-
Notifications
You must be signed in to change notification settings - Fork 0
Expand file tree
/
Copy pathindex.php
More file actions
81 lines (80 loc) · 3.14 KB
/
index.php
File metadata and controls
81 lines (80 loc) · 3.14 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
<?php include('header.php'); ?>
<?php if(!isset($_COOKIE['zeroDengue_logged']) == 1 && !isset($_COOKIE['zeroDengue_user'])): ?>
<div class="container" style="margin-top: 50px;">
<div class="row">
<div class="col-md-12 mx-auto d-block text-center">
<img src="https://img2.gratispng.com/20180820/h/kisspng-yellow-fever-mosquito-dengue-fever-vector-portable-mosquito-png-clipart-png-mart-5b7b7730e56ff7.3800533615348180969398.jpg" class="img-fluid mx-auto d-block" width="200"><br>
<small>Foto: gratispng.com</small>
<h2>Bem-vindo ao sistema Zer@Dengue</h2>
<p>Faça seu cadastro e denúncie focos de dengue!</p>
</div>
</div>
<div class="row">
<div class="col-md-12">
<form method="post" action="cadastro.php">
<div class="row">
<div class="col">
<input required="required" name="name" type="text" class="form-control" placeholder="Nome">
</div>
<div class="col">
<input required="required" name="lastname" type="text" class="form-control" placeholder="Sobrenome">
</div>
</div>
<div class="row">
<div class="col">
<input required="required" name="rg" type="text" class="form-control" placeholder="RG">
</div>
<div class="col">
<input required="required" name="cpf" type="text" class="form-control" placeholder="CPF">
</div>
</div>
<div class="row">
<div class="col">
<input required="required" name="address" type="text" class="form-control" placeholder="Endereço">
</div>
<div class="col">
<input required="required" name="phone" type="text" class="form-control" placeholder="Telefone">
</div>
</div>
<div class="row">
<div class="col">
<input required="required" name="city" type="text" class="form-control" placeholder="Cidade">
</div>
<div class="col">
<input required="required" name="district" type="text" class="form-control" placeholder="Bairro">
</div>
</div>
<div class="row">
<div class="col">
<input required="required" name="state" type="text" class="form-control" placeholder="Estado">
</div>
<div class="col">
<input required="required" name="password" type="password" class="form-control" placeholder="Senha">
</div>
</div>
<div class="row">
<div class="col">
<input required="required" name="email" type="email" class="form-control" placeholder="E-mail">
</div>
<div class="col checkbox">
<input required="required" type="checkbox"> Aceito os termos & condições
</div>
</div>
<div class="row">
<input type="submit" value="Cadastrar no Zer@Dengue" class="btn btn-info mx-auto d-block">
</div>
</form>
</div>
</div>
</div>
<?php else: ?>
<div class="container">
<div class="row">
<div class="col-md-12 mt-5">
<h2>Olá, <?php echo base64_decode($_COOKIE['zeroDengue_user']); ?>!</h2>
<h4>Obrigado por ter se registrado em nosso portal de denúncias. Faça uma denúncia <a href="/denuncia.php">clicando aqui</a></h4>
</div>
</div>
</div>
<?php endif; ?>
<?php include('footer.php'); ?>