@include('livewire.landlord.common.modalHead')

<div class="row">
    <div class="col-sm-12 col-md-6">
        <div class="form-group">
            <label>Nombre</label>
            <input type="text" wire:model.blur='first_name' class="form-control" placeholder="ej: Rodrigo">
            @error('first_name')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-6">
        <div class="form-group">
            <label>Apellido</label>
            <input type="text" wire:model.blur='last_name' class="form-control" placeholder="ej: Alcaino">
            @error('last_name')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Rut</label>
            <input type="text" wire:model.blur='dni' class="form-control" placeholder="ej: 11111111-1" maxlength="9">
            @error('dni')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Email</label>
            <input type="text" wire:model.blur='email' class="form-control" placeholder="ej: correo@dominio.cl">
            @error('email')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Contraseña</label>
            <input type="password" wire:model.blur='password' class="form-control">
            @error('password')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Estatus</label>
            <select wire:model.blur='status' class="form-control">
                <option value="Elegir" selected>Elegir un estatus</option>
                <option value="Activo">Activado</option>
                <option value="Bloqueado">Bloqueado</option>
            </select>
            @error('status')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Dominio</label>
            <input type="text" wire:model.blur='domain' class="form-control">
            @error('domain')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Teléfono</label>
            <input type="text" wire:model.blur='phone' class="form-control">
            @error('phone')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-8">
        <div class="form-group">
            <label>Dirección</label>
            <input type="text" wire:model.blur='address' class="form-control">
            @error('address')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Latitud</label>
            <input type="text" wire:model.blur='lat' class="form-control">
            @error('lat')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
    <div class="col-sm-12 col-md-4">
        <div class="form-group">
            <label>Longitud</label>
            <input type="text" wire:model.blur='lng' class="form-control">
            @error('lng')
                <span class="text-danger er">{{ $message }}</span>
            @enderror
        </div>
    </div>
</div>

@include('livewire.landlord.common.modalFooter')