45 lines
1.6 KiB
HTML
45 lines
1.6 KiB
HTML
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<!DOCTYPE html>
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<html>
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<header>
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<meta charset="UTF-8"/>
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</header>
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<form method="post" action="./traitement.php" name="formulaire">
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<h1>Session de surf</h1>
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<fieldset>
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<legend>Nom et Prénom</legend>
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<input type="text" name="formulaire[nom]" placeholder="Nom">
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<input type="text" name="formulaire[prenom]" placeholder="Prénom">
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</fieldset>
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<fieldset>
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<legend>Lieu et période</legend>
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<select name="spot" id="spot" placeholder="Spot">
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<option value="ville1">Ville 1</option>
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<option value="ville2">Ville 2</option>
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<option value="ville3">Ville 3</option>
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</select>
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<label>Date de début</label>
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<input type="date" name="date-debut" value="1776-10-01" min="1776-10-01" max="2100-12-31"/>
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<label>Date de fin</label>
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<input type="date" name="date-fin" value="1776-10-01" min="1776-10-01" max="2100-12-31"/>
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<label>Heure début</label>
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<input type="time" id="begin-time" name="begin-time" min="00:00" max=23:59 required>
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<label>Heure de fin</label>
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<input type="time" id="bend-time" name="end-time" min="00:00" max=23:59 required>
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</fieldset>
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<fieldset>
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<legend>Produits utilisés</legend>
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<input type="checkbox" name="creme_solaire" id="creme_solaire" />
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</fieldset>
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<input type="submit" value="Envoyer" />
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</form>
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</html>
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