{% set debug = app.request.query.get("debug") %}
{% set formName = 'cleverreach' %}
{% set formFields = frontend.formular.formFields %}
{% set dsgvotext = frontend.formular.dsgvotext %}
{% set buttontext = frontend.formular.buttontext %}
{% set pflichtfeldtext = frontend.formular.pflichtfeldtext %}
{% set antwort = "" %}
<form method="post" accept-charset="utf-8" name="{{ formName }}" role="form" target="_self" action="https://eu2.cleverreach.com/f/158593-157691/wcs/">
<div id="anchorPosition"></div>
<div class="form-container">
<h5 class="fieldsareaname">{{ 'form_kontaktdaten_label'|trans }}</h5>
<div class="form-row--multiple">
<div class="form-item form-mandatory">
<div data-errormessage="">{{ 'form_validation_error'|trans }}</div>
<label for="text3293136">{{ 'form_EMAIL_label'|trans }}</label>
<input class="input-input" id="text3293136" name="email" value="" type="text"/>
</div>
<div class="form-item">
<div data-errormessage="">{{ 'form_mandatory_error'|trans }}</div>
<label for="text3400952">{{ 'form_FIRSTNAME_label'|trans }}</label>
<input class="input-input" id="text3400952" name="1025813" type="text" value=""/>
</div>
<div class="form-item">
<div data-errormessage="">{{ 'form_mandatory_error'|trans }}</div>
<label for="text3400954">{{ 'form_NAME_label'|trans }}</label>
<input class="input-input" id="text3400954" name="1025814" type="text" value=""/>
</div>
</div>
<h5 class="fieldsareaname">{{ 'form_INTERESSEN_label'|trans }}</h5>
<div class="layout-float-wrap">
<div class="form-item">
<input id="Sommer3532795" class="input-checkbox" name="1025822[]" value="Sommer" type="checkbox"/>
<label style="white-space: nowrap;" for="Sommer3532795">{{ 'form_CHECKBOX-SOMMER_label'|trans }}</label>
</div>
<div class="form-item">
<input id="Winter3532795" class="input-checkbox" name="1025822[]" value="Winter" type="checkbox"/>
<label style="white-space: nowrap;" for="Winter3532795">{{ 'form_CHECKBOX-WINTER_label'|trans }}</label>
</div>
<div class="form-item">
<input id="Glanzer Homes Sölden3532795" class="input-checkbox" name="1025822[]" value="Glanzer Homes Sölden" type="checkbox"/>
<label style="white-space: nowrap;" for="Glanzer Homes Sölden3532795">{{ 'form_CHECKBOX-SOELDEN_label'|trans }}</label>
</div>
<div class="form-item">
<input id="Glanzer Homes Hochsölden3532795" class="input-checkbox" name="1025822[]" value="Glanzer Homes Hochsölden" type="checkbox"/>
<label style="white-space: nowrap;" for="Glanzer Homes Hochsölden3532795">{{ 'form_CHECKBOX-SOELDEN-HOCHSOELDEN_label'|trans }}</label>
</div>
<div class="form-item">
<input id="Glanzer Homes Längenfeld3532795" class="input-checkbox" name="1025822[]" value="Glanzer Homes Hochsölden" type="checkbox"/>
<label style="white-space: nowrap;" for="Glanzer Homes Längenfeld3532795">{{ 'form_CHECKBOX-LAENGENFELD_label'|trans }}</label>
</div>
</div>
<!-- SUBMIT -->
<div>
<div class="btn-wrp submit-button">
<button type="submit">{{ buttontext |raw }}</button>
</div>
<div class="waiting-for-response">
<div class="submit-sending">
<div class="submit-sending--wrp">
<div class="submit-sending-box">
<div class="border one"></div>
<div class="border two"></div>
<div class="border three"></div>
<div class="border four"></div>
<div class="line one"></div>
<div class="line two"></div>
<div class="line three"></div>
</div>
</div>
</div>
</div>
</div>
<p>
<small>{{ pflichtfeldtext |raw }}</small>
</p>
<div class="data-privacy-statement">
{{ dsgvotext |raw }}
</div>
</div>
</form>
<script>
(function () {
'use strict';
var moduleName = '{{ formName }}_module'; // naming convention XXX_module
if (typeof selt === 'undefined') {
window.selt = {
modules: {}
};
} else if (!selt.modules) {
selt.modules = {};
}
selt.modules[moduleName] = {
name: moduleName,
init: function () {
activateForm();
}
};
function activateForm() {
var scnemForm = $("form[name='{{ formName }}']"),
confirmationURL = '{{ antwort }}',
children = $('[name="form_CHILDREN"]'),
nrOfChildren,
childAgeColl = $('#childages .form-item');
children.on('change', function () {
nrOfChildren = parseInt(children.val(), 10),
childAgeColl.addClass('hide');
if (nrOfChildren) {
for (var i = 0; i < nrOfChildren; i++) {
childAgeColl.eq(i).removeClass('hide');
}
}
});
scnemForm[0].onsubmit = function () {
if (!selt.validateForm(scnemForm)) {
selt.ajaxSubmitForm(scnemForm, confirmationURL, {{ debug }});
}
return false;
};
//---------------------------------------------------------------------------------------
// Pickadate
//---------------------------------------------------------------------------------------
var date = selt.dateFunctions.getFutureDate(new Date(), 1);
var dateOptions = {
formatSubmit: "yyyy-mm-dd",
min: date,
today: '',
clear: '',
close: '',
language: "{{ document.getProperty('language') }}"
};
selt.initForm(scnemForm, dateOptions);
$('[data-formtype="number"]', scnemForm).inputNumber()
}
}())
</script>