kammer) }}
</div>
{{ form_widget(form.kammer, {'attr':{'class':'form-control'}}) }}
</div>
</div>
<div class="row">
<div class="col-sm-6">
<label class="labelFont{{ form.ansprPartner.vars.required ? ' required' }}">Ansprechpartner</label>
<div class="form-error">
{{ form_errors(form.ansprPartner) }}
</div>
{{ form_widget(form.ansprPartner, {'attr':{'placeholder': 'Max Mustermann', 'class':'form-control'}}) }}
</div>
<div class="col-sm-6">
<label class="labelFont{{ form.telDurchwahl.vars.required ? ' required' }}">Durchwahl</label>
<div class="form-error">
{{ form_errors(form.telDurchwahl) }}
</div>
{{ form_widget(form.telDurchwahl, {'attr':{'placeholder': '0124/56789', 'class':'form-control'}}) }}
</div>
</div>
<div class="row">
<div class="col-sm-6">
<label class="labelFont{{ form.fax.vars.required ? ' required' }}">Fax</label>
<div class="form-error">
{{ form_errors(form.fax) }}
</div>
{{ form_widget(form.fax, {'attr':{'placeholder': '0124/56789', 'class':'form-control'}}) }}
</div>
<div class="col-sm-6">
<label class="labelFont{{ form.email.vars.required ? ' required' }}">E-Mail</label>
<div class="form-error">
{{ form_errors(form.email) }}
</div>
{{ form_widget(form.email, {'attr':{'placeholder': 'm.mustermann@beispielfirma.de', 'class':'form-control'}}) }}
</div>
</div>
<br>
<br>
<div class="row">
<div class="col-lg-6">
<button type="button" class="btn controlButton buttonFont btn-block blankLinkButton" onclick="window.history.back()">Zurück</button>
</div>
<div class="col-lg-6">
<button class="btn controlButton buttonFont btn-block">{{ button_label|default('Save') }}</button>
</div>
</div>
{{ form_end(form) }}