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index.html
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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<title>请愿开学时间报名</title>
<meta name="viewport" content="width=device-width" />
<link rel="stylesheet" href="https://cdn.static.runoob.com/libs/bootstrap/3.3.7/css/bootstrap.min.css">
<script src="https://cdn.static.runoob.com/libs/jquery/2.1.1/jquery.min.js"></script>
<script src="https://cdn.static.runoob.com/libs/bootstrap/3.3.7/js/bootstrap.min.js"></script>
<script type="text/javascript" src="./enroll/moment.min.js"></script>
<script type="text/javascript" src="./enroll/bootstrap-datetimepicker.min.js"></script>
<script type="text/javascript" src="./enroll/bootstrap-datetimepicker.zh-CN.js"></script>
<link rel="stylesheet" href="./enroll/bootstrap-datetimepicker.min.css" />
</head>
<body>
<img src="./enroll/header.gif" class="img-responsive" alt="headerr">
<div class="well">
<div class="container">
<h3>请愿开学时间报名</h3>
</div>
</div>
<div id="Layer1" style="position:fixed; width:100%; height:100%; z-index:-1">
<img src="./enroll/backgound.jpg" height="100%" width="100%" />
</div>
<div class="container container-fluid">
<div class="row clearfix">
<div class="col-md-12 column">
<form role="form" action="https://www.bilibili.com/video/BV1W4421w7kd/?share_source=copy_web&vd_source=78c40a494199bd421e3b56a59ef0944f" method="">
<div class="col-md-6 column">
<div class="form-group">
<label for="name">姓名：</label>
<input class="form-control" name="data[name]" id="fine_name" type="name" />
</div>
</div>
<div class="col-md-8 column">
<div class="col-md-4 column">
<div class="form-group">
<label for="name">是否自愿开学：</label>
<div class="radio">
<label>
<input type="radio" name="data[sex]" id="sex" value="0" checked>是
</label>
<label>
<input type="radio" name="data[sex]" id="sex" value="1">否
</label>
</div>
</div>
</div>
<div class="col-md-8 column">
<div class="form-group">
<label>自愿开学时间：</label>
<div class='input-group date' id='datetimepicker1'>
<input type='text' name="data[birthday]" class="form-control" placeholder="非必填" />
<span class="input-group-addon">
<span class="glyphicon glyphicon-calendar"></span>
</span>
</div>
</div>
</div>
<div class="form-group">
<label for="telnumber">联系电话：</label>
<input class="form-control" name="data[telnumber]" id="telnumber" placeholder="可不填" />
</div>
</div>
<div class="col-md-6 column">
<div class="form-group">
<label for="grade">就读年级：</label>
<select id="fc_grade" class="form-control" name="data[grade]">
<option value="1" selected="selected">高一 </option>
<option value="2">高二 </option>
<option value="3">高三 </option>
<option value="4">大学生 </option>
</select>
</div>
<div class="form-group">
<label for="teacher">班主任：</label>
<input class="form-control" name="data[teacher]" id="teacher" type="text"
placeholder="可不填" />
</div>
</div>
<div class="col-md-4 column"> </div>
<div class="col-md-4 column">
<input class="btn btn-primary btn-lg btn-block" value="提 交" name="submit" type="submit">
</div>
<div class="col-md-4 column"></div>
</form>
</div>
</div>
</div>
<hr />
</body>
<script type="text/javascript">
$(function () {
$('#datetimepicker1').datetimepicker({
format: 'YYYY-MM-DD',
locale: moment.locale('zh-cn')
});
});
</script>
</html>