HTML - Help With Php Form Submission

I want a form so a person can type in a story and it can be sent to the database, where users can browse it in the stories section of my site.

I have no idea where to start!

Hello,

I'm trying to put together an online signup form for a children's summer program. I'd like to have a calculator for the total price of classes at the bottom as well as a "submit" button that will email me all entered information.

I had tried using cgiemail (http://web.mit.edu/wwwdev/cgiemail/), which was already installed on my server, but my problem was that it sends me information from the "value" fields, which are already used for the price calculator.

For instance, the price of each class in my sample is $55, so I have the value field for each choice set to 55. Unfortunately, cgiemail also wants to use the value field, so I would receive a list of "55"s rather than class names.

Does anyone have a suggestion for how to fix this? I am very much an amateur at all of this, so if you think there's a better way to set up, I am open to suggestions. Thank you for the help!

Matt

Code:

<form name="classes" onclick="calculate()">
<b>Class Signup Form</b><br><br>

<P>
<b>Child Info:</b>
<TABLE CELLPADDING="1" CELLSPACING="1" WIDTH="550">
<tr><td width="200">Name:</td><td width="350"><INPUT name="childname"></td></tr>
<tr><td width="200">Date of Birth:</td><td width="350"><INPUT name="childage" value="mm/dd/yyyy" maxlength="10"></td></tr>
<tr><td width="200">Age:</td><td width="350"><select name="childage" STYLE="width: 50px;">
<option value="age5" selected="selected">5</option>
<option value="age6">6</option>
<option value="age7">7</option>
<option value="age8">8</option>
<option value="age9">9</option>
<option value="age10">10</option>
<option value="age11">11</option>
<option value="age12">12</option>
<option value="age13">13</option>
<option value="age14">14</option>
</select></td></tr>
<tr><td width="200">T-Shirt Size:</td><td width="350"><select name="childshirt" STYLE="width: 50px;">
<option value="shirtxs" selected="selected">XS</option>
<option value="shirts">S</option>
<option value="shirtm">M</option>
<option value="shirtl">L</option>
<option value="shirtxl">XL</option></td></tr>
<tr><td width="200">Address:</td><td width="350"><INPUT name="childaddress1"></td></tr>
<tr><td width="200"></td><td width="350"><INPUT name="childaddress2"></td></tr>
<tr><td width="200">City:</td><td width="350"><INPUT name="childcity"></td></tr>
<tr><td width="200">State:</td><td width="350"><INPUT name="childstate"></td></tr>
<tr><td width="200">Zip:</td><td width="350"><INPUT name="childzip"></td></tr>
</TABLE>
</p>
<p>Allergy/Medication Information:<br><textarea rows="5" cols="50"></textarea></p>

<P>
<b>Parent/Guardian Info:</b>
<TABLE CELLPADDING="1" CELLSPACING="1" WIDTH="550">
<tr><td width="200">Parent 1 Name:</td><td width="350"><INPUT name="parent1name"></td></tr>
<tr><td width="200">Daytime Phone:</td><td width="350"><INPUT name="parent1phone"></td></tr>
<tr><td width="200">Cell Phone:</td><td width="350"><INPUT name="parent1cell"></td></tr>
</TABLE><br>
<TABLE CELLPADDING="1" CELLSPACING="1" WIDTH="550">
<tr><td width="200">Parent 2 Name:</td><td width="350"><INPUT name="parent2name"></td></tr>
<tr><td width="200">Daytime Phone:</td><td width="350"><INPUT name="parent2phone"></td></tr>
<tr><td width="200">Cell Phone:</td><td width="350"><INPUT name="parent2cell"></td></tr>
</TABLE><br>
<TABLE CELLPADDING="1" CELLSPACING="1" WIDTH="550">
<tr><td width="200">Billing Email:</td><td width="350"><INPUT name="billingemail"></td></tr>
<tr><td width="200">Alternate Email:</td><td width="350"><INPUT name="alternateemail"></td></tr>
</TABLE>
</p>

<P>
<b>Week 1 Classes</b><br>
<TABLE CELLPADDING="1" CELLSPACING="1" WIDTH="550">
<tr><td width="200">9:30 - 10:45</td><td width="350">
<select name="w1c1" STYLE="width: 200px;">
<option value="0" selected="selected">- No Class -</option>
<option value="55" name="DoppClass">Mountain Biking</option>
<option value="55" name="Class 3">Witchcraft</option>
<option value="55" name="DoppClass">Nintendo</option>
</select></td></tr>
<tr><td width="200">10:45 - Noon</td><td width="350">
<select name="w1c2" STYLE="width: 200px;">
<option value="0" selected="selected">- No Class -</option>
<option value="55">Running with Scissors</option>
<option value="55">Trapeze</option>
<option value="55">Dance</option>
</select></td></tr>
<tr><td width="200">1:00 - 2:15</td><td width="350">
<select name="w1c3" STYLE="width: 200px;">
<option value="0" selected="selected">- No Class -</option>
<option value="55">Clock-Building</option>
<option value="55">Monkeys with Hats</option>
<option value="55">Trains</option>
</select></td></tr>
<tr><td width="200">2:15 - 3:30</td><td width="350">
<select name="w1c4" STYLE="width: 200px;">
<option value="0" selected="selected">- No Class -</option>
<option value="55">Cricket</option>
<option value="55">Crochet</option>
<option value="55">Crocodiles</option>
</select></td></tr>
</TABLE>
</p>

<p><input type=button name=calculate value="Calculate Total Price" onClick="pricecalculate();"></P>

<p>$<input type=text name=txtAnswer> </p>

</form>

<script language = "javascript">

function pricecalculate(){
var w1c1=eval(document.classes.w1c1.value);
var w1c2=eval(document.classes.w1c2.value);
var w1c3=eval(document.classes.w1c3.value);
var w1c4=eval(document.classes.w1c4.value);



document.classes.txtAnswer.value=w1c1 + w1c2 + w1c3 + w1c4;
}
</script>

How can I restrict form submission to only the Submit button? I find the forms can be submitted also by the user pressing the "enter" or the "return" key (Users typically use IE or Firefox) By a mouseover the "Submit" button, a final check of data integrity is done as follows....

<INPUT type="submit" value="Submit Form" onmouseover="validate(personal_SS.value,personal_SS.id,personal_lastname.value,personal_lastname.id, personal_firstname.value,personal_firstname.id,personal_Birthdate.value,personal_Birthdate.id)"> <INPUT type="reset" value="Clear form"> Data is 128 bit SSL encrypted

function validate(strngSS,x,strngLN,y,strngFN,z,strngBD,w)
{

if (strngSS== "") {alert("You didn't enter a Social Security Number.");
document.ReturnPatientEntry.x.focus();
return;

}
else
{
if ((strngSS.length < 9) || (strngSS.length > 9)) {alert("The Social Security Number is the wrong length. Just use numbers, no dashes... like 123456789 not " + strngSS);
document.ReturnPatientEntry.x.focus();
return;

}
else
{
var illegalChars = /\W\#/;
if (illegalChars.test(strngSS)) {alert( "The Social Security Number contains illegal characters. Just use numbers, no dashes or # signs.");
document.ReturnPatientEntry.x.focus();
return;

}
}
}
validateLN(strngLN,y)
validateFN(strngFN,z)
validateBD(strngBD,w)
}

function validateLN(strng,x)
{

if (strng== "") {alert("You didn't enter a Last Name.");
document.ReturnPatientEntry.x.focus();
return;

}
else
{
if ((strng.length < 3) || (strng.length > 15)) {alert("The Last Name is the wrong length. Just use letters, no dashes... " + strng);
document.ReturnPatientEntry.x.focus();
return;

}
else
{
var illegalChars = /\W\#/;
if (illegalChars.test(strng)) {alert( "The Last Name contains illegal characters. Just use letters, no dashes or spaces.");
document.ReturnPatientEntry.x.focus();
return;

}
}
}
}


function validateFN(strng,x)
{

if (strng== "") {alert("You didn't enter a First Name.");
document.ReturnPatientEntry.x.focus();
return;

}
else
{
if ((strng.length < 2) || (strng.length > 12)) {alert("The First Name is the wrong length. Just use letters, no dashes... " + strng);
document.ReturnPatientEntry.x.focus();
return;

}
else
{
var illegalChars = /\W\#/;
if (illegalChars.test(strng)) {alert( "The First Name contains illegal characters. Just use letters, no dashes or spaces.");
document.ReturnPatientEntry.x.focus();
return;

}
}
}
}

function validateBD(strng,x)
{

if (strng=="") {alert("Please enter a valid Birthdate");
document.ReturnPatientEntry.x.focus();
return;
}
else
{
if ((strng.length<8) || (strng.length>8)) {alert("Please enter your Birthdate in the form mm/dd/yy, not " + strng);
document.ReturnPatientEntry.x.focus();
return;
}
else
{
var illegalChars=/[\-\.\m\,\ ]/;
if (illegalChars.test(strng)) {alert("The Birtdate contains illegal characters, use the format mm/dd/yy, not " + strng);
document.ReturnPatientEntry.x.focus();
return;
}
}
}
}


I know the coding is primitive, but it works. If the "Clear form" button is pressed, multiple consecutive error messages are tripped as the form is cleared. Can I suppress this as well?

Thanks,
Douglas McKibbin
augustasurgery.org

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< form action="">
				<div>

					<div class="formfield">
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