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<div>
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<div class="sm:mx-auto sm:w-full sm:max-w-md">
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<a href="{{ route('home') }}">
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<x-logo class="w-32 h-auto mx-auto text-green-600" />
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</a>
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<h2 class="mt-6 text-3xl font-extrabold text-center text-gray-900 leading-9">
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{{ __('user_categories.individual') }}
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</h2>
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<p class="mt-2 text-sm text-center text-gray-600 leading-5 max-w">
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Ou
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<a href="{{ route('login') }}" class="font-medium text-green-600 hover:text-green-500 lowercase focus:outline-none focus:underline transition ease-in-out duration-150">
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{{ __('auth.login') }}
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</a>
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</p>
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</div>
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<form wire:submit.prevent="register" class="max-w-7xl mx-auto">
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<div class="flex flex-wrap pt-8 border-t border-gray-200 mt-8">
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<div class="lg:pr-6 w-full lg:w-1/3">
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<h2 class="text-2xl font-medium">
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Informações pessoais
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</h2>
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<p class="text-gray-400 mt-2">
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Conte-nos um pouco sobre você.
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</p>
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</div>
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<div class="lg:pl-6 w-full lg:w-2/3">
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<div class="px-4 py-8 bg-white shadow sm:rounded-lg sm:px-10 space-y-6">
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<x-input.group label="{{ __('users.attributes.name') }}" for="name" :error="$errors->first('name')">
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<x-input.text wire:model.lazy="name" id="name" :state="$errors->has('name') ? false : null" required autofocus />
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</x-input-group>
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<x-input.group label="{{ __('users.attributes.birthday') }}" for="birthday" :error="$errors->first('birthday')">
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<x-input.text wire:model.lazy="birthday" id="birthday" mask="date" placeholder="dd/mm/yyyy" :state="$errors->has('birthday') ? false : null" required />
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</x-input-group>
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<x-input.group label="{{ __('users.attributes.profile.gender') }}" for="profile-gender" :error="$errors->first('profile.gender')">
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<x-input.radio wire:model.lazy="profile.gender" name="profile-gender" label="Homem" value="male" :state="$errors->has('profile.gender') ? false : null" required />
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<x-input.radio wire:model.lazy="profile.gender" name="profile-gender" label="Mulher" value="female" :state="$errors->has('profile.gender') ? false : null" required />
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<x-input.radio wire:model.lazy="profile.gender" name="profile-gender" label="Outro" value="other" :state="$errors->has('profile.gender') ? false : null" required />
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</x-input-group>
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<x-input.group label="{{ __('users.attributes.document.type') }}" for="document-type" :error="$errors->first('document.type')">
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<x-input.radio wire:model.lazy="document.type" name="document-type" label="CPF" value="cpf" :state="$errors->has('document.type') ? false : null" required />
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<x-input.radio wire:model.lazy="document.type" name="document-type" label="Carteira de Identidade" value="identity" :state="$errors->has('document.type') ? false : null" required />
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<x-input.radio wire:model.lazy="document.type" name="document-type" label="Passaporte" value="passport" :state="$errors->has('document.type') ? false : null" required />
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</x-input-group>
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<x-input.group label="{{ __('users.attributes.document.number') }}" for="document-number" :error="$errors->first('document.number')">
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<x-input.text wire:model.lazy="document.number" id="document-number" :state="$errors->has('document.number') ? false : null" required />
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</x-input-group>
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<x-input.group label="{{ __('users.attributes.profile.occupation') }}" for="profile-occupation" :error="$errors->first('profile.occupation')">
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<x-input.text wire:model.lazy="profile.occupation" id="profile-occupation" placeholder="Profissão ou ocupação principal" :state="$errors->has('profile.occupation') ? false : null" required />
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</x-input-group>
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<x-input.group label="{{ __('users.attributes.profile.scholarity') }}" for="profile-scholarity" :error="$errors->first('profile.scholarity')">
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<x-input.radio wire:model.lazy="profile.scholarity" name="profile-scholarity" label="Ensino fundamental" value="primary-school" :state="$errors->has('profile.scholarity') ? false : null" required />
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<x-input.radio wire:model.lazy="profile.scholarity" name="profile-scholarity" label="Ensino médio" value="high-school" :state="$errors->has('profile.scholarity') ? false : null" required />
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<x-input.radio wire:model.lazy="profile.scholarity" name="profile-scholarity" label="Graduação" value="bachelor" :state="$errors->has('profile.scholarity') ? false : null" required />
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<x-input.radio wire:model.lazy="profile.scholarity" name="profile-scholarity" label="Mestrado" value="master" :state="$errors->has('profile.scholarity') ? false : null" required />
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<x-input.radio wire:model.lazy="profile.scholarity" name="profile-scholarity" label="Doutorado" value="phd" :state="$errors->has('profile.scholarity') ? false : null" required />
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</x-input-group>
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</div>
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</div>
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</div>
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|
<div class="flex flex-wrap pt-8 border-t border-gray-200 mt-8">
|
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|
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|
<div class="lg:pr-6 w-full lg:w-1/3">
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|
<h2 class="text-2xl font-medium">
|
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|
Dados de contato
|
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|
</h2>
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|
<p class="text-gray-400 mt-2">
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Endereço e meios de comunicação digitais.
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</p>
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|
</div>
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|
<div class="lg:pl-6 w-full lg:w-2/3">
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|
<div class="px-4 py-8 bg-white shadow sm:rounded-lg sm:px-10 space-y-6">
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<x-input.group label="{{ __('users.attributes.address.street') }}" for="address-street" :error="$errors->first('address.street')">
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<x-input.text wire:model.lazy="address.street" id="address-street" :state="$errors->has('address.street') ? false : null" required />
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</x-input-group>
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|
<div class="flex flex-wrap -mx-2">
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|
<x-input.group class="px-2 w-full lg:w-1/2 mt-6 lg:mt-0" label="{{ __('users.attributes.address.number') }}" for="address-number" :error="$errors->first('address.number')">
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<x-input.text wire:model.lazy="address.number" id="address-number" :state="$errors->has('address.number') ? false : null" required />
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</x-input-group>
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|
<x-input.group class="px-2 w-full lg:w-1/2" label="{{ __('users.attributes.address.complement') }}" for="address-complement" :error="$errors->first('address.complement')">
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<x-input.text wire:model.lazy="address.complement" id="address-complement" :state="$errors->has('address.complement') ? false : null" />
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</x-input-group>
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</div>
|
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|
|
|
|
<div class="flex flex-wrap -mx-2">
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|
<x-input.group class="px-2 w-full lg:w-1/2 mt-6 lg:mt-0" label="{{ __('users.attributes.address.neighbourhood') }}" for="address-neighbourhood" :error="$errors->first('address.neighbourhood')">
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<x-input.text wire:model.lazy="address.neighbourhood" id="address-neighbourhood" :state="$errors->has('address.neighbourhood') ? false : null" required />
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</x-input-group>
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|
<x-input.group class="px-2 w-full lg:w-1/2" label="{{ __('users.attributes.address.city') }}" for="address-city" :error="$errors->first('address.city')">
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<x-input.text wire:model.lazy="address.city" id="address-city" :state="$errors->has('address.city') ? false : null" required />
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</x-input-group>
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</div>
|
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|
|
<div class="flex flex-wrap -mx-2">
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|
<x-input.group class="px-2 w-full lg:w-1/2 mt-6 lg:mt-0" label="{{ __('users.attributes.address.state') }}" for="address-state" :error="$errors->first('address.state')">
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<x-input.text wire:model.lazy="address.state" id="address-state" :state="$errors->has('address.state') ? false : null" required />
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</x-input-group>
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|
<x-input.group class="px-2 w-full lg:w-1/2" label="{{ __('users.attributes.address.postcode') }}" for="address-postcode" :error="$errors->first('address.postcode')">
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<x-input.text wire:model.lazy="address.postcode" id="address-postcode" mask="postcode" :state="$errors->has('address.postcode') ? false : null" required />
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|
</x-input-group>
|
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|
|
</div>
|
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|
<x-input.group label="{{ __('users.attributes.address.country') }}" for="address-country" :error="$errors->first('address.country')">
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|
<x-input.text wire:model.lazy="address.country" id="address-country" mask="country" :state="$errors->has('address.country') ? false : null" required />
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|
</x-input-group>
|
|
|
|
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|
<x-input.group label="{{ __('users.attributes.profile.phone') }}" for="profile-phone" :error="$errors->first('profile.phone')">
|
|
|
<x-input.text wire:model.lazy="profile.phone" id="profile-phone" mask="phone" :state="$errors->has('profile.phone') ? false : null" required />
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|
</x-input-group>
|
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|
|
|
<x-input.group label="{{ __('users.attributes.email') }}" for="email" :error="$errors->first('email')">
|
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|
<x-input.email wire:model.lazy="email" id="email" :state="$errors->has('email') ? false : null" required />
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|
</x-input-group>
|
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|
|
|
<x-input.group label="{{ __('users.attributes.profile.secondary_emails') }}" for="profile-secondary_emails" :error="$errors->first('profile.secondary_emails')">
|
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|
<x-input.textarea wire:model.lazy="profile.secondary_emails" id="profile-secondary_emails" :state="$errors->has('profile.secondary_emails') ? false : null" />
|
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|
</x-input-group>
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.profile.website') }}" for="profile-website" :error="$errors->first('profile.website')">
|
|
|
<x-input.text wire:model.lazy="profile.website" id="profile-website" :state="$errors->has('profile.website') ? false : null" />
|
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|
</x-input-group>
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.profile.social') }}" for="profile-social" :error="$errors->first('profile.social')">
|
|
|
<x-input.text wire:model.lazy="profile.social" id="profile-social" :state="$errors->has('profile.social') ? false : null" />
|
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|
</x-input-group>
|
|
|
|
|
|
</div>
|
|
|
</div>
|
|
|
|
|
|
</div>
|
|
|
|
|
|
<div class="flex flex-wrap pt-8 border-t border-gray-200 mt-8">
|
|
|
|
|
|
<div class="lg:pr-6 w-full lg:w-1/3">
|
|
|
|
|
|
<h2 class="text-2xl font-medium">
|
|
|
Dados de contato
|
|
|
</h2>
|
|
|
|
|
|
<p class="text-gray-400 mt-2">
|
|
|
Endereço e meios de comunicação digitais.
|
|
|
</p>
|
|
|
|
|
|
</div>
|
|
|
|
|
|
<div class="lg:pl-6 w-full lg:w-2/3">
|
|
|
<div class="px-4 py-8 bg-white shadow sm:rounded-lg sm:px-10 space-y-6">
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.discussion') }}" for="discussion" :error="$errors->first('discussion')">
|
|
|
<x-input.radio wire:model.lazy="discussion" name="discussion" label="Participar da discussão (todos os e-mails)" value="all" :state="$errors->has('discussion') ? false : null" required />
|
|
|
<x-input.radio wire:model.lazy="discussion" name="discussion" label="Compilação da discussão (1 e-mail por dia)" value="daily" :state="$errors->has('discussion') ? false : null" required />
|
|
|
<x-input.radio wire:model.lazy="discussion" name="discussion" label="Notificações ocasionais da diretoria" value="occasional" :state="$errors->has('discussion') ? false : null" required />
|
|
|
</x-input-group>
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.profile.expectation') }}" for="profile-expectation" :error="$errors->first('profile.expectation')">
|
|
|
<x-input.textarea wire:model.lazy="profile.expectation" id="profile-expectation" placeholder="O que você espera que UCB consiga ou faça: atuação, conquistas, pautas (descreva brevemente)?" :state="$errors->has('profile.expectation') ? false : null" />
|
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|
</x-input-group>
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.profile.bike_use') }}" for="profile-bike_use" :error="$errors->first('profile.bike_use')">
|
|
|
<x-input.textarea wire:model.lazy="profile.bike_use" id="profile-bike_use" placeholder="Por quê e para quê usa a bicicleta? Descreva brevemente" :state="$errors->has('profile.bike_use') ? false : null" />
|
|
|
</x-input-group>
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.profile.org_participation') }}" for="profile-org_participation" :error="$errors->first('profile.org_participation')">
|
|
|
<x-input.textarea wire:model.lazy="profile.bike_use" id="profile-bike_use" placeholder="Você participa em associações ou coletivos de ciclistas que promovem a bicicleta? Quais? " :state="$errors->has('profile.bike_use') ? false : null" />
|
|
|
</x-input-group>
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.profile.bike_activities') }}" for="profile-bike_activities" :error="$errors->first('profile.bike_activities')">
|
|
|
<x-input.textarea wire:model.lazy="profile.bike_use" id="profile-bike_use" placeholder="Realiza atividades ou participa para promover a bicicleta (descreva brevemente)?" :state="$errors->has('profile.bike_use') ? false : null" />
|
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|
</x-input-group>
|
|
|
|
|
|
<x-input.group label="{{ __('users.attributes.contribution') }}" for="contribution" :error="$errors->first('contribution')">
|
|
|
<x-input.radio wire:model.lazy="contribution" name="contribution" label="Não desejo contribuir" value="0" :state="$errors->has('contribution') ? false : null" required />
|
|
|
<x-input.radio wire:model.lazy="contribution" name="contribution" label="R$ 15,00" value="15" :state="$errors->has('contribution') ? false : null" required />
|
|
|
<x-input.radio wire:model.lazy="contribution" name="contribution" label="R$ 30,00" value="30" :state="$errors->has('contribution') ? false : null" required />
|
|
|
<x-input.radio wire:model.lazy="contribution" name="contribution" label="R$ 60,00" value="60" :state="$errors->has('contribution') ? false : null" required />
|
|
|
<x-input.radio wire:model.lazy="contribution" name="contribution" label="R$ 120,00" value="120" :state="$errors->has('contribution') ? false : null" required />
|
|
|
<x-input.radio name="contribution" :state="$errors->has('contribution') ? false : null" required>
|
|
|
|
|
|
<span class="text-sm">
|
|
|
Outro:
|
|
|
</span>
|
|
|
|
|
|
<x-input.text wire:model.lazy="contribution" :state="$errors->has('contribution') ? false : null" />
|
|
|
|
|
|
</x-input.radio>
|
|
|
</x-input-group>
|
|
|
|
|
|
</div>
|
|
|
</div>
|
|
|
|
|
|
</div>
|
|
|
|
|
|
<div class="flex flex-wrap pt-8 border-t border-gray-200 mt-8">
|
|
|
|
|
|
<div class="lg:pr-6 w-full lg:w-1/3">
|
|
|
|
|
|
<h2 class="text-2xl font-medium">
|
|
|
Declaração de consentimento
|
|
|
</h2>
|
|
|
|
|
|
</div>
|
|
|
|
|
|
<div class="lg:pl-6 w-full lg:w-2/3">
|
|
|
|
|
|
<p>
|
|
|
Declaro que:
|
|
|
</p>
|
|
|
|
|
|
<ol class="list-decimal list-outside leading-relaxed pl-4 mt-3 space-y-2">
|
|
|
<li>Apoio e concordo com as Finalidades, Princípios, Objetivos e demais termos do Estatuto da UCB (http://www.uniaodeciclistas.org.br/sobre-a-ucb/estatuto/);</li>
|
|
|
<li>Confirmarei e/ou atualizará estes dados cadastrais uma vez por ano;</li>
|
|
|
<li>Caso solicitado, prestarei informações adicionais e/ou enviará documentos para a Diretoria da UCB.</li>
|
|
|
</ol>
|
|
|
|
|
|
</div>
|
|
|
|
|
|
</div>
|
|
|
|
|
|
<div class="flex justify-center pt-12">
|
|
|
<span class="block w-full lg:w-auto rounded-md shadow-sm">
|
|
|
<button type="submit" class="flex justify-center w-full px-16 py-2 text-sm font-medium text-white bg-green-600 border border-transparent rounded-md hover:bg-green-500 focus:outline-none focus:border-green-700 focus:shadow-outline-green active:bg-green-700 transition duration-150 ease-in-out">
|
|
|
{{ __('auth.register') }}
|
|
|
</button>
|
|
|
</span>
|
|
|
</div>
|
|
|
|
|
|
</form>
|
|
|
|
|
|
</div>
|