<form name="register" action="crc_handler.php?method=register&func=add" method="post">
<input type="hidden" name="context" value="ou=Don Mills,ou=Toronto,ou=Ontario,ou=Canada,o=CRC World">
<table width="500" align="center" border="0" cellpadding="6" cellspacing="0" class="std">
<?php
$data = $_SESSION['registerdata'];
if ($data == NULL) {
print '<tr>';
print '<table width="500" align="center" border="0" cellpadding="6" cellspacing="0" class="std">';
print '<tr>';
print '<th colspan="2"><em>New User Registration</em></th>';
print '</tr>';
print '<tr>';
print '<td colspan="2">';
print ' Please fill this form in order to register. Registration is free. The';
print ' advantage to register is to get information on CRC events';
print ' and programs. This information will not be used to solicit any activities';
print ' other than CRC initiatives. Please note that fields with';
print ' \'[<span class="error">*</span>]\' are mandatory. <br><br>';
print '</td>';
print '</tr>';
$len = strlen($_SESSION['msg']);
if ($len > 0) {
print('<tr><td colspan="2"class="error"><b><br>' . $_SESSION['msg'] . '</b><br><br></td></tr>');
}
print '<tr>';
print '<td align="right">Profile: </td>';
print '<td><select name="profile" class="text">';
print '<option selected>Student</option>';
print '<option >Teacher</option>';
print '</select> [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Password: </td>';
print '<td><input type="password" name="password" size="10" value="" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Given Name: </td>';
print '<td><input type="text" name="fname" size="15" value="" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Surname: </td>';
print '<td><input type="text" name="lname" size="15" value="" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Email: </td>';
print '<td><input type="text" name="email" size="40" value="" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Gender: </td>';
print '<td><select name="gender" class="text">';
print '<option selected>Male</option>';
print '<option >Female</option>';
print '</select> [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Date of Birth: </td>';
print '<td><input type="text" name="day" size="2" value="00" class="text">-<input type="text" name="month" size="2" value="00" class="text">-<input type="text" name="year" size="4" value="0000" class="text"> (DD-MM-YYYY) [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Address: </td>';
print '<td><input type="text" name="add1" size="40" value="" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td></td>';
print '<td><input type="text" name="add2" size="40" value="" class="text"></td>';
print '</tr>';
print '<tr>';
print '<td align="right">City: </td>';
print '<td><input type="text" name="city" size="30" value="Toronto" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Province: </td>';
print '<td><input type="text" name="province" size="2" value="ON" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Country: </td>';
print '<td><input type="text" name="country" size="30" value="Canada" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Postal Code: </td>';
print '<td><input type="text" name="pc" size="15" value="" class="text"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td align="right">Phone: </td>';
print '<td>(<input type="text" name="lcode" size="3" value="416" class="text">)';
print '<input type="text" name="lprefix" size="3" value="000" class="text">-';
print '<input type="text" name="lpostfix" size="4" value="0000" class="text"> [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr align="right">';
print '<td colspan="3"><input type="button" onclick="javascript:verify(\'register\');" name="register" value="Register" class="button"> ';
print '<input type="reset" name="reset" value="Reset" class="button">';
print '</td>';
print '</tr>';
print '</table>';
print '</tr>';
} else {
print '<tr>';
print '<table width="500" align="center" border="0" cellpadding="6" cellspacing="0" class="std">';
print '<tr>';
print '<th colspan="2"><em>New User Registration</em></th>';
print '</tr>';
print '<tr>';
print '<td colspan="2">';
print ' Please fill this form in order to register. Registration is free. The';
print ' advantage to register is to get information on CRC events';
print ' and programs. This information will not be used to solicit any activities';
print ' other than CRC initiatives. Please note that fields with';
print ' \'[<span class="error">*</span>]\' are mandatory. ';
print '</td>';
print '</tr>';
$len = strlen($_SESSION['msg']);
if ($len > 0) {
print('<tr><td colspan="2"class="error"><b><br>' . $_SESSION['msg'] . '</b><br><br></td></tr>');
}
print '<tr>';
print '<td>Profile: </td>';
print '<td><select name="profile">';
if ($data['profile'] == "Student") {
print '<option selected>Student</option>';
print '<option >Teacher</option>';
} else {
print '<option>Student</option>';
print '<option selected>Teacher</option>';
}
print '</select> [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr>';
print '<td>Password: </td>';
print '<td><input type="password" name="password" size="10" value="' . $data['password'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Given Name: </td>';
print '<td><input type="text" name="fname" size="15" value="' . $data['fname'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Surname: </td>';
print '<td><input type="text" name="lname" size="15" value="' . $data['lname'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Email: </td>';
print '<td><input type="text" name="email" size="40" value="' . $data['email'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Gender: </td>';
if ($data['gender'] == "Male") {
print '<td><select name="gender">';
print '<option selected>Male</option>';
print '<option >Female</option>';
} else {
print '<td><select name="gender">';
print '<option>Male</option>';
print '<option selected>Female</option>';
}
print '</select> [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr>';
print '<td>Date of Birth: </td>';
print '<td><input type="text" name="day" size="2" value="' . $data['day'] . '">-<input type="text" name="month" size="2" value="' . $data['month'] . '">-<input type="text" name="year" size="4" value="' . $data['year'] . '"> (DD-MM-YYYY) [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr>';
print '<td>Address: </td>';
print '<td><input type="text" name="add1" size="40" value="' . $data['add1'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td></td>';
print '<td><input type="text" name="add2" size="40" value="' . $data['add2'] . '"></td>';
print '</tr>';
print '<tr>';
print '<td>City: </td>';
print '<td><input type="text" name="city" size="30" value="' . $data['city'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Province: </td>';
print '<td><input type="text" name="province" size="2" value="' . $data['province'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Country: </td>';
print '<td><input type="text" name="country" size="30" value="' . $data['country'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Postal Code: </td>';
print '<td><input type="text" name="pc" size="15" value="' . $data['pc'] . '"> [<span class="error">*</span>]</td>';
print '</tr>';
print '<tr>';
print '<td>Phone: </td>';
print '<td>(<input type="text" name="lcode" size="3" value="' . $data['lcode'] . '">)';
print '<input type="text" name="lprefix" size="3" value="' . $data['lprefix'] . '">-';
print '<input type="text" name="lpostfix" size="4" value="' . $data['lpostfix'] . '"> [<span class="error">*</span>]';
print '</td>';
print '</tr>';
print '<tr align="right">';
print '<td colspan="3"><input type="button" onclick="javascript:verify(\'register\');" name="register" value="Register" class="button">';
print '</td>';
print '</tr>';
print '</table>';
print '</tr>';
}
?>
</table>
</form>