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Server: Apache
System: Linux br80.hostgator.com.br 4.19.286-203.ELK.el7.x86_64 #1 SMP Wed Jun 14 04:33:55 CDT 2023 x86_64
User: bloga741 (1102)
PHP: 8.3.30
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File: /home1/bloga741/public_html/alamoweb/viapp/register.html
<!DOCTYPE html>
<html>
  <head>
    <meta charset="utf-8">
    <meta name="viewport" content="initial-scale=1, maximum-scale=1, user-scalable=no, width=device-width">
    <title>Viapp</title>

    <link href="lib/ionic/css/ionic.css" rel="stylesheet">
    <link href="css/style.css" rel="stylesheet">

    <style type="text/css">
      .div_submit_button {
        padding: 15px;
      }
    </style>

    <!-- IF using Sass (run gulp sass first), then uncomment below and remove the CSS includes above
    <link href="css/ionic.app.css" rel="stylesheet">
    -->

    <!-- ionic/angularjs js -->
    <script src="lib/ionic/js/ionic.bundle.js"></script>

    <!-- cordova script (this will be a 404 during development) -->
    <script src="lib/ngCordova/dist/ng-cordova.min.js"></script>
    <script src="cordova.js"></script>

    <!-- your app's js -->
    <script src="js/facebookConnectPlugin.js"></script>
    <script src="js/loginandregister/app.js"></script>
    <script src="js/loginandregister/controllers.js"></script>
    <script src="js/align.functions.js"></script>
    <script src="js/valid.functions.js"></script>
    <script src="js/storage.js"></script>
    <script src="js/parse-1.4.0.min.js"></script>
    <script src="js/parse.js"></script>
  </head>

  <body ng-app="loginandregister" ng-controller="LoginAndRegisterCtrl" id="loginandregister">
    <div id="fb-root"></div>
    <ion-pane>
        <ion-content>
            <div id="register_form" class="center">
                <form ng-init="fillFormWithFacebookData()">

                    <label class="item item-input">
                      <span class="input-label">Username</span>
                      <input type="text" id="username" name="username">
                    </label>

                    <label class="item item-input">
                      <span class="input-label">Password</span>
                      <input type="password" id="password" name="password">
                    </label>

                    <label class="item item-input">
                      <span class="input-label">Fist Name</span>
                      <input type="text" id="first_name" name="first_name">
                    </label>

                    <label class="item item-input">
                      <span class="input-label">Last Name</span>
                      <input type="text" id="last_name" name="last_name">
                    </label>

                    <label class="item item-input">
                      <span class="input-label">E-mail</span>
                      <input type="email" id="email" name="email">
                    </label>

                    <label class="item item-input item-select">
                        <span name="gender" class="input-label">Gender</span>
                        <select id="gender">
                            <option value=""></option>
                            <option id="gender_male" value="M">Male</option>
                            <option id="gender_female" value="F">Female</option>
                        </select>
                    </label>

                    <label class="item item-input">
                      <span class="input-label">Birthdate</span>
                      <input type="date" id="birthdate" name="birthdate">
                    </label>

                    <label class="item item-input item-select">
                      <span class="input-label">Document Category</span>
                      <select id="document_category">
                        <option value=""></option>
                      </select>
                    </label>

                    <label class="item item-input">
                      <span class="input-label">Document Number</span>
                      <input type="text" id="document_number" name="document_number">
                    </label>

                    <label class="item item-input">
                      <span class="input-label">Celphone Number</span>
                      <input type="text" id="cellphone_number" name="cellphone_number">
                    </label>

                    <label class="item item-input item-select">
                      <span class="input-label">Smoker?</span>
                      <select id="is_smoker">
                        <option value=""></option>
                        <option value="1">Yes</option>
                        <option value="0">No</option>
                      </select>
                    </label>

                </form>

                <br>

                <img align="center" style="width: 75%" src="img/social_buttons/viapp_register_button.png" ng-click="register()">

            </div>
        </ion-content>
    </ion-pane>

    <script type="text/javascript">

      // Align Register Form on Window Center
      //alignOnWindowCenter("register_form");
        
      // Fill Document Categories Select
      fillSelectWithParseObjects('DocumentCategory', 'document_category', 'name');

    </script>
  </body>
</html>