277 lines
19 KiB
PHP
277 lines
19 KiB
PHP
@extends('layouts.app')
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@section('content')
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<div class="container py-4">
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<div class="row justify-content-center">
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<div class="col-md-8">
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<div class="card shadow-sm">
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<div class="card-header bg-white">
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<h4 class="mb-0">Add Family Member</h4>
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</div>
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<div class="card-body">
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<form method="POST" action="{{ route('family.store') }}">
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@csrf
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<div class="mb-3">
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<label for="full_name" class="form-label">Full Name</label>
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<input type="text" class="form-control @error('full_name') is-invalid @enderror" id="full_name" name="full_name" value="{{ old('full_name') }}" required>
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@error('full_name')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="mb-3">
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<label for="email" class="form-label">Email Address <span class="text-muted">(Optional for children)</span></label>
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<input type="email" class="form-control @error('email') is-invalid @enderror" id="email" name="email" value="{{ old('email') }}">
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@error('email')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="mb-3">
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<label for="mobile" class="form-label">Mobile Number</label>
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<x-country-code-dropdown
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name="mobile_code"
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id="country_code"
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:value="old('mobile_code', '+973')"
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:required="false"
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:error="$errors->first('mobile_code')">
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<input id="mobile_number" type="tel"
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class="form-control @error('mobile') is-invalid @enderror"
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name="mobile"
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value="{{ old('mobile') }}"
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autocomplete="tel"
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placeholder="Phone number">
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</x-country-code-dropdown>
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@error('mobile')
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<div class="invalid-feedback d-block">{{ $message }}</div>
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@enderror
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</div>
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<div class="row mb-3">
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<div class="col-md-6">
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<x-gender-dropdown
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name="gender"
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id="gender"
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:value="old('gender')"
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:required="true"
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:error="$errors->first('gender')" />
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</div>
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<div class="col-md-6">
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<x-birthdate-dropdown
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name="birthdate"
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id="birthdate"
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label="Birthdate"
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:value="old('birthdate')"
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:required="true"
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:min-age="0"
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:max-age="120"
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:error="$errors->first('birthdate')" />
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</div>
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</div>
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<div class="row mb-3">
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<div class="col-md-6">
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<label for="blood_type" class="form-label">Blood Type</label>
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<select class="form-select @error('blood_type') is-invalid @enderror" id="blood_type" name="blood_type">
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<option value="">Select Blood Type</option>
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<option value="A+" {{ old('blood_type') == 'A+' ? 'selected' : '' }}>A+</option>
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<option value="A-" {{ old('blood_type') == 'A-' ? 'selected' : '' }}>A-</option>
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<option value="B+" {{ old('blood_type') == 'B+' ? 'selected' : '' }}>B+</option>
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<option value="B-" {{ old('blood_type') == 'B-' ? 'selected' : '' }}>B-</option>
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<option value="AB+" {{ old('blood_type') == 'AB+' ? 'selected' : '' }}>AB+</option>
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<option value="AB-" {{ old('blood_type') == 'AB-' ? 'selected' : '' }}>AB-</option>
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<option value="O+" {{ old('blood_type') == 'O+' ? 'selected' : '' }}>O+</option>
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<option value="O-" {{ old('blood_type') == 'O-' ? 'selected' : '' }}>O-</option>
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<option value="Unknown" {{ old('blood_type') == 'Unknown' ? 'selected' : '' }}>Unknown</option>
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</select>
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@error('blood_type')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="col-md-6">
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<x-nationality-dropdown
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name="nationality"
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id="nationality"
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:value="old('nationality')"
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:required="true"
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:error="$errors->first('nationality')" />
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</div>
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</div>
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<div class="mb-3">
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<h5 class="form-label d-flex justify-content-between align-items-center">
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Social Media Links
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<button type="button" class="btn btn-outline-primary btn-sm" id="addSocialLink">
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<i class="bi bi-plus"></i> Add Link
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</button>
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</h5>
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<div id="socialLinksContainer">
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@php
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$existingLinks = old('social_links', []);
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if (!is_array($existingLinks)) {
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$existingLinks = [];
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}
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// Convert associative array to array of arrays for form display
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$formLinks = [];
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foreach ($existingLinks as $platform => $url) {
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$formLinks[] = ['platform' => $platform, 'url' => $url];
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}
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@endphp
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@foreach($formLinks as $index => $link)
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<div class="social-link-row mb-3 d-flex align-items-end">
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<div class="me-2 flex-grow-1">
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<label class="form-label">Platform</label>
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<select class="form-select platform-select" name="social_links[{{ $index }}][platform]" required>
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<option value="">Select Platform</option>
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<option value="facebook" {{ ($link['platform'] ?? '') == 'facebook' ? 'selected' : '' }}>Facebook</option>
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<option value="twitter" {{ ($link['platform'] ?? '') == 'twitter' ? 'selected' : '' }}>Twitter/X</option>
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<option value="instagram" {{ ($link['platform'] ?? '') == 'instagram' ? 'selected' : '' }}>Instagram</option>
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<option value="linkedin" {{ ($link['platform'] ?? '') == 'linkedin' ? 'selected' : '' }}>LinkedIn</option>
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<option value="youtube" {{ ($link['platform'] ?? '') == 'youtube' ? 'selected' : '' }}>YouTube</option>
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<option value="tiktok" {{ ($link['platform'] ?? '') == 'tiktok' ? 'selected' : '' }}>TikTok</option>
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<option value="snapchat" {{ ($link['platform'] ?? '') == 'snapchat' ? 'selected' : '' }}>Snapchat</option>
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<option value="whatsapp" {{ ($link['platform'] ?? '') == 'whatsapp' ? 'selected' : '' }}>WhatsApp</option>
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<option value="telegram" {{ ($link['platform'] ?? '') == 'telegram' ? 'selected' : '' }}>Telegram</option>
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<option value="discord" {{ ($link['platform'] ?? '') == 'discord' ? 'selected' : '' }}>Discord</option>
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<option value="reddit" {{ ($link['platform'] ?? '') == 'reddit' ? 'selected' : '' }}>Reddit</option>
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<option value="pinterest" {{ ($link['platform'] ?? '') == 'pinterest' ? 'selected' : '' }}>Pinterest</option>
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<option value="twitch" {{ ($link['platform'] ?? '') == 'twitch' ? 'selected' : '' }}>Twitch</option>
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<option value="github" {{ ($link['platform'] ?? '') == 'github' ? 'selected' : '' }}>GitHub</option>
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<option value="spotify" {{ ($link['platform'] ?? '') == 'spotify' ? 'selected' : '' }}>Spotify</option>
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<option value="skype" {{ ($link['platform'] ?? '') == 'skype' ? 'selected' : '' }}>Skype</option>
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<option value="slack" {{ ($link['platform'] ?? '') == 'slack' ? 'selected' : '' }}>Slack</option>
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<option value="medium" {{ ($link['platform'] ?? '') == 'medium' ? 'selected' : '' }}>Medium</option>
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<option value="vimeo" {{ ($link['platform'] ?? '') == 'vimeo' ? 'selected' : '' }}>Vimeo</option>
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<option value="messenger" {{ ($link['platform'] ?? '') == 'messenger' ? 'selected' : '' }}>Messenger</option>
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<option value="wechat" {{ ($link['platform'] ?? '') == 'wechat' ? 'selected' : '' }}>WeChat</option>
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<option value="line" {{ ($link['platform'] ?? '') == 'line' ? 'selected' : '' }}>Line</option>
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</select>
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</div>
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<div class="me-2 flex-grow-1">
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<label class="form-label">URL</label>
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<input type="url" class="form-control" name="social_links[{{ $index }}][url]" value="{{ $link['url'] ?? '' }}" placeholder="https://example.com/username" required>
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</div>
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<div class="mb-0">
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<button type="button" class="btn btn-outline-danger btn-sm remove-social-link">
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<i class="bi bi-trash"></i>
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</button>
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</div>
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</div>
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@endforeach
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</div>
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</div>
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<div class="mb-3">
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<label for="motto" class="form-label">Personal Motto</label>
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<textarea class="form-control @error('motto') is-invalid @enderror" id="motto" name="motto" rows="3" placeholder="Enter personal motto or quote...">{{ old('motto') }}</textarea>
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<div class="form-text">Share a personal motto or quote that inspires them.</div>
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@error('motto')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="row mb-3">
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<div class="col-md-6">
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<label for="relationship_type" class="form-label">Relationship</label>
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<select class="form-select @error('relationship_type') is-invalid @enderror" id="relationship_type" name="relationship_type" required>
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<option value="">Select Relationship</option>
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<option value="son" {{ old('relationship_type') == 'son' ? 'selected' : '' }}>Son</option>
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<option value="daughter" {{ old('relationship_type') == 'daughter' ? 'selected' : '' }}>Daughter</option>
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<option value="spouse" {{ old('relationship_type') == 'spouse' ? 'selected' : '' }}>Wife</option>
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<option value="sponsor" {{ old('relationship_type') == 'sponsor' ? 'selected' : '' }}>Sponsor</option>
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<option value="other" {{ old('relationship_type') == 'other' ? 'selected' : '' }}>Other</option>
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</select>
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@error('relationship_type')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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</div>
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<div class="mb-3 form-check">
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<input type="checkbox" class="form-check-input" id="is_billing_contact" name="is_billing_contact" value="1" {{ old('is_billing_contact') ? 'checked' : '' }}>
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<label class="form-check-label" for="is_billing_contact">Is Billing Contact</label>
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</div>
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<div class="d-flex justify-content-between">
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<a href="{{ route('family.dashboard') }}" class="btn btn-outline-secondary">Cancel</a>
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<button type="submit" class="btn btn-primary">Add Family Member</button>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div>
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@push('scripts')
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<script>
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document.addEventListener('DOMContentLoaded', function() {
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let socialLinkIndex = {{ count($formLinks ?? []) }};
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// Add new social link row
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document.getElementById('addSocialLink').addEventListener('click', function() {
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addSocialLinkRow();
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});
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// Remove social link row
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document.addEventListener('click', function(e) {
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if (e.target.classList.contains('remove-social-link') || e.target.closest('.remove-social-link')) {
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e.target.closest('.social-link-row').remove();
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}
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});
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function addSocialLinkRow(platform = '', url = '') {
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const container = document.getElementById('socialLinksContainer');
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const row = document.createElement('div');
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row.className = 'social-link-row mb-3 d-flex align-items-end';
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row.innerHTML = `
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<div class="me-2 flex-grow-1">
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<label class="form-label">Platform</label>
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<select class="form-select platform-select" name="social_links[${socialLinkIndex}][platform]" required>
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<option value="">Select Platform</option>
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<option value="facebook" ${platform === 'facebook' ? 'selected' : ''}>Facebook</option>
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<option value="twitter" ${platform === 'twitter' ? 'selected' : ''}>Twitter/X</option>
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<option value="instagram" ${platform === 'instagram' ? 'selected' : ''}>Instagram</option>
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<option value="linkedin" ${platform === 'linkedin' ? 'selected' : ''}>LinkedIn</option>
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<option value="youtube" ${platform === 'youtube' ? 'selected' : ''}>YouTube</option>
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<option value="tiktok" ${platform === 'tiktok' ? 'selected' : ''}>TikTok</option>
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<option value="snapchat" ${platform === 'snapchat' ? 'selected' : ''}>Snapchat</option>
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<option value="whatsapp" ${platform === 'whatsapp' ? 'selected' : ''}>WhatsApp</option>
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<option value="telegram" ${platform === 'telegram' ? 'selected' : ''}>Telegram</option>
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<option value="discord" ${platform === 'discord' ? 'selected' : ''}>Discord</option>
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<option value="reddit" ${platform === 'reddit' ? 'selected' : ''}>Reddit</option>
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<option value="pinterest" ${platform === 'pinterest' ? 'selected' : ''}>Pinterest</option>
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<option value="twitch" ${platform === 'twitch' ? 'selected' : ''}>Twitch</option>
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<option value="github" ${platform === 'github' ? 'selected' : ''}>GitHub</option>
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<option value="spotify" ${platform === 'spotify' ? 'selected' : ''}>Spotify</option>
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<option value="skype" ${platform === 'skype' ? 'selected' : ''}>Skype</option>
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<option value="slack" ${platform === 'slack' ? 'selected' : ''}>Slack</option>
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<option value="medium" ${platform === 'medium' ? 'selected' : ''}>Medium</option>
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<option value="vimeo" ${platform === 'vimeo' ? 'selected' : ''}>Vimeo</option>
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<option value="messenger" ${platform === 'messenger' ? 'selected' : ''}>Messenger</option>
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<option value="wechat" ${platform === 'wechat' ? 'selected' : ''}>WeChat</option>
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<option value="line" ${platform === 'line' ? 'selected' : ''}>Line</option>
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</select>
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</div>
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<div class="me-2 flex-grow-1">
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<label class="form-label">URL</label>
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<input type="url" class="form-control" name="social_links[${socialLinkIndex}][url]" value="${url}" placeholder="https://example.com/username" required>
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</div>
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<div class="mb-0">
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<button type="button" class="btn btn-outline-danger btn-sm remove-social-link">
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<i class="bi bi-trash"></i>
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</button>
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</div>
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`;
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container.appendChild(row);
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socialLinkIndex++;
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}
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});
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</script>
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@endpush
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@endsection
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