<br />

<?php echo Form::open(array('url'    => url('/forms/eligibility/' . $object->waiver->id . '/signatures'),
					'method' => 'POST',					
					'style'  => 'font-size: 10pt;')); ?>

	<?php echo Form::hidden('redirect', url('/forms/eligibility/' . $object->waiver->id . '/edit') . '#signatures'); ?>
	<?php echo Form::hidden('waiver_id', $object->waiver->id); ?>
	<?php echo Form::hidden('type', $type); ?>
	
	<?php if (Helpers::strEqual($type, 'administrator')): ?>
		<img src="<?php echo asset('images/icons/administrator_64px.png'); ?>" alt="" title="" style="float : left; margin: 0 0 5px 0;" />
	    <h2>School Administrator</h2>
	    <div class="gray">Principal/Superintendent</div>
	    <div class="small gray" style="margin-top: 0.5em;">
	    	<span class="ui-icon ui-icon-info" style="display: inline-block; vertical-align: middle;"></span>	
			The e-signature for the individual below has read and agreed to the affirmation statement.
		</div>
	<?php else: ?>
		<img src="<?php echo asset('images/icons/parent_64px.png'); ?>" alt="" title="" style="float : left; margin: 0 0 5px 0;" />
	    <h2>Student's Parent</h2>
	    <div class="gray">Parent/Guardian or Host Family</div>
	    <div class="small gray" style="margin-top: 0.5em;">
	    	<span class="ui-icon ui-icon-info" style="display: inline-block; vertical-align: middle;"></span>	
			The e-signature for the individual below has read and agreed to the affirmation statement.
		</div>
	<?php endif; ?>

	<br class="clear" /><br />

	<h3>Affirmation Statement</h3>
	<div style="padding: 0.5em; background-color: #f2f2f2; border: 1px solid #d9e1e0;">
		Under penalty of perjury, I do affirm that no coach, parent, administrator, teacher, or other representative of the current school initiated contact or offered any inducements for the purpose of having the student attend the current school for athletic participation. Further, I authorize release of permanent school records to the Oregon School Activities Association.
	</div>

	<br /><br />

	By providing my full legal name on this form, I acknowledge that I have read and agree to the above affirmation statement.

	<br /><br />

	<?php echo Form::label('name', 'Full Legal Name'); ?>
	/s/ <?php echo Form::text('name', null, array('style' => 'width: 200px;')); ?>
	<span class="small gray note">




	
<?php echo Form::close(); ?>

