{"id":20,"date":"2022-08-08T05:44:02","date_gmt":"2022-08-08T05:44:02","guid":{"rendered":"https:\/\/themes.hibootstrap.com\/rola-covid19\/?page_id=20"},"modified":"2022-08-11T12:32:40","modified_gmt":"2022-08-11T12:32:40","slug":"vaccine-registration","status":"publish","type":"page","link":"https:\/\/themes.hibootstrap.com\/rola-covid19\/vaccine-registration\/","title":{"rendered":"Vaccine Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"20\" class=\"elementor elementor-20\">\n\t\t\t\t\t\t<div class=\"elementor-section elementor-top-section elementor-element elementor-element-394866c elementor-section-full_width covid-registration-area ptb-100 elementor-section-height-default elementor-section-height-default\" data-id=\"394866c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c275a58\" data-id=\"c275a58\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70cfb51 elementor-widget elementor-widget-Rola_CovidRegForm\" data-id=\"70cfb51\" data-element_type=\"widget\" data-widget_type=\"Rola_CovidRegForm.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div>\r\n            <div class=\"container\">\r\n                <div class=\"row justify-content-center align-items-center\">\r\n                    <div class=\"col-lg-5 col-md-12\">\r\n                        <div class=\"covid-registration-form\">\r\n\r\n                            <form class=\"wordpress-ajax-form\" method=\"post\" autocomplete=\"off\" id=\"bookform\" action=\"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-admin\/admin-ajax.php\">\r\n\r\n                                <div class=\"messagediv_two\"><\/div>\r\n\r\n                                <div class=\"row justify-content-center\">\r\n                                    <div class=\"col-lg-12 col-md-12\">\r\n                                        <div class=\"form-group\">\r\n                                            <label>Your Name<\/label>\r\n                                            <input type=\"text\" name=\"yname\" class=\"form-control\" value=\"\" placeholder=\"Name\" required=\"required\">\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                    <div class=\"col-lg-12 col-md-12\">\r\n                                        <div class=\"form-group\">\r\n                                            <label>Your Email<\/label>\r\n                                            <input type=\"email\" name=\"yemail\" class=\"form-control\" value=\"\" placeholder=\"Email\" required=\"required\">\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                    <div class=\"col-lg-12 col-md-12\">\r\n                                        <div class=\"form-group\">\r\n                                            <label>Your Number<\/label>\r\n                                            <input type=\"number\" name=\"ynumber\" class=\"form-control\" placeholder=\"Number\" required=\"required\">\r\n                                        <\/div>\r\n                                    <\/div>\r\n\r\n                                    <div class=\"col-lg-12 col-md-12\">\r\n                                        <div class=\"row justify-content-center\">\r\n                                            <div class=\"col-lg-5 col-md-12\">\r\n                                                <div class=\"form-group\">\r\n                                                    <label>Venues Name<\/label>\r\n                                                    <select name=\"venue_l\">\r\n                                                                                                                    <option value=\"Venue 1\"> Venue 1 <\/option>\r\n                                                                                                                    <option value=\"Venue 2\"> Venue 2 <\/option>\r\n                                                                                                                    <option value=\"Venue 3\"> Venue 3 <\/option>\r\n                                                                                                                    <option value=\" Venue 4\">  Venue 4 <\/option>\r\n                                                                                                                    <option value=\" Venue 5\">  Venue 5 <\/option>\r\n                                                                                                            <\/select>\r\n                                                <\/div>\r\n                                            <\/div>\r\n\r\n                                            <div class=\"col-lg-7 col-md-12\">\r\n                                                <div class=\"form-group\">\r\n                                                    <label>Counter Name<\/label>\r\n                                                    <select name=\"counter_l\">\r\n                                                                                                                    <option value=\"1\"> Counter 1 <\/option>\r\n                                                                                                                    <option value=\"2\"> Counter 2 <\/option>\r\n                                                                                                                    <option value=\"3\"> Counter 3 <\/option>\r\n                                                                                                                    <option value=\"4\">  Counter 4 <\/option>\r\n                                                                                                                    <option value=\"5\">  Counter 5 <\/option>\r\n                                                                                                            <\/select>\r\n                                                <\/div>\r\n                                            <\/div>\r\n                                        <\/div>\r\n                                    <\/div>\r\n\r\n                                    <div class=\"col-lg-12 col-md-12\">\r\n                                        <input type=\"hidden\" name=\"action\" value=\"book_table\">\r\n                                        <input type=\"hidden\" name=\"_nonce\" value=\"dfa8d8c87f\">\r\n                                        <button id =\"btn2\" type=\"submit\" name=\"submit\" class=\"default-btn\"> Submit Now <i class=\"bx bx-right-arrow-alt\"><\/i><\/button>\r\n                                    <\/div>\r\n\r\n                                                                        <div class=\"bottom-title\">\r\n                                        <span>Already Registered? \r\n                                        \r\n                                            <a href=\"#check-data\">Check Your Status<\/a>\r\n                                    \r\n                                        <\/span>\r\n                                    <\/div>\r\n                                    \r\n                                <\/div>\r\n\r\n                            <\/form>\r\n\r\n                        <\/div>\r\n                    <\/div>\r\n\r\n                    <div class=\"col-lg-7 col-md-12\">\r\n                        <div class=\"covid-registration-image\">\r\n                            <div class=\"content\">\r\n                                <span>Emergency Registration<\/span>\r\n                                <h3 class=\"title\">We Carefully Manage The Treatment Of Patients<\/h3>\r\n                            <\/div>\r\n                                                            <img decoding=\"async\" src=\"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-content\/uploads\/2022\/08\/registration.png\" alt=\"Image\">\r\n                                                    <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n\r\n                            <div class=\"covid-registration-shape\">\r\n                    <img decoding=\"async\" src=\"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-content\/uploads\/2022\/08\/shape.png\" alt=\"shape\">\r\n                <\/div>\r\n                    <\/div>\r\n\r\n        <script type=\"text\/javascript\"> \r\n            \/\/ Ajax query\r\n            jQuery(document).on('ready', function ($) {\r\n                jQuery('#bookform').ajaxForm({\r\n                    dataType : \"json\",\r\n                    success: function(response){\r\n                        console.log(response.message);\r\n                        jQuery(\".messagediv_two\").html(response.message);\r\n                        \/\/alert('okay');\r\n                        console.log(\"Working\");\r\n\r\n                        setTimeout(function(){ \r\n                            jQuery('#success-alert').slideUp(1500);\r\n                            \/\/jQuery('#reservationModal').modal('toggle');\r\n                        }, 1000);\r\n\r\n                    },\r\n                    error: function(response){\r\n                        jQuery('.messagediv_two').html(response.message);\r\n                    },\r\n                    \r\n                    resetForm: true\r\n                });\r\n\r\n            });\r\n        <\/script>\r\n\r\n        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Check Your Status Emergency Registration We Carefully Manage The Treatment Of Patients<\/p>\n","protected":false},"author":1,"featured_media":133,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-20","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/pages\/20","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/comments?post=20"}],"version-history":[{"count":5,"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/pages\/20\/revisions"}],"predecessor-version":[{"id":424,"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/pages\/20\/revisions\/424"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/media\/133"}],"wp:attachment":[{"href":"https:\/\/themes.hibootstrap.com\/rola-covid19\/wp-json\/wp\/v2\/media?parent=20"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}