@extends('layouts.auth')

@section('content')
<div class="container mt-5 mb-5">
    <div class="row justify-content-center">
        <div class="col-md-8">
            <div class="card">
                <div class="card-header">{{ __('Register') }}</div>
                <h5 class="card-title ">
                    <img src="{{ asset('images/login/user.png') }}" class="avatar avatar-xxl p-2 brround d-block mx-auto mb-6" width="13%" height="13%"/>
                </h5>
                <div class="card-body">
                    <form method="POST" action="{{ route('register') }}">
                        @csrf

                        <div class="row mb-3">
                            <label for="name" class="col-md-4 col-form-label text-md-end">{{ __('Name') }}</label>

                            <div class="col-md-6">
                                <input id="name" type="text" class="form-control @error('name') is-invalid @enderror" name="name" value="{{ old('name') }}" required autocomplete="name" autofocus>

                                @error('name')
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $message }}</strong>
                                    </span>
                                @enderror
                            </div>
                        </div>
                        <div class="row mb-3">
                            <label for="phone" class="col-md-4 col-form-label text-md-end">{{ __('Gender') }}</label>

                            <div class="col-md-6">
                                <select class="from-control input-group custom-select @error('gender') is-invalid @enderror" id="gender" name="gender" value="{{ old('gender') }}"  required>
                                    <option value="male">Male</option>
                                    <option value="female">Female</option>
                                  </select>
                                @error('gender')
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $message }}</strong>
                                    </span>
                                @enderror
                            </div>
                        </div>
                        <div class="row mb-3">
                            <label for="date_of_birth" class="col-md-4 col-form-label text-md-end">{{ __('Birthdate') }}</label>

                            <div class="col-md-6">
                                <input id="date_of_birth" type="date" class="form-control @error('date_of_birth') is-invalid @enderror" name="date_of_birth" value="{{ old('date_of_birth') }}" required autocomplete="date_of_birth">

                                @error('date_of_birth')
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $message }}</strong>
                                    </span>
                                @enderror
                            </div>
                        </div>
                        <div class="row mb-3">
                            <label for="phone" class="col-md-4 col-form-label text-md-end">{{ __('Phone') }}</label>

                            <div class="col-md-6">
                                <input id="phone" type="text" class="form-control @error('phone') is-invalid @enderror" name="phone" value="{{ old('phone') }}" required autocomplete="phone">

                                @error('phone')
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $message }}</strong>
                                    </span>
                                @enderror
                            </div>
                        </div>
                        <div class="row mb-3">
                            <label for="email" class="col-md-4 col-form-label text-md-end">{{ __('Email Address') }}</label>

                            <div class="col-md-6">
                                <input id="email" type="email" class="form-control @error('email') is-invalid @enderror" name="email" value="{{ old('email') }}" required autocomplete="email">

                                @error('email')
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $message }}</strong>
                                    </span>
                                @enderror
                            </div>
                        </div>

                        <div class="row mb-3">
                            <label for="password" class="col-md-4 col-form-label text-md-end">{{ __('Password') }}</label>

                            <div class="col-md-6">
                                <input id="password" type="password" class="form-control @error('password') is-invalid @enderror" name="password" required autocomplete="new-password">

                                @error('password')
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $message }}</strong>
                                    </span>
                                @enderror
                            </div>
                        </div>

                        <div class="row mb-3">
                            <label for="password-confirm" class="col-md-4 col-form-label text-md-end">{{ __('Confirm Password') }}</label>

                            <div class="col-md-6">
                                <input id="password-confirm" type="password" class="form-control" name="password_confirmation" required autocomplete="new-password">
                            </div>
                        </div>

                        <div class="row mb-0">
                            <div class="col-md-6 offset-md-4">
                                <button type="submit" class="btn btn-primary">
                                    {{ __('Register') }}
                                </button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
@endsection