@extends($layout)

@section('content')

<div class="row">
    <div class="col s12">
        <div class="container">
            <div class="section">
                <form method="POST" enctype="multipart/form-data">
                    @csrf
                    <div class="card">
                        <div class="card-panel">
                            <div class="row">
                                <div class="col s12 m12">
                                    <div class="row">
                                                        
                                        </div>
                                            </div>
                                                <h4 class='card-title' style='margin-left: 15px; font-size: 25px;'> <i class='material-icons prefix'>info</i> Informations Personnelles </h4> 
                                            <div class='col s12 m12'>
                                                <div class='row'>                
                                        <div class="col s4 input-field">
                                            <input id="nom" name="nom" value="{{old('nom')}}" autocomplete="off" placeholder=''
                                            readonly onfocus="this.removeAttribute('readonly');" type="text">
                                            <label for="nom"> Nom Complet </label>
                                            @error('nom')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>                
                                        <div class="col s4 input-field">
                                            <input id="email" name="email" value="{{old('email')}}" autocomplete="off" placeholder=''
                                            readonly onfocus="this.removeAttribute('readonly');" type="text">
                                            <label for="email"> Email </label>
                                            @error('email')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>                        
                                            <div class="col s4 input-field">
                                                <input id="telephone" name="telephone" value="{{old('telephone')}}" autocomplete="off" placeholder=''
                                                readonly onfocus="this.removeAttribute('readonly');" type="text">
                                                <label for="telephone"> Telephone </label>
                                                @error('telephone')
                                                    <span class="helper-text materialize-red-text">{{ $message }}</span>
                                                @enderror
                                            </div>                
                                        </div>
                                            </div>
                                                <h4 class='card-title' style='margin-left: 15px; font-size: 25px;'> <i class='material-icons prefix'>add_location</i> Adresse </h4> 
                                            <div class='col s12 m12'>
                                                <div class='row'>                
                                        <div class="col s3 input-field">
                                            <input id="adresse" name="adresse" value="{{old('adresse')}}" autocomplete="off" placeholder=''
                                            readonly onfocus="this.removeAttribute('readonly');" type="text">
                                            <label for="adresse"> Adresse Complète </label>
                                            @error('adresse')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>                
                                        <div class="col s3 input-field">
                                            <input id="ville" name="ville" value="{{old('ville')}}" autocomplete="off" placeholder=''
                                            readonly onfocus="this.removeAttribute('readonly');" type="text">
                                            <label for="ville"> Ville </label>
                                            @error('ville')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>                
                                        <div class="col s3 input-field">
                                            <input id="codePostal" name="codePostal" value="{{old('codePostal')}}" autocomplete="off" placeholder=''
                                            readonly onfocus="this.removeAttribute('readonly');" type="text">
                                            <label for="codePostal"> Code Postal </label>
                                            @error('codePostal')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>                
                                        <div class="col s3 input-field">
                                            <input id="pays" name="pays" value="{{old('pays')}}" autocomplete="off" placeholder=''
                                            readonly onfocus="this.removeAttribute('readonly');" type="text">
                                            <label for="pays"> Pays </label>
                                            @error('pays')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>                
                                        </div>
                                            </div>
                                                <h4 class='card-title' style='margin-left: 15px; font-size: 25px;'> <i class='material-icons prefix'>system_update_alt</i> Informations Système </h4> 
                                            <div class='col s12 m12'>
                                                <div class='row'>                
                                        <div class="col s3 input-field">
                                            <input id="dateInscription" name="dateInscription" value="{{old('dateInscription')}}" autocomplete="off" placeholder=''
                                            readonly onfocus="this.removeAttribute('readonly');" type="text" class="datepicker">
                                            <label for="dateInscription"> Date d'inscription </label>
                                            @error('dateInscription')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>                        
                                        <div class="col s9 input-field">
                                            <textarea id="comments" name="comments" placeholder='' class="materialize-textarea"></textarea>
                                            <label for="comments"> Commentaires/Notes </label>
                                            @error('comments')
                                                <span class="helper-text materialize-red-text">{{ $message }}</span>
                                            @enderror
                                        </div>

                                        <!--updates_fields-->
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col s12 m12">
                                    <div class="col s12 display-flex justify-content-end mt-3">
                                        <a onclick="load()" href="{{route('client_list')}}"><button type="button"
                                                class="btn btn-light">Retour </button></a>
                                        <button onclick="load()" type="submit" class="btn indigo" style="margin-left: 1rem;">
                                            Enregistrer</button>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>
@stop