@extends('backend.layout.master')
@include('backend.kids.add-student-css')
@section('content')
    
    <!--Start Hero-->
      <section class="hero-section business-startup">
         
            <div class="container">
               <div class="row">
                  <div class="col-md-8">
                    <div class="heading mb-3"><h2>Add Students</h2></div>
                  </div>
                  <div class="col-md-4"></div>
                  </div>
                  <div class="row">
                    <div class="col-md-3 text-center student-edit">
                        <div class="avatar-upload">
                            <div class="avatar-edit">
                                <a href="#" data-toggle="modal" data-target="#upload_student_photo_modal">
                                    <label for="imageUpload">
                                      <img src="{!! asset('images/Path 75.png')!!}">
                                    </label>
                                </a>
                            </div>
                            <div class="avatar-preview">
                                <div id="imagePreview" >
                                </div>
                            </div>
                        </div>

                    </div>

                    <div class="col-md-9 student-add-page">
                        <form class="form theme-form" action="#" id="studentForm" method="post"
                          enctype="multipart/form-data">
                        @csrf
                      <div class="card-body">
                        
                        <input type="hidden" id="kid_id" value="0">
                        <input type="hidden" id="type_stu" value="add">
                        <input type="hidden" name="image_url" id="image_url">
                        <input type="hidden" name="add_length" id="add_length" value="0">

                      
                        <div class="row">
                          <div class="col-md-6">
                            <div class="form-group">
                              <label for="exampleFormControlInput20">First Name</label>
                              <input class="form-control" name="firstname" type="text"
                                               placeholder="First Name">
                            </div>
                          </div>
                          <div class="col-md-6">
                            <div class="form-group">
                              <label for="exampleFormControlInput20">Last Name</label>
                              <input class="form-control" name="lastname" type="text" placeholder="Last Name">
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <div class="form-group">
                              <label for="exampleInputPassword21">Date Of Birth</label>
                              <input class="form-control" name="dob" type="text" placeholder="MM/DD/YYYY">
                             <!--  <input class="datepicker-here form-control" name="dob" id="dob" type="text"
                                               data-language="en"
                                               placeholder="MM/DD/YYYY" readonly autocomplete="off"> -->
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <div class="form-group">
                              <label for="exampleFormControlSelect23">Gender</label>
                              <div class="radio radio-solid-primary">
                                <input type="radio" id="Male" name="gender" value="Male">
                                <label for="Male">Male</label>
                              </div>
                              <div class="radio radio-solid-primary">
                                <input type="radio" id="Female" name="gender" value="Female">
                                <label for="Female">Female</label>
                              </div>
                            </div>
                          </div>
                        </div>
                       
                        <div class="row">
                          <div class="col-md-4">
                            <div class="form-group">
                              <label for="exampleInputPassword22">Address</label>
                              <input class="form-control" name="address" type="text" placeholder="Address">
                            </div>
                          </div>
                          <div class="col-md-3">
                            <div class="form-group">
                                <label>City:<span class="font-danger">*</span></label>
                                <input class="form-control" type="text" placeholder="City" name="city" id="city"
                                               placeholder="City">
                            </div>
                          </div>
                          <div class="col-md-3">
                            <div class="form-group">
                                <label>State:<span class="font-danger">*</span></label>
                                <select class="form-control btn-square" name="state" id="state" required="">
                                  <option value="" disabled="" selected="">--Select State--</option>
                                    @foreach($states as $state)
                                        <option
                                            value="{{ $state->id }}"
                                            @if(old('state') == $state->id) selected @endif >{{ $state->state_name.' ['.$state->state_code.']'  }}</option>
                                    @endforeach
                                </select>
                            </div>
                          </div>
                          <div class="col-md-2">
                            <div class="form-group">
                              <label>Zip Code:<span class="font-danger">*</span></label>
                              <input class="form-control" type="number" placeholder="ZIP Code" name="zip"
                                               id="zip"
                                               placeholder="Zip Code">
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <div class="form-group">
                              <label for="exampleFormControlSelect23">Term</label>
                              <select class="js-example-basic-single col-sm-12 job-select2 form-control"
                                                name="term" id="term">
                                <option value="" disabled selected>--Select Term--</option>
                                <option value="1" @if(old('term') == '1') selected @endif>Full
                                    time
                                </option>
                                <option value="2" @if(old('term') == '2') selected @endif>Part
                                    time
                                </option>
                            </select>
                            </div>
                          </div>
                        </div>
                        <!-- <div class="row">
                          <div class="col">
                            <div class="form-group">
                              <label for="exampleFormControlSelect23">Group</label>
                              <select class="form-control btn-square" name="group" id="group"
                                        >
                                    <option value="" disabled selected>--Select Group--</option>
                                    @foreach($kg_groups as $group)
                                        <option
                                            value="{{ $group->id }}"
                                            @if(old('group') == $group->id) selected @endif >{{ $group->name }}</option>
                                    @endforeach
                                </select>
                            </div>
                          </div>
                        </div> -->
                        <div class="row">
                              <div class="col">
                                <div class="form-group">
                                  <label for="exampleFormControlSelect23">Group</label>
                                  <select class="select2 form-control digits" name="group[]" id="group" id="default-select" multiple="multiple">
                                    

                                    @foreach($kg_groups as $group)

                                        <option value="{{ $group->id }}">{{ $group->name }}</option>
                         
                                    @endforeach
                                    
                                  </select>
                                </div>
                              </div>
                            </div>
                        <div class="row">
                          <div class="col">
                            <div class="form-group">
                              <label for="exampleFormControlSelect23">Photo Restriction</label>
                              <div class="checkbox checkbox-solid-primary checkbox-block">
                                <input id="solid3" type="checkbox" name="photo_restriction"
                                                   value="1">
                                <label for="solid3">Restricted</label>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <div class="form-group">
                              <label for="exampleFormControlTextarea25">Allergies</label>
                              <textarea class="form-control" name="allergies" rows="3"
                                                  placeholder="n/a"></textarea>
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <div class="form-group">
                              <label for="exampleFormControlInput20">Food Restrictions</label>
                              <input class="form-control" name="food_restrictions" type="text"
                                               placeholder="Food Restrictions">
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <label class="exampleFormControlInput20 ">Emergency Contact Details</label>
                          </div>
                        </div>
                        <div class="row physician">
                          <div class="col">
                            <div class="card border-secondary card-body h-100 justify-content-center edit-parents back-color-grey pb-0">
                              <div class="row">
                                <div class="col-md-6 pb-1">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">First Name</label>
                                    <input class="form-control" id="emergency_first_name" name="emergency_first_name" type="text" placeholder="First Name">
                                  </div>
                                </div>
                                <div class="col-md-6 pb-1">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">Last Name</label>
                                    <input class="form-control" id="emergency_last_name" name="emergency_last_name" type="text" placeholder="Last Name">
                                  </div>
                                </div>
                                <div class="col-md-6">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">Emergency Phone Number</label>
                                    <input class="form-control pphone" id="emergency_contact" name="emergency_contact" type="text" placeholder="Phone">
                                  </div>
                                </div>
                                <div class="col-md-6">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">Email</label>
                                    <input class="form-control" id="emergency_email" name="emergency_email" type="email" placeholder="Emergency Email">
                                  </div>
                                </div>
                              </div>
                              <!-- <div class="form-group">
                                <label for="exampleFormControlInput1">First Name</label>
                                <input class="form-control" id="emergency_first_name" name="emergency_first_name" type="text" placeholder="First Name">
                              </div>
                              <div class="form-group">
                                <label for="exampleFormControlInput1">Last Name</label>
                                <input class="form-control" id="emergency_last_name" name="emergency_last_name" type="text" placeholder="Last Name">
                              </div>
                              <div class="form-group">
                                <label for="exampleFormControlInput1">Emergency Phone Number</label>
                                <input class="form-control pphone" id="emergency_contact" name="emergency_contact" type="text" placeholder="Phone">
                              </div>
                              <div class="form-group">
                                <label for="exampleFormControlInput1">Email</label>
                                <input class="form-control" id="emergency_email" name="emergency_email" type="email" placeholder="Emergency Email">
                              </div> -->
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <label class="exampleFormControlInput20 ">Physician Contact Details</label>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col">
                            <div class="card border-secondary card-body h-100 justify-content-center edit-parents back-color-grey pb-0">
                              <div class="row">
                                <div class="col-md-6 pb-1">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">First Name</label>
                                    <input class="form-control" id="physician_first_name" name="physician_first_name" type="text" placeholder="First Name">
                                  </div>
                                </div>
                                <div class="col-md-6 pb-1">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">Last Name</label>
                                    <input class="form-control" id="physician_last_name" name="physician_last_name" type="text" placeholder="Last Name">
                                  </div>
                                </div>
                                <div class="col-md-6">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">Physician Phone Number</label>
                                    <input class="form-control pphone cell_phone" id="physician_contact" name="physician_contact" type="text" placeholder="Physician Phone">
                                  </div>
                                </div>
                                <div class="col-md-6">
                                  <div class="form-group">
                                    <label for="exampleFormControlInput1">Email</label>
                                    <input class="form-control" id="physician_email" name="physician_email" type="email" placeholder="Physician Email">
                                  </div>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div id="hiddenInputs"></div>
                        <!-- <div class="row" id="additional_div"> -->


                        <div class="row bg-faded mb-2 mt-2" id="additional_div">                                               
                          <div class="col-md-4 mb-2 last_div">
                            <a href="#" data-edit="false" class="open_modal" data-toggle="modal">
                              <div class="card border-secondary text-center card-body h-100 justify-content-center add-parents">
                                  <h1><img src="{!! asset('images/Path 72.png')!!}"></h1>
                                  <h5 class="heading">Add Pickup Person</h5>
                              </div>
                            </a>
                          </div>
                        </div>

                        <div class="card-footer mb-5 pl-0">
                          <button class="btn btn-primary round btn-pill" type="submit" id="saveButton">Save</button>
                          <span class="text-danger saveBtn d-none" id="errorMsg"><i class="far fa-times-circle"></i> Error 333 : Can't save student profile.</span>
                          <!-- , beacuse internet connection is lost. -->
                              <span class="savingBtn d-none" id="savingMsg"><i class="fas fa-redo-alt"></i> Saving</span>
                              <span class="text-success saveBtn d-none" id="saveMsg"><i class="far fa-check-circle"></i> Done</span>
                          <div class="validation-errors" style="margin-top: 10px;"></div>
                        </div>
                        </form>
                      </div>
                    </div>
                  </div>
               </div>
            </div>
         
      </section>
      <!--End Hero-->

  <div class="modal fade" id="new_add_additional" tabindex="-1" role="dialog" aria-labelledby="new_add_additional" aria-hidden="true">
    <div class="modal-dialog modal-dialog-centered" role="document">
      <div class="modal-content">
        <div class="modal-header">
          <h5 class="modal-title">Additional</h5>
          <button class="close" type="button" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
        </div>
        <div class="modal-body p-0">
          <!-- <form class="form theme-form" > -->
          <form class="form theme-form" id="additional_form">
            <input type="hidden" id="add_edit" value="false">
            <div class="validation-errors1"></div>
            <div class="card-body pb-0">
              <div class="row">
                <div class="col">
                  <div class="form-group">
                    <label for="exampleFormControlInput1">First Name</label>
                    <input class="form-control" type="text"
                                                   name="first_name" id="add_first_name" placeholder="First Name">
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="col">
                  <div class="form-group">
                    <label for="exampleFormControlInput1">Last Name</label>
                    <input class="form-control" type="text" name="last_name" id="add_last_name"
                                                   placeholder="Last Name">
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="col">
                  <div class="form-group">
                    <label for="exampleFormControlInput1">Relation Type</label>
                      <select class="form-control btn-square" name="relation_type" id="add_relation_type" required="">
                        <option value="" disabled="" selected="">--Select Relation--</option>
                          @foreach($relation_type as $key=>$type)
                            <option value="{{ $type }}">
                              {{ $type }}</option>
                          @endforeach
                      </select>
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="col">
                  <div class="form-group">
                    <label for="exampleFormControlInput1">Phone Number</label>
                    <input class="form-control cell_phone" name="phone" type="text" id="add_phone"
                                                   placeholder="Phone">
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="col">
                  <div class="form-group">
                    <label for="exampleFormControlInput1">Email</label>
                    <input class="form-control" type="email" name="email" placeholder="Email"
                                                   id="add_email">
                  </div>
                </div>
              </div>
            </div>
            <div class="card-footer pb-0 pt-0">
              <button class="btn btn-pill round btn-primary" id="add_submit" type="button">Add</button>
              <!-- <button class="btn btn-pill btn-danger">Delete</button> -->
            </div>
          </form>
        </div>
        
      </div>
    </div>
  </div>



<!--  <div class="modal fade" id="new_add_additional" tabindex="-1" role="dialog" aria-labelledby="new_add_additional" aria-hidden="true">
      <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
          <div class="modal-header">
            <h5 class="modal-title">Additional</h5>
            <button class="close" type="button" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
          </div>
          <div class="modal-body">
            <form class="form theme-form">
              <div class="card-body">
                <div class="row">
                  <div class="col">
                    <div class="form-group">
                      <label for="exampleFormControlInput1">First Name</label>
                      <input class="form-control" id="exampleFormControlInput1" type="text" value="Emma">
                    </div>
                  </div>
                </div>
                <div class="row">
                  <div class="col">
                    <div class="form-group">
                      <label for="exampleFormControlInput1">Last Name</label>
                      <input class="form-control" id="exampleFormControlInput1" type="text" value="Gavalian">
                    </div>
                  </div>
                </div>
                <div class="row">
                  <div class="col">
                    <div class="form-group">
                      <label for="exampleFormControlInput1">Phone Number</label>
                      <input class="form-control" id="exampleFormControlInput1" type="text" value="818-605-0595">
                    </div>
                  </div>
                </div>
                <div class="row">
                  <div class="col">
                    <div class="form-group">
                      <label for="exampleFormControlInput1">Email</label>
                      <input class="form-control" id="exampleFormControlInput1" type="email" value="gavalian@gmail.com">
                    </div>
                  </div>
                </div>
              </div>
              <div class="card-footer">
                <button class="btn btn-pill btn-primary" type="submit">Add</button>
               
              </div>
            </form>
          </div> 
        </div>
      </div>
    </div>

 -->

<!--    Upload Student Photo Modal -->
        <div class="modal fade" id="upload_student_photo_modal" tabindex="-1" role="dialog"
             aria-labelledby="upload_student_photo_modal" aria-hidden="true">
            <div class="modal-dialog modal-dialog-centered" role="document">
                <div class="modal-content">
                    <div class="modal-header">
                        <h5 class="modal-title">Upload Student Photo</h5>
                        <button class="close" type="button" data-dismiss="modal"
                                aria-label="Close"><span aria-hidden="true">×</span>
                        </button>
                    </div>
                    <div class="modal-body">
                        <div class="card-body pb-0">
                            <div class="row">
                                <div class="col">
                                    <div class="form-group">
                                        {{--                                        <label>Student Photo</label>--}}
                                        <div class="dropzone" id="myDropzone"></div>
                                        <input type="file" name="image" class="hidden">
                                        <input id="imagePreviewUrl" type="hidden"/>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="card-footer card-footer pb-0 pt-0">
                            <button class="btn btn-pill btn-primary" id="uploadImagePreview" class="close" type="button"
                                    data-dismiss="modal"
                                    aria-label="Close">Upload
                            </button>
                        </div>
                    </div>
                </div>
            </div>
        </div>


@endsection
@section('page_js')
    @include('backend.kids.add-student-js')
    @include('backend.kids.dropzonejs')
@endsection