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@sephto
Created February 16, 2014 01:24
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<form class="dataForm" action="" method="post">
<div class="studentInfo">
<h1>Student Information</h1>
<label for="PantherID">Panther Id</label> <input type="text" value="<?php echo $PantherID;?>" name="PantherID"/>
<label for="First_Name">First Name</label> <input type="text" value="<?php echo $First_Name;?>" name="First_Name"/> <br>
<label for="Last_Name">Last Name</label> <input type="text" value="<?php echo $Last_Name;?>" name="Last_Name"/>
<label for="Middle_Name">Middle Name</label> <input type="text" value="<?php echo $nMiddle_Name;?>" name="Middle_Name"/> <br>
<label for="Age">Age</label> <input type="text" value="<?php echo $Age;?>" name="Age"/>
<label for="Gender">Gender</label> <input type="text" value="<?php echo $Gender;?>" name="Gender"/> <br>
<label for="Social_Security">Social Security</label> <input type="text" value="<?php echo $Social_Security;?>" name="Social_Security"/>
<label for="Address_ONE">Address One</label> <input type="text" value="<?php echo $Address_ONE;?>" name="Address_ONE"/> <br>
<label for="Address_TWO">Address Two</label> <input type="text" value="<?php echo $Address_TWO;?>" name="Address_TWO"/>
<label for="city">City</label> <input type="text" value="<?php echo $City;?>" name="City"/><br>
<label for="state_region">State</label> <input type="text" value="<?php echo $state_region;?>" name="state_region"/>
<label for="zipcode">Zip Code</label> <input type="text" value="<?php echo $zipcode;?>" name="zipcode"/> <br>
<label for="Primary_Tel">Primary Tel#</label> <input type="tel" value="<?php echo $Primary_Tel;?>" name="Primary_Tel"/>
<label for="Secondary_tel">Secondary Tel#</label> <input type="tel" value="<?php echo $Secondary_tel;?>" name="Secondary_tel"/> <br>
<label for="Email">Email</label> <input type="email" value="<?php echo $Email;?>" name="Email"/>
</div>
<br>
<br>
<div class="eContact">
<h1>Emergency Contact</h1>
<label for="ecPantherID">Panther Id</label> <input type="text" value="<?php echo $ecPantherID;?>" name="ecPantherID"/>
<label for="ecFirst_Name">First Name</label> <input type="text" value="<?php echo $ecFirst_Name;?>" name="ecFirst_Name"/> <br>
<label for="ecLast_Name">Last Name</label> <input type="text" value="<?php echo $ecLast_Name;?>" name="ecLast_Name"/>
<label for="ecMiddle_Name">Middle Name</label> <input type="text" value="<?php echo $ecMiddle_Name;?>" name="ecMiddle_Name"/> <br>
<label for="ecAge">Age</label> <input type="text" value="<?php echo $ecAge;?>" name="ecAge"/>
<label for="ecGender">Gender</label> <input type="text" value="<?php echo $ecGender;?>" name="ecGender"/> <br>
<label for="ecSocial_Security">Social Security</label> <input type="text" value="<?php echo $ecSocial_Security;?>" name="ecSocial_Security"/>
<label for="ecAddress_ONE">Address One</label> <input type="text" value="<?php echo $ecAddress_ONE;?>" name="ecAddress_ONE"/> <br>
<label for="ecAddress_TWO">Address Two</label> <input type="text" value="<?php echo $ecAddress_TWO;?>" name="ecAddress_TWO"/>
<label for="eccity">City</label> <input type="text" value="<?php echo $eccity;?>" name="eccity"/><br>
<label for="ecstate_region">State</label> <input type="text" value="<?php echo $ecstate_region;?>" name="ecstate_region"/>
<label for="eczipcode">Zip Code</label> <input type="text" value="<?php echo $eczipcode;?>" name="eczipcode"/> <br>
<label for="ecPrimary_Tel">Primary Tel#</label> <input type="tel" value="<?php echo $ecPrimary_Tel;?>" name="ecPrimary_Tel"/>
<label for="ecSecondary_tel">Secondary Tel#</label> <input type="tel" value="<?php echo $ecSecondary_tel;?>" name="ecSecondary_tel"/> <br>
<label for="ecEmail">Email</label> <input type="email" value="<?php echo $ecEmail;?>" name="ecEmail"/>
</div>
<br>
<br>
<div class="buttons">
<input type="submit" name="button" id="button" value="<?php echo $button = 'Delete';?>"/>
<input type="submit" name="button" id="button" value="<?php echo $button = 'Find';?>"/>
<input type="submit" name="button" id="button" value="<?php echo $button = 'Save';?>"/>
<input type="submit" name="button" id="button" value="<?php echo $button = 'Modify';?>"/>
<?php echo $button;?>
</div>
<input type="hidden" name="button" vale="<?php echo $button;?>"/>
</form>
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