When I complete my form, it is not saved to my DB. It it will email me when a form is submitted but the only thing the emailed results says is the IP of who filled it out.
http://www.marcellomonteiro.com/index.php?option=com_chronocontact&chronoformname=academygetstarted
Debug is turned on.
The database fields are created and viewable through phpMyAdmin
Here is the code for my form.
http://www.marcellomonteiro.com/index.php?option=com_chronocontact&chronoformname=academygetstarted
Debug is turned on.
The database fields are created and viewable through phpMyAdmin
Here is the code for my form.
<table width="95%" border="0" cellspacing="0" cellpadding="2">
<tr>
<td width="24%">Name:</td>
<td width="76%"><input type="text" name="name" id="name" /></td>
</tr>
<tr>
<td>Age:</td>
<td><input type="text" name="age" id="age" /></td>
</tr>
<tr>
<td>Gender:</td>
<td><select name="gender" id="gender">
<option selected="selected">Select One</option>
<option>Female</option>
<option>Male</option>
</select></td>
</tr>
<tr>
<td>Country:</td>
<td><select name="country" id="country">
<option value="American Samoa">American Samoa</option>
<option value="Argentina" >Argentina</option>
<option value="Australia" >Australia</option>
<option value="Austria" >Austria</option>
<option value="Belgium" >Belgium</option>
<option value="Botswana" >Botswana</option>
<option value="Brazil" >Brazil</option>
<option value="Bulgaria" >Bulgaria</option>
<option value="Burkina" faso="faso" >Burkina Faso</option>
<option value="Canada" >Canada</option>
<option value="Chile" >Chile</option>
<option value="China" >China, P.R.</option>
<option value="Colombia" >Colombia</option>
<option value="Croatia" >Croatia</option>
<option value="Cuba" >Cuba</option>
<option value="Curacao - Netherlands Antilles" >Curacao - Netherlands Antilles</option>
<option value="Czech" >Czech Republic</option>
<option value="Denmark" >Denmark</option>
<option value="Egypt" >Egypt</option>
<option value="Federated States of Micronesia" >Federated States of Micronesia </option>
<option value="Fiji" >Fiji</option>
<option value="Finland" >Finland</option>
<option value="France" >France</option>
<option value="Germany" >Germany</option>
<option value="Ghana" >Ghana</option>
<option value="Greece" >Greece</option>
<option value="Guatemala" >Guatemala</option>
<option value="Hong Kong" >Hong Kong</option>
<option value="Hungary" >Hungary</option>
<option value="India" >India</option>
<option value="Ireland" >Ireland</option>
<option value="Israel" >Israel</option>
<option value="Italy" >Italy</option>
<option value="Japan" >Japan</option>
<option value="Kenya" >Kenya</option>
<option value="Korea" >Korea, Republic of</option>
<option value="Lithuania" >Lithuania</option>
<option value="Macedonia" >Macedonia</option>
<option value="Malaysia" >Malaysia</option>
<option value="Marshall Islands" >Marshall Islands </option>
<option value="Mexico" >Mexico</option>
<option value="Mongolia" >Mongolia</option>
<option value="Morocco" >Morocco</option>
<option value="Netherlands" >Netherlands</option>
<option value="New Zealand" >New Zealand</option>
<option value="Nigeria" >Nigeria</option>
<option value="Norway" >Norway</option>
<option value="Palau Islands" >Palau Islands </option>
<option value="Papua New Guinea" >Papua New Guinea</option>
<option value="Philippines" >Philippines</option>
<option value="Poland" >Poland</option>
<option value="Portugal" >Portugal</option>
<option value="Romania" >Romania</option>
<option value="Russia" >Russian Federation</option>
<option value="Singapore" >Singapore</option>
<option value="Slovakia" >Slovakia</option>
<option value="South Africa" >South Africa</option>
<option value="Spain" >Spain</option>
<option value="Sri Lanka" >Sri Lanka</option>
<option value="Sweden" >Sweden</option>
<option value="Switzerland" >Switzerland</option>
<option value="Tanzania" >Tanzania</option>
<option value="Thailand" >Thailand</option>
<option value="Turkey" >Turkey</option>
<option value="United Kingdom" >United Kingdom</option>
<option value="US Virgin Islands" >US Virgin Islands </option>
<option value="USA" selected="selected">United States of America</option>
<option value="Uruguay" >Uruguay</option>
<option value="West Indies" >West Indies</option>
<option value="Yugoslavia" >Yugoslavia</option>
<option value="Zambia" >Zambia</option>
<option value="Zimbabwe" >Zimbabwe</option>
</select></td>
</tr>
<tr>
<td colspan="2"></td>
</tr>
<tr>
<td>State:</td>
<td><select name="state" id="state">
<option>Select One</option>
<option>Outside of USA</option>
<option>AL</option>
<option>AK</option>
<option>AZ</option>
<option>AR</option>
<option>CA</option>
<option>CO</option>
<option>CT</option>
<option>DE</option>
<option>DC</option>
<option>FL</option>
<option>GA</option>
<option>HI</option>
<option>ID</option>
<option>IL</option>
<option>IN</option>
<option>IA</option>
<option>KS</option>
<option>KY</option>
<option>LA</option>
<option>ME</option>
<option>MD</option>
<option>MA</option>
<option>MI</option>
<option>MN</option>
<option>MS</option>
<option>MO</option>
<option>MT</option>
<option>NE</option>
<option>NV</option>
<option>NH</option>
<option>NJ</option>
<option>NM</option>
<option>NY</option>
<option>NC</option>
<option>ND</option>
<option>OH</option>
<option>OK</option>
<option>OR</option>
<option>PA</option>
<option>RI</option>
<option>SC</option>
<option>SD</option>
<option>TN</option>
<option>TX</option>
<option>UT</option>
<option>VT</option>
<option>VA</option>
<option>WA</option>
<option>WV</option>
<option>WI</option>
<option>WY</option>
</select></td>
</tr>
<tr>
<td>City:</td>
<td><input type="text" name="city" id="city" /></td>
</tr>
<tr>
<td>E-Mail:</td>
<td><input type="text" name="email" id="email" /></td>
</tr>
<tr>
<td>Phone:</td>
<td><input type="text" name="phone" id="phone" /></td>
</tr>
<tr>
<td>Best way of contacting you:</td>
<td><select name="bestway" id="bestway">
<option>Select One</option>
<option>Phone</option>
<option>E-Mail</option>
</select></td>
</tr>
<tr>
<td colspan="2"></td>
</tr>
<tr>
<td>Best time to contact you:</td>
<td><select name="besttime" id="besttime">
<option selected="selected">Select One</option>
<option>Day</option>
<option>Evening</option>
</select></td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
<tr>
<td valign="top"><p>What are your goals for joining at Marcello C. Monteiro Brazilian Jiu-Jitsu academy? </p>
</td>
<td><table width="95%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td>
<input type="checkbox" name="goals" id="selfdefense" />
Self-Defense</td>
</tr>
<tr>
<td>
<input type="checkbox" name="goals" id="getinshape" />
Get in shape / work-out / have fun</td>
</tr>
<tr>
<td>
<input type="checkbox" name="goals" id="sport" />
Sport / Competition</td>
</tr>
<tr>
<td>
<input type="checkbox" name="goals" id="other" />
Other</td>
</tr>
</table></td>
</tr>
<tr>
<td valign="top">If you select other please especify:</td>
<td><textarea name="ifother" id="ifother" cols="45" rows="5"></textarea></td>
</tr>
<tr>
<td valign="top">Where did you hear about Marcello C. Monteiro Brazilian Jiu-Jitsu academy? </td>
<td><table width="95%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td><table width="95%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td>
<input type="checkbox" name="hear" id="wordofmouth" />
Word Of Mouth</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hear" id="internet" />
Internet</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hear" id="yellow" />
Yellow Pages</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hear" id="valpack" />
Val Packs</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hear" id="telepostsign" />
Telephone Post Sign</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hear" id="academy" />
Academy Sign</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hear" id="referral" />
Referral</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hear" id="ifother2" />
Other</td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td valign="top">If you select other please especify:</td>
<td><textarea name="why2" id="why2" cols="45" rows="5"></textarea></td>
</tr>
<tr>
<td>Martial Arts Experience
</td>
<td><select name="maexperience" id="maexperience">
<option selected="selected">Select One</option>
<option>None</option>
<option>Beginner</option>
<option>Intermediate</option>
<option>Advanced</option>
</select></td>
</tr>
<tr>
<td>What Martial Arts Experience have you had:</td>
<td><input type="text" name="whatmaexperience" id="whatmaexperience" /></td>
</tr>
<tr>
<td>Any experience with Brazilian Jiu-Jitsu?
</td>
<td><select name="bjjexperience" id="bjjexperience">
<option>Select one</option>
<option>Yes</option>
<option>No</option>
</select></td>
</tr>
<tr>
<td>Team</td>
<td><input type="text" name="team" id="team" /></td>
</tr>
<tr>
<td>Rank</td>
<td><select name="rank" id="rank">
<option selected="selected">Select One</option>
<option>Not Ranked</option>
<option>White</option>
<option>Blue</option>
<option>Purple</option>
<option>Brown</option>
<option>Black</option>
</select></td>
</tr>
<tr>
<td colspan="2"><strong>Comments?</strong></td>
</tr>
<tr>
<td valign="top">Write your comments here:</td>
<td><textarea name="comments" id="comments" cols="45" rows="5"></textarea></td>
</tr>
<tr>
<td colspan="2">
<input type="submit" name="submit" value="Submit" />
</td>
</tr>
</table>