_template
%%form_raw{Mug-Shot1}%% %%form_raw{Mug-Shot2}%% %%form_raw{Mug-Shot3}%%
Name : %%form_data{SName}%% %%form_data{FName}%%
Glider: %%form_data{Glider-make}%% — %%form_data{Glider-model}%% — %%form_data{Glider-Colours}%%
Sponsor %%form_data{Sponsor}%% Web site -%%form_data{Sponsorurl}%%
Class: %%form_data{Class}%% Rating: %%form_data{Rating}%%
Insurance Company %%form_data{Ins-comp}%% Fai Licence %%form_data{sport}%%
T-Shirt size %%form_data{Tshirt}%%

====

[[form]]
fields:
  note2:
    type: static
    value: Your contact details

  SName:
    label: Your Family  Name
  FName:
    label: Your First  Name
  Post-code:
    label: Your Post Code
    width: 10
  Home-tel:
    label: Home telephone number
  Mob-tel:
    label: Mobile telephone number
  email:
    label: email address
    match: /^[_a-zA-Z0-9\-\+]+(\.[_a-zA-Z0-9-]+)*@[a-zA-Z0-9-]+(\.[a-zA-Z0-9-]+)+$/

  note1:
    type: static
    value: Please upload some  nice clear "mug Shots", for use in promotional material.
  Mug-Shot1:
    label: Upload "Mug Shot1"
    type: file
    category: compimages
  Mug-Shot2:
    label: Upload "Mug Shot 2"
    type: file
    category: compimages
  Mug-Shot3:
    label: Upload "Mug Shot 3"
    type: file
    category: compimages

  note3:
    type: static
    value: Your Emergency contact details. 
  em-Name:
    label: Contact Name
  em-Post-code:
    label: Contact Post Code
    width: 10
  em-Home-tel:
    label: Contact Home tel
  em-Mod-tel:
    label: Contact Mobile tel
  em-relationship:
    label: Contact Relationship

  note4:
    type: static
    value: Your flying credentials

  CIVL-number:
    label: Your CIVL number (ID)

  Rating:
    label: Your BHPA  Rating
    type: select
    values:
      0: Advance
      1: Pilot

  sport:
    label: Will you have a Valid FAI Licence for this Competition?
    type: select
    values:
      0: "Yes"
      1: "No"

  Glider-make:
    label: Your Glider make
    type: select
    values:
      1: Aeros
      2: Air Atos
      3: Airborne
      4: Airwave
      5: Avian
      6: Flight Design
      7: Helite
      8: Icaro
      9: La Mouette
      10: Moyes
      11: Solar Wings
      12: Wills Wings
      13: Other

  Glider-model:
    label: Your Glider model

  Glider-Colours:
    label: Your Glider Colours
  Sponsor:
    label: Your Sponsor if you have one

  Sponsorurl:
    type: url
    label: Sponsors web site 

  note5:
    type: static
    value: Your Insurance details

  Ins-comp:
    label: Your Insurance Company

  Ins-policy:
    label: Your Insurance Policy Number

  ins-phone:
    label: Your Insurance Claim Telephone Number

  Class:
    label: What Class are you entering
    type: select
    values:
      0: Rigid
      1: Flex
      2: Sports

  Tshirt:
    label: What T shirt size are you?
    type: select
    values:
      S: Small
      M: Medium
      L: Large
      XL: Beer Gut

  note6:
    type: static
    value: I am aware that Hang Gliding is a high risk sport. The decision to fly in any task is my own 

  note7:
    join: true
    type: static
    value: I understand that Competition director, organisers or panel cannot accept any responsibility for the actions of any Pilot.
  note8:
    join: true
    type: static
    value: I acknowledge that I am the best person to assess if conditions are suitable for myself to fly.
  note9:
    join: true
    type: static
    value: I acknowledge that I should not assume that conditions are safe for me just because the safety committee has not stopped or vetoed a task.

  Acknow:
    label: I acknowledge the above statements
    type: checkbox

  comment:
    label: Anything else you fancy adding?
    type: text
    width: 350
    height: 5

[[/form]]