{% extends 'schasite/base2.html' %}
{% load static  %}

{% block pagetitle %}
<title>Login | SCHA</title>
{% endblock %}

{% block content %}
<div class="container py-5">
    <div class="row justify-content-center">
        <div class="col-md-8 col-lg-6">
            <div class="card shadow-sm">
                <div class="card-header bg-success text-white text-center">
                    <h2><i class="bi bi-shield-lock me-2"></i>Member Signup</h2>
                </div>
                <div class="card-body p-4">
                    <form id="loginForm" class="needs-validation" novalidate>
                        
                        
                            <div class="card-body">
                                
                                <div class="row g-3">
                                    <div class="col-md-6">
                                        <label class="form-label">First Name</label>
                                        <input type="text" class="form-control" value="John">
                                    </div>
                                    <div class="col-md-6">
                                        <label class="form-label">Last Name</label>
                                        <input type="text" class="form-control" value="Doe">
                                    </div>
                                    <div class="col-md-6">
                                        <label class="form-label">Email</label>
                                        <input type="email" class="form-control" value="john.doe@example.com">
                                    </div>
                                    <div class="col-md-6">
                                        <label class="form-label">Phone</label>
                                        <input type="tel" class="form-control" value="(555) 123-4567">
                                    </div>
                                    <div class="col-12">
                                        <label class="form-label">Street Address</label>
                                        <input type="text" class="form-control" value="123 Oak Drive">
                                    </div>
                                    <div class="col-md-4">
                                        <label class="form-label">City</label>
                                        <input type="text" class="form-control" value="Anytown">
                                    </div>
                                    <div class="col-md-4">
                                        <label class="form-label">State</label>
                                        <input type="text" class="form-control" value="ST">
                                    </div>
                                    <div class="col-md-4">
                                        <label class="form-label">ZIP Code</label>
                                        <input type="text" class="form-control" value="12345" >
                                    </div>
                                    <div class="col-md-12">
                                        <label for="loginPassword" class="form-label">Password</label>
                                        <div class="input-group">
                                            <span class="input-group-text"><i class="bi bi-key"></i></span>
                                            <input type="password" class="form-control" id="loginPassword" required>
                                            <button class="btn btn-outline-secondary" type="button" id="togglePassword">
                                                <i class="bi bi-eye"></i>
                                            </button>
                                            <div class="invalid-feedback">
                                                Please enter your password.
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-12">
                                        <label for="loginPassword" class="form-label">Confirm Password</label>
                                        <div class="input-group">
                                            <span class="input-group-text"><i class="bi bi-key"></i></span>
                                            <input type="password" class="form-control" id="loginPassword" required>
                                            <button class="btn btn-outline-secondary" type="button" id="togglePassword">
                                                <i class="bi bi-eye"></i>
                                            </button>
                                            <div class="invalid-feedback">
                                                Please confirm your password.                                                </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        
                        
                        
                        
                        
                        
                        
                        <div class="d-grid gap-2">
                            <button type="submit" class="btn btn-success">
                                <i class="bi bi-box-arrow-in-right me-2"></i>Sign Up
                            </button>
                        </div>
                        
                        <div class="mt-3 text-center">
                            <a href="{% url 'login' %}" class="text-decoration-none">Back to Log In</a>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
{% endblock %}