Code:
<?php echo form_open("age"); ?>
<table id="signupTable">
<tr>
<td class="title">Date of Birth:</td>
<td class="field_cell">
<!-- DOB DAY -->
<select name="dob_d">
<option value="">Day</option>
<?php
$day_array = array("01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "27", "28", "29", "30", "31");
foreach($day_array as $key => $day){
if($day == $dob_d) {
printf(
"<option value=\"%s\" selected>%s</option>\n",
$day,
$day
);
}
else {
printf(
"<option value=\"%s\">%s</option>\n",
$day,
$day
);
}
}
?>
</select> -
<!-- DOB MONTH -->
<select name="dob_m">
<option value="">Month</option>
<?php
$month_array = array("Jan" => "01", "Feb" => "02", "Mar" => "03", "Apr" => "04", "May" => "05", "Jun" => "06", "Jul" => "07", "Aug" => "08", "Sep" => "09", "Oct" => "10", "Nov" => "11", "Dec" => "12");
foreach( $month_array as $key => $month){
if($month == $dob_m) {
printf(
"<option value=\"%s\" selected>%s</option>\n",
$month,
$key
);
}
else {
printf(
"<option value=\"%s\">%s</option>\n",
$month,
$key
);
}
}
?>
</select> -
<!-- DOB YEAR -->
<select name="dob_y"">
<option value="">Year</option>
<?php
$current_year = date("Y");
$start_year = $current_year - 100;
echo $current_year." - ".$start_year;
while($current_year >= $start_year) {
if($current_year == $dob_y) {
printf(
"<option value=\"%s\" selected>%s</option>\n",
$current_year,
$current_year
);
}
else {
printf(
"<option value=\"%s\">%s</option>\n",
$current_year,
$current_year
);
}
$current_year--;
}
?>
</select>
<?php echo form_error('dob_d'); ?>
<?php echo form_error('dob_m'); ?>
<?php echo form_error('dob_y'); ?>
<?php echo form_error('age_check'); ?>
</td>
<td class="required">*</td>
</tr>
<tr>
<td colspan="3">
<?php echo form_hidden("dobcheck")."\n"; ?>
<?php echo form_hidden("type", " p")."\n"; ?>
<?php echo form_hidden("submitform")."\n"; ?>
<input type="submit" value="Signup Now" />
</td>
</tr>
</table>
