<%= form_for(recipient) do |f| %>
<% if recipient.errors.any? %>
<%= pluralize(recipient.errors.count, "error") %> prohibited this recipient from being saved:
<% recipient.errors.full_messages.each do |message| %>
- <%= message %>
<% end %>
<% end %>
<%= f.label :name %>
<%= f.text_field :name %>
<%= f.label :phone %>
<%= f.text_field :phone %>
<%= f.label :birth_date %>
<%= f.date_select :birth_date %>
<%= f.label :gender %>
<%= f.text_field :gender %>
<%= f.label :race %>
<%= f.text_field :race %>
<%= f.label :ethnicity %>
<%= f.text_field :ethnicity %>
<%= f.label :home_language_id %>
<%= f.number_field :home_language_id %>
<%= f.label :income %>
<%= f.text_field :income %>
<%= f.label :opted_out %>
<%= f.check_box :opted_out %>
<%= f.label :school_id %>
<%= f.number_field :school_id %>
<%= f.submit %>
<% end %>