I am looking for 2 PHP Forms with the following features:
- Ability to copy code into current layout.
- Email results to client and admin email.
- Thank You Confirmation
Form Fields Required:
Goalie Name (text field)
Date of Birth (text field)
Gender (checkbox) Male/Female
Email (text field)
Parent 1 Name (text field) Phone (text box)
Parent 2 Name (text field) Phone (text box)
Address (text field)
Apt/Unit (text field)
City (text box)
Postal Code (text field)
Type of Training (dropdown) Private, Group
Number of Sessions (dropdown) 1 to 20
Level of Play (dropdown) AAA, AA, A, MD, House League
Name of Last Team (text field)
Heath Issues (checkbox) Yes, No
Explain (text box)
Payment Type: (checkbox) Email Money Transfer, Check/Money Order, Cash
Disclaimer: Once we have received your registration a staff member will email you with how to make your payment. Once we have received your payment your spot will be secured. All NSF Checks will be subject to a $25/charge.
- All bids must contain in the post "I UNDERSTAND ALL YOUR REQUIREMENTS 100%", or your bid will not be even considered.
- Milestone payment of 50% requested only to start working. NO MILESTONES WILL BE RELEASE UNTIL PROJECT IS 100% COMPLETED and APPROVED.
16 freelanceria on tarjonnut keskimäärin 43 $ tähän työhön
hi i have :) read your whole specification about form to email and also save it in the back end. i will commence this job immediately. regards saju