@extends('layouts.medflixtemplate')
{{--    --}}
@section('content')
<div class="row">
    <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12">
        <div class="page-header">
        </div>
    </div>
</div>

<div class="row">                        
</div>

<div class="ecommerce-widget">
    <div class="row">
        <div class="col-md">
            <div class="card">
                <div class="card-header">Register New Staff Member</div>
                    <div class="card-body">
                        <form method="POST" action="{{ url('staffprofiles/') }}">
                            @csrf
                            <div class="form-group row">
                                <label for="name" class="col-md-4 col-form-label text-md-right">{{ __('Name') }}</label>
                                <div class="col-md-6">
                                    <input id="name" type="text" class="form-control{{ $errors->has('name') ? ' is-invalid' : '' }}" name="name" value="{{ old('name') }}" required autofocus>
                                    @if ($errors->has('name'))
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $errors->first('name') }}</strong>
                                    </span>
                                    @endif
                                </div>
                            </div>

                            <div class="form-group row">
                                <label for="email" class="col-md-4 col-form-label text-md-right">{{ __('E-Mail Address') }}</label>
                                <div class="col-md-6">
                                    <input id="email" type="email" class="form-control{{ $errors->has('email') ? ' is-invalid' : '' }}" name="email" value="{{ old('email') }}" required>
                                    @if ($errors->has('email'))
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $errors->first('email') }}</strong>
                                    </span>
                                    @endif
                                </div>
                            </div>

                            <div class="form-group row">
                                <label for="email" class="col-md-4 col-form-label text-md-right">Phone Number: </label>
                                <div class="col-md-6">
                                    <input type="text" class="form-control" name="phone" required>
                                    @if ($errors->has('email'))
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $errors->first('email') }}</strong>
                                    </span>
                                    @endif
                                </div>
                            </div>

                            <div class="form-group row">
                                <label for="password" class="col-md-4 col-form-label text-md-right">{{ __('Password') }}</label>
                                <div class="col-md-6">
                                    <input id="password" type="password" class="form-control{{ $errors->has('password') ? ' is-invalid' : '' }}" name="password" required>
                                    @if ($errors->has('password'))
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $errors->first('password') }}</strong>
                                    </span>
                                    @endif
                                </div>
                            </div>

                            <div class="form-group row">
                                <label for="password-confirm" class="col-md-4 col-form-label text-md-right">{{ __('Confirm Password') }}</label>
                                <div class="col-md-6">
                                    <input id="password-confirm" type="password" class="form-control" name="password_confirmation" required>
                                </div>
                            </div>

                            <div class="form-group row">
                                <label for="type" class="col-md-4 col-form-label text-md-right">User Type:</label>
                                <div class="col-md-6">
                                    <select class="form-control" name="type" id="type">
                                        <option value="Admin">Admin</option>
                                        <option value="Data Entry">Data Entry</option>
                                    </select>
                                </div>
                            </div>

                            <div class="form-group">
                                <div class="col-md-6 offset-md-4">
                                    <button type="submit" class="btn btn-primary">
                                        Create Staff Member
                                    </button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>                             
            </div>
        </div>
    </div>
</div>
@endsection