{% set title, page_active, page_categorie = 'Liste page', '', '' %}

{% extends 'base.html.twig' %}

{% block title %}Hello AppController!{% endblock %}

{% block body %}

<div class="content-wrapper">
    <!-- Content Header (Page header) -->
    <div class="content-header">
      <div class="container-fluid">
        <div class="row mb-2">
          <div class="col-sm-6">
            <h1 class="m-0 text-dark">Inscription 1/2</h1>
          </div><!-- /.col -->
          <div class="col-sm-6">
            {# <ol class="breadcrumb float-sm-right">
              <li class="breadcrumb-item"><a href="#">Home</a></li>
              <li class="breadcrumb-item active">Starter Page</li>
            </ol> #}
          </div><!-- /.col -->
        </div><!-- /.row -->
      </div><!-- /.container-fluid -->
    </div>
    <!-- /.content-header -->

    <!-- Main content -->
    <div class="content">
      <div class="container-fluid">
        <div class="row">
            <div class="col-lg-6">
                <div class="card">    
                  <div class="card-header">
                    <h3 class="card-title text-primary">Information générales</h3>
                  </div>
                  <!-- /.card-header -->
                  <!-- form start -->
                  <form class="form-horizontal">
                    <div class="card-body">
                      <div class="form-group row">
                        <label for="inputEmail3" class="col-sm-4 col-form-label">Nom(s)</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Prénom(s)</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Sexes</label>
                        <div class="col-sm-6">
                            <select class="form-control text-center">
                              <option>Masculin</option>
                              <option>Feminin</option>
                            </select>
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Date de naissance</label>
                        <div class="col-sm-6">
                          <input type="date" class="form-control text-center" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Lieu de naissance</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                    </div>
                  </form>
                </div>

                <div class="card">    
                  <div class="card-header">
                    <h3 class="card-title text-primary">Adresse et contacts</h3>
                  </div>
                  <!-- /.card-header -->
                  <!-- form start -->
                  <form class="form-horizontal">
                    <div class="card-body">
                      <div class="form-group row">
                        <label for="inputEmail3" class="col-sm-4 col-form-label">Adresse</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Contacts</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Email</label>
                        <div class="col-sm-6">
                          <input type="email" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Lien Facebook</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                    </div>
                  </form>
                </div>

                <div class="card">    
                  <div class="card-header">
                    <h3 class="card-title text-primary">Autre</h3>
                  </div>
                  <!-- /.card-header -->
                  <!-- form start -->
                  <form class="form-horizontal">
                    <div class="card-body">
                      <div class="form-group row">
                        <label for="inputEmail3" class="col-sm-5 col-form-label">Etablissement d'origine</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                    </div>
                  </form>
                </div>
              </div>

{# ------------------------------------------------------------------------------   #}

              <div class="col-lg-6">
                <div class="card">    
                  <div class="card-header">
                    <h3 class="card-title text-primary">Information Familliales</h3>
                  </div>
                  <!-- /.card-header -->
                  <!-- form start -->
                  <form class="form-horizontal">
                    <div class="card-body">
                      <div class="form-group row">
                        <label for="inputEmail3" class="col-sm-4 col-form-label">Père</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Père profection</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Mère</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>

                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Père profection</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control text-center" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Tuteur</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>

                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Tuteur profection</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control text-center" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Contacts Père</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Contacts Mère</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                      <div class="form-group row">
                        <label for="inputPassword3" class="col-sm-4 col-form-label">Contacts Tuteur</label>
                        <div class="col-sm-6">
                          <input type="text" class="form-control" id="" placeholder="">
                        </div>
                      </div>
                    </div>
                  </form>
                </div>

                <div class="card">    
                  <div class="card-header">
                    <h3 class="card-title text-primary">Santé</h3>
                  </div>
                  <!-- /.card-header -->
                  <!-- form start -->
                  <div class="card-body">
                    <div class="custom-control custom-switch">
                      <input type="checkbox" class="custom-control-input" id="customSwitch1">
                      <label class="custom-control-label" for="customSwitch1">Handicap</label>
                    </div>
                  </div>
                </div>
                <div class="text-center">
                  <button type="submit" class="btn btn-primary">Sauvegarder</button>
                </div>
              </div>
        </div>
        <!-- /.row -->
      </div><!-- /.container-fluid -->
    </div>
    <!-- /.content -->
  </div>
</div>


  
  
     
            
{% endblock %}