if (isset($_POST['submitted'])){
$fields = array(
'email',
'state',
'district',
'gender',
'age',
'profession',
);
foreach($fields as $fieldName) {
if(isset($_POST[$fieldName]) and trim($_POST[$fieldName]) !==''){
$$fieldName = trim($_POST[$fieldName]);
}else {
$errors[] = "Please enter your". $fieldName .""; //code to validate fields
}
}
if(!isset($errors)){
require_once('Connections/encourage.php');
$query = "INSERT INTO participants (email, state, district, gender, age, profession, survey, registration_date)
VALUES ('$email', '$state', '$district', '$gender', '$age', '$profession','$survey', NOW())"; //databasse connection
$result = mysql_query ($query);
if ($result){
echo '<h1 id="mainhead">Thanks for submitting</hl>
<p>You are now registered</p>';
exit();
}else{
echo '<h1 id="mainhead">System Error</hl>
<p>Your registration could not be completed due to a system error We apologize for any incovience</p>';//gives system error
echo 'p' . mysql_error(). '<br /><br />Query: ' . $query . '</p>';
exit();
}
mysql_close();
} else {
echo '<h1 id="mainhead">Error!</h1>
<p class="error">The following error(s) occurred:<br />';
foreach($errors as $msg) {
echo " - $msg<br/>\n";
}
echo '</p><p>Please try again.</p><p><br/></p>';
}
}
?>
<form id="form1" name="form1" method="post" action"registration.php">
<fieldset class="first">
<label class="lableone" for="email">Email:* </label>
<input name="email" value="<?php if(isset($_POST['email'])) echo $_POST['name'];?>"/>
<label for="state"/>State:* </label>
<input name="state" value="<?php if(isset($_POST['state'])) echo $_POST['state'];?>"/>
<label for="schooldistrict"/>School District:* </label>
<input name="district" value="<?php if(isset($_POST['district'])) echo $_POST['district'];?>" />
<label for="gender">Gender:* </label>
<select name="gender">
<option>Choose Your Gender</option>
<option value="male" <?php echo ($form['gender'] == 'male' ? ' selected' : ''); ?>>Male</option>
<option value="female"<?php echo ($form['gender'] == 'female' ? ' selected' : ''); ?>>Female</option>
</select>
<label for="age"/>Your Age:* </label>
<input name="age" type="text" class="age" maxlength="2" value="<?php if(isset($_POST['age'])) echo $_POST['age'];?>" />
<label for="profession"/>Profession:* </label>
<input name="profession" value="<?php if(isset($_POST['profession'])) echo $_POST['profession'];?>" />
<label for="survey"/>Willingness to participate in future surveys: </label>
<input name="survey" type="checkbox" id="survey" value="yes" <?php echo ($_POST['survey'] == 'yes' ? 'checked = "checked"' : '');?> />
</fieldset>
<fieldset>
<input class="btn" name="submit" type="submit" value="Submit" />
<input class="btn" name="reset" type="reset" value="Clear Form" />
<input type="hidden" name="submitted" value="TRUE" />
</fieldset>
</form>