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68 lines
1.3 KiB
68 lines
1.3 KiB
<%= form_for(recipient) do |f| %>
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<% if recipient.errors.any? %>
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<div id="error_explanation">
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<h2><%= pluralize(recipient.errors.count, "error") %> prohibited this recipient from being saved:</h2>
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<ul>
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<% recipient.errors.full_messages.each do |message| %>
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<li><%= message %></li>
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<% end %>
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</ul>
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</div>
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<% end %>
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<div class="field">
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<%= f.label :name %>
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<%= f.text_field :name %>
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</div>
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<div class="field">
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<%= f.label :phone %>
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<%= f.text_field :phone %>
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</div>
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<div class="field">
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<%= f.label :birth_date %>
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<%= f.date_select :birth_date %>
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</div>
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<div class="field">
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<%= f.label :gender %>
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<%= f.text_field :gender %>
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</div>
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<div class="field">
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<%= f.label :race %>
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<%= f.text_field :race %>
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</div>
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<div class="field">
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<%= f.label :ethnicity %>
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<%= f.text_field :ethnicity %>
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</div>
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<div class="field">
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<%= f.label :home_language_id %>
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<%= f.number_field :home_language_id %>
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</div>
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<div class="field">
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<%= f.label :income %>
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<%= f.text_field :income %>
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</div>
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<div class="field">
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<%= f.label :opted_out %>
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<%= f.check_box :opted_out %>
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</div>
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<div class="field">
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<%= f.label :school_id %>
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<%= f.number_field :school_id %>
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</div>
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<div class="actions">
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<%= f.submit %>
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</div>
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<% end %>
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