<html lang="pt">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Formulário de Inscrição</title>
<link rel="stylesheet" href="styles.css">
<script type="text/javascript" src="https://cdn.emailjs.com/dist/email.min.js"></script>
</head>
<body>
<div class="container">
<h2>Inscreva-se no Click-Paga </h2>
<form id="inscricaoForm">
<label for="nome">Nome:</label>
<input type="text" id="nome" name="nome" required>
<label for="sobrenome">Sobrenome:</label>
<input type="text" id="sobrenome" name="sobrenome" required>
<label for="local">Local de Residência:</label>
<input type="text" id="local" name="local" required>
<label for="situacao">Situação Profissional:</label>
<select id="situacao" name="situacao" required>
<option value="">Selecione</option>
<option value="Empregado">Empregado</option>
<option value="Desempregado">Desempregado</option>
</select>
<label for="idade">Data de Nascimento:</label>
<div class="idade-container">
<select id="dia" name="dia" required>
<option value="">Dia</option>
<!-- Adicione opções para os dias (1 a 31) -->
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</optio>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<!-- Adicione até o 31 -->
</select>
<select id="mes" name="mes" required>
<option value="">Mês</option>
<option value="01">Janeiro</option>
<option value="02">Fevereiro</option>
<option value="03">Março</option>
<option value="04">Abril</option>
<option value="05">Maio</option>
<option value="06">Junho</option>
<option value="07">Julho</option>
<option value="08">Agosto</option>
<option value="09">Setembro</option>
<option value="10">Outubro</option>
<option value="11">Novembro</option>
<option value="12">Dezembro</option>
</select>
<select id="ano" name="ano" required>
<option value="">Ano</option>
<option value="2025">2025</option>
<option value="2024">2024</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
</select>
</div>
<label for="genero">Gênero:</label>
<select id="genero" name="genero" required>
<option value="">Selecione</option>
<option value="Masculino">Masculino</option>
<option value="Feminino">Feminino</option>
<option value="Outro">Outro</option>
</select>
<label>Você já trabalhou na Internet?</label>
<div class="radio-group">
<input type="radio" id="experiencia-sim" name="experiencia" value="Sim" required>
<label for="experiencia-sim">Sim</label>
<input type="radio" id="experiencia-nao" name="experiencia" value="Não">
<label for="experiencia-nao">Não</label>
</div>
<button type="submit">Enviar</button>
</form>
<p id="status"></p>
</div>
<script src="script.js"></script>
</body>
</html>
/* Container */
.container {
max-width: 600px;
margin: 0 auto;
padding: 20px;
background-color: #f9f9f9;
border-radius: 10px;
box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
}
/* Título */
h2 {
text-align: center;
color: #333;
}
/* Formulário */
form {
display: flex;
flex-direction: column;
gap: 15px;
}
/* Rótulos */
label {
font-weight: bold;
color: #555;
}
/* Campos de entrada */
input, select {
padding: 10px;
font-size: 14px;
border: 1px solid #ccc;
border-radius: 5px;
outline: none;
}
/* Foco nos campos */
input:focus, select:focus {
border-color: #007bff;
}
/* Radio buttons */
.radio-group {
display: flex;
gap: 10px;
}
/* Botão de envio */
button {
padding: 12px;
font-size: 16px;
background-color: #007bff;
color: white;
border: none;
border-radius: 5px;
cursor: pointer;
}
button:hover {
background-color: #0056b3;
}
/* Status do envio */
#status {
text-align: center;
margin-top: 20px;
font-weight: bold;
}
// Inicialize o EmailJS com o seu user_id
emailjs.init("KOefIbFcrxXsJrrP9"); // Substitua com seu User ID do EmailJS
// Função que envia o formulário para o EmailJS
document.getElementById("inscricaoForm").addEventListener("submit", function (event) {
event.preventDefault(); // Impede o envio padrão do formulário
// Mostra mensagem de "Enviando..." enquanto o email é enviado
document.getElementById("status").innerHTML = "Enviando...";
// Enviar o formulário através do EmailJS
emailjs.sendForm("service_fa80aax", "template_7tzye7j", this)
.then(function (response) {
// Exibe mensagem de sucesso
document.getElementById("status").innerHTML = "Formulário enviado com sucesso!";
console.log("Sucesso:", response);
}, function (error) {
// Exibe mensagem de erro caso falhe
document.getElementById("status").innerHTML = "Falha ao enviar o formulário. Tente novamente.";
console.log("Erro:", error);
});
});
External CSS
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External JavaScript
This Pen doesn't use any external JavaScript resources.