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<?php
/*error_reporting(E_ALL);
ini_set('display_errors', '1');*/
require 'check_login.php';
if ($logged_in <> 1) {
header('Location: login.php');
return;
}
else
{
require("configure.php");
$EnId = $_GET["EnId"];
?>
<html>
<head>
<link rel="stylesheet" type="text/css" href="css/style.css" />
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title>Content Management System (CMS) - Powered by One Solution Limited</title>
<script type="text/javascript" src="js/calendarDateInput.js"></script>
</head>
<body>
<?
$result = mysql_query("SELECT * FROM EnrollList WHERE EnId=". $EnId ." ");
$row = mysql_fetch_array($result,MYSQL_ASSOC);
?>
<form action="enrolllist_modify.php" method="post" name="modifyform" enctype="multipart/form-data">
<input type="hidden" name="EnId" value="<?=$row{'EnId'};?>">
<table width="800" border="0" cellpadding="0" cellspacing="0">
<tr>
<td height="70" align="right" valign="middle" class="icontxt"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td width="50" align="center"><a href="#" onClick="modifyform.submit()"><img src="images/iconSave.png" alt="Save" width="32" height="32" border="0"><br>
Save </a></td>
<td width="50" align="center"><a href="enrolllist_index.php?msg=Cancel"><img src="images/iconCancel.png" alt="Cancel" width="32" height="32" border="0"><br>
Cancel </a></td>
<td> </td>
</tr>
</table></td>
</tr>
<tr>
<td class="pagetitletxt"> <b><img src="images/iconList.jpg" width="48" height="48" align="absmiddle" /> Enrollment List </b></td>
</tr>
<tr>
<td align="left" valign="middle"><!-- Content -->
<table border="0" cellpadding="0" cellspacing="0">
<tr>
<td width="120" align="right" valign="top" class='content'>Student No.</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnStudentno" value="<?=$row{'EnStudentno'}?>" size="30" maxlength="20" /><br><span class="msg">Maxlength:20</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Child's Name</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnName" value="<?=$row{'EnName'}?>" size="80" maxlength="100" /><br><span class="msg">Maxlength:100</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Day of Birth</td>
<td class='content' valign="top">: </td>
<td class='content'><script>DateInput('EnBirth', true, 'YYYY-MM-DD', '<?=$row{"EnBirth"};?>')</script></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Sex</td>
<td class='content' valign="top">: </td>
<td class='content'><input name="EnSex" type="radio" value="M" <?php if ($row{"EnSex"} == 'M') { echo 'checked'; } ?> />
M<input name="EnSex" type="radio" value="F" <?php if ($row{"EnSex"} == 'F') { echo 'checked'; } ?> />F</td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Age</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnAge" value="<?=$row{'EnAge'}?>" size="10" maxlength="3" /><br><span class="msg">Maxlength:3</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Address</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnAddress" value="<?=$row{'EnAddress'}?>" size="80" maxlength="200" /><br><span class="msg">Maxlength:200</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Home Phone No.</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnHomeno" value="<?=$row{'EnHomeno'}?>" size="80" maxlength="50" /><br><span class="msg">Maxlength:50</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Fax</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnFaxno" value="<?=$row{'EnFaxno'}?>" size="80" maxlength="50" /><br><span class="msg">Maxlength:50</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Mother's Name </td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnMotherName" value="<?=$row{'EnMotherName'}?>" size="80" maxlength="50" /><br><span class="msg">Maxlength:50</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Mobile No.</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnMotherMobile" value="<?=$row{'EnMotherMobile'}?>" size="80" maxlength="100" /><br><span class="msg">Maxlength:100</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>E-mail</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnMotherEmail" value="<?=$row{'EnMotherEmail'}?>" size="80" maxlength="100" /><br><span class="msg">Maxlength:100</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Father's Name </td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnFatherName" value="<?=$row{'EnFatherName'}?>" size="80" maxlength="50" /><br><span class="msg">Maxlength:50</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Mobile No.</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnFatherMobile" value="<?=$row{'EnFatherMobile'}?>" size="80" maxlength="100" /><br><span class="msg">Maxlength:100</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>E-mail</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnFatherEmail" value="<?=$row{'EnFatherEmail'}?>" size="80" maxlength="100" /><br><span class="msg">Maxlength:100</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Child's Caregiver</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnChild" value="<?=$row{'EnChild'}?>" size="80" maxlength="100" /><br><span class="msg">Maxlength:100</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>Mobile No.</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnChildMobile" value="<?=$row{'EnChildMobile'}?>" size="80" maxlength="50" /><br><span class="msg">Maxlength:50</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'>In an emergency, please contact</td>
<td class='content' valign="top">: </td>
<td class='content'><input type="text" class="content" name="EnEmergency" value="<?=$row{'EnEmergency'}?>" size="80" maxlength="100" /><br><span class="msg">Maxlength:100</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'> </td>
<td class='content' valign="top"> </td>
<td class='content'> </td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'> </td>
<td class='content' valign="top"> </td>
<td class='content'>Please specify your child's existing health conditions in which we should be aware of (e.g. allergies, etc.)<br />
<input type="text" class="content" name="EnAware" value="<?=$row{'EnAware'}?>" size="80" maxlength="500" /><br><span class="msg">Maxlength:500</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'> </td>
<td class='content' valign="top"> </td>
<td class='content'>School in which your child attends<br />
<input type="text" class="content" name="EnAttends" value="<?=$row{'EnAttends'}?>" size="80" maxlength="500" /><br><span class="msg">Maxlength:500</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'> </td>
<td class='content' valign="top"> </td>
<td class='content'>Year /Grade<br />
<input type="text" class="content" name="EnGrade" value="<?=$row{'EnGrade'}?>" size="80" maxlength="500" /><br><span class="msg">Maxlength:500</span></td>
</tr>
<tr>
<td width="120" align="right" valign="top" class='content'> </td>
<td class='content' valign="top"> </td>
<td class='content'>Referred by<br />
<input type="text" class="content" name="EnReferred" value="<?=$row{'EnReferred'}?>" size="80" maxlength="500" /><br><span class="msg">Maxlength:500</span></td>
</tr>
</table>
<!-- End Content --></td>
</tr>
<tr>
<td align="left" valign="middle"> </td>
</tr>
</table>
</form>
</body>
</html>
<?php
}
?>
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