Linux SRV-16 6.18.44-paas #1 SMP PREEMPT_DYNAMIC Thu Aug 13 10:08:12 UTC 2026 x86_64
/srv/data/web/vhosts/www.volley92.asso.fr/htdocs/modules/
/srv/data/web/vhosts/www.volley92.asso.fr/htdocs/modules/pre-paiement.php
 <?php include "functions/pre-paiement.php"; ?>

<div class="pre-reservation">
    <div class="tit">
        <h3>S'inscrire à la formation <?= $_SESSION['formation'] ?> à <?=$_SESSION['prix'].' €'?></h3>
        <p>en complétant le formulaire ci-dessous</p>
    </div>
    <?=form_open("form-paiement",array('class'=>'p-3'))?>
            <div class="row" >
                <div class="col-md-6">
                    <div class="form-group has-feedback <?=$data['firstname']['status']?>">
                        <?=form_label($data['firstname']['label'],'lastname')?><br/>
                        <?=form_text('firstname',$data['firstname']['value'],array('class'=>'form-control','placeholder'=>'Prénom'))?>
                        <?=form_feedback($form_is_submitted,$data['firstname']['status'])?>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group has-feedback <?=$data['lastname']['status']?>">
                        <?=form_label($data['lastname']['label'],'lastname')?><br/>
                        <?=form_text('lastname',$data['lastname']['value'],array('class'=>'form-control','placeholder'=>'Nom'))?>
                        <?=form_feedback($form_is_submitted,$data['lastname']['status'])?>
                    </div>
                </div>
            </div>
            <div class="row" >
                <div class="col-md-6">
                    <div class=" padl form-group has-feedback <?=$data['email']['status']?>">
                        <?=form_label($data['email']['label'],'email')?><br/>
                        <?=form_text('email',$data['email']['value'],array('class'=>'form-control ','placeholder'=>'text@exemple.fr'))?>
                        <?=form_feedback($form_is_submitted,$data['email']['status'])?>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group has-feedback <?=$data['phone']['status']?>">
                        <?=form_label($data['phone']['label'],'phone')?>
                        <?=form_text('phone',$data['phone']['value'],array('class'=>'form-control','placeholder'=>'Tél'))?>
                        <?=form_feedback($form_is_submitted,$data['phone']['status'])?>
                    </div>
                </div>
            </div>
            <?php if($form_has_errors_rgpd): ?>
                <div class='alert alert-danger alert-dismissable'>
                    <button type='button' class='close' data-dismiss='alert' aria-hidden='true'>&times;</button>
                    <strong>Erreur!</strong> Merci d'accepter le stockage et la gestion de vos données par ce site.
                </div>
            <?php endif; ?>
            <div class="form-group has-feedback group-rgpd <?=$data['rgpd']['status']?>">
                <div class="checkbox info-rgpd" style="margin-top: 0;">     
                <?=form_checkbox('rgpd',$data['rgpd']['value'],$data['rgpd']['label'],array('class'=>'check-rgpd'))?>
                </div>
            </div>
            
            <?php if($form_has_errors_cgv): ?>
                <div class='alert alert-danger alert-dismissable'>
                    <button type='button' class='close' data-dismiss='alert' aria-hidden='true'>&times;</button>
                    <strong>Erreur!</strong> Merci d'accepter les conditions générales de vente.
                </div>
            <?php endif; ?>
            <div class="form-group has-feedback group-rgpd <?=$data['cgv']['status']?>">
                <div class="checkbox cgv" style="margin-top: 0;">     
                <?=form_checkbox('cgv',$data['cgv']['value'],$data['cgv']['label'],array('class'=>'check-cgv'))?>
                </div>
            </div>

            <div class="text-center">
                <input id="btSubmit" class="btn btn-primary" name="recap" type="submit" value="Récapitulatif">
            </div>
            <input type="hidden" name="formation" value="<?=$_SESSION['formation']?>">
        <br>
    <?=form_close()?>
</div>