@if (!Request::ajax())
@extends('layouts.app')
@section('content')

@endif
<div class="container">
    <div class="row">
        <div class="col-sm-6">
            <div class="more-btn " data-aos="fade-up" data-aos-duration="3000" >
                <button type="submit" class="ac-btn ac-btn-primary addFamily" title="Submit" onclick="addFamily()">Add Family</button>
            </div>
        </div>
    </div>

    {!! Form::open(['method' => 'post','class'=>'form-border-line','id'=>'detailForm']) !!}
    <div class="row formDetail" style="display: none;">
        <div class="row">
            <div class="col-md-3">
                <div class="emailField form-group {{ $errors->has('days') ? 'has-error' : '' }} form-md-line-input">
                    <label class="form_title" for="days">Days<span aria-required="true" class="required"> * </span></label>
                    {!! Form::number('days', Request::old('days'), array('class' => 'form-control input-sm maxlength-handler titlespellingcheck', 'min'=>'1' ,'max' => '28', 'autocomplete'=>'off', 'id' => 'days','placeholder' => 'Days','autocomplete'=>'off')) !!}
                </div>
            </div>
        </div>
        <div class="multi-name">
            <div class="col-md-3">
                <div class="emailField form-group {{ $errors->has('name') ? 'has-error' : '' }} form-md-line-input">
                    <label class="form_title" for="name[0]">Name<span aria-required="true" class="required"> * </span></label>
                    {!! Form::text('name[0]', Request::old('name'), array('class' => 'form-control input-sm maxlength-handler titlespellingcheck', 'maxlength' => '100', 'autocomplete'=>'off','id' => 'name0','placeholder' => 'Name','autocomplete'=>'off')) !!}
                </div>
            </div>
            <div class="col-md-3">
                <div class="relationField form-group {{ $errors->has('relation') ? 'has-error' : '' }} form-md-line-input">
                    <label class="form_title" for="relation[0]">Relation<span aria-required="true" class="required"> * </span></label>
                    {!! Form::text('relation[0]', Request::old('relation'), array('class' => 'form-control input-sm maxlength-handler titlespellingcheck', 'maxlength' => '100', 'autocomplete'=>'off','id' => 'relation0','placeholder' => 'Relation','autocomplete'=>'off')) !!}
                </div>
            </div>
            <div class="col-md-3">
                <div class="form-group {{ $errors->has('age[0]') ? 'has-error' : '' }} form-md-line-input">
                    <label class="form_title"  for="age[0]">Age <span aria-required="true" class="required"> * </span></label>
                    {!! Form::number('age[0]', Request::old('age'), array('class' => 'form-control input-sm maxlength-handler titlespellingcheck','min'=>'1', 'max' => '100', 'autocomplete'=>'off', 'id' => 'age','placeholder' => 'Age','autocomplete'=>'off')) !!}
                </div> 
            </div> 
            <div class="col-md-1">
                <a href="javascript:void(0);" class="addMore add_more" title="Add More"><i class="fa fa-plus"></i> Add More</a>
            </div>
        </div>
        <div class="row"><div class="col-md-6 agePrice"></div></div>
        <button type="submit" class="ac-btn ac-btn-primary col-md-2" title="Submit">Save</button>
    </div>
    {!! Form::close() !!}
</div>

<script type="text/javascript">
    var emcnt = '{!! isset($emcnt)?$emcnt:"0" !!}';
    var emcntF = '{!! isset($emcntF)?$emcntF:"0" !!}';
</script>

<script src="{{ $CDN_PATH.'assets/js/detail_form.js' }}"></script>

@if (!Request::ajax())
@endsection
@endif