<?php

/* DorcasTabithaBundle:Search:searchformaction.html.twig */
class __TwigTemplate_da4f30cda6da27a096badc12a988ba12 extends Twig_Template
{
    public function __construct(Twig_Environment $env)
    {
        parent::__construct($env);

        $this->parent = false;

        $this->blocks = array(
        );
    }

    protected function doDisplay(array $context, array $blocks = array())
    {
        // line 1
        echo "<!--   This is commented out -->

";
        // line 3
        if ($this->getAttribute($this->getAttribute($this->getContext($context, "app"), "session"), "hasFlash", array(0 => "notice"), "method")) {
            // line 4
            echo "    <br />
    <div class=\"flash-notice\" >
        ";
            // line 6
            echo twig_escape_filter($this->env, $this->getAttribute($this->getAttribute($this->getContext($context, "app"), "session"), "flash", array(0 => "notice"), "method"), "html", null, true);
            echo "
    </div>
";
        }
        // line 9
        echo "
<form id=\"clientform\" action=\"";
        // line 10
        echo twig_escape_filter($this->env, $this->env->getExtension('routing')->getPath("DorcasTabithaBundle_search_create", array("allrecs" => "false")), "html", null, true);
        echo "\" method=\"get\" ";
        echo $this->env->getExtension('form')->renderEnctype($this->getContext($context, "form"));
        echo " class=\"dorcas\">


 <h4>Add Client Search Criteria:</h4> 
 
        <div id=\"ssn\">
            ";
        // line 16
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "ssn"));
        echo "
            ";
        // line 17
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "ssn"));
        echo "
            ";
        // line 18
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "ssn"), array("attr" => array("size" => "11", "class" => "ssn")));
        echo "
        </div>
        <div id=\"first_name\" style=\"padding-right: 43px;\">
            ";
        // line 21
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "first_name"));
        echo "
            ";
        // line 22
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "first_name"));
        echo "
            ";
        // line 23
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "first_name"), array("attr" => array("size" => "30", "title" => "Searches First Name + Alias/Maiden Name + Other Adult #1 First name + Other Adult #2 First name")));
        // line 24
        echo "
        </div>
        <div id=\"last_name\">
            ";
        // line 27
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "last_name"));
        echo "
            ";
        // line 28
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "last_name"));
        echo "
            ";
        // line 29
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "last_name"), array("attr" => array("size" => "30", "title" => "Searches Last Name + Alias/Maiden Name + Other Adult #1 Last name + Other Adult #2 Last name")));
        // line 30
        echo "
        </div>
        <div id=\"alias\" style=\"width:455px;\">
            ";
        // line 33
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "alias"));
        echo "
            ";
        // line 34
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "alias"));
        echo "
            ";
        // line 35
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "alias"), array("attr" => array("size" => "30")));
        echo "
        </div>
        <div id=\"current_address\">
            ";
        // line 38
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "current_address"));
        echo "
            ";
        // line 39
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "current_address"));
        echo "
            ";
        // line 40
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "current_address"), array("attr" => array("size" => "50", "title" => "Searches Current Address + Previous Address")));
        // line 41
        echo "
        </div>
        <div style=\"float: left; padding:3px; width:100%;\">
            ";
        // line 44
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "prev_address1"));
        echo "
            ";
        // line 45
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "prev_address1"));
        echo "
            ";
        // line 46
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "prev_address1"), array("attr" => array("size" => "50")));
        echo "
        </div>
 
        <br>&nbsp;


        <div style=\"float: left;\">
                <div style=\"padding:3px;\">
                        ";
        // line 54
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "other_adult_oneLastName"));
        echo "
                        ";
        // line 55
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "other_adult_oneLastName"));
        echo "
                        ";
        // line 56
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "other_adult_oneLastName"), array("attr" => array("size" => "30")));
        echo "
                </div>
                <div id=\"other_adult_oneFirstName\">
                        ";
        // line 59
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "other_adult_oneFirstName"));
        echo "
                        ";
        // line 60
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "other_adult_oneFirstName"));
        echo "
                        ";
        // line 61
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "other_adult_oneFirstName"), array("attr" => array("size" => "30")));
        echo "
                </div>
        </div>
\t\t\t\t
        <div style=\"float: left; padding:3px;\">
            <div style=\"padding:3px;\">
                ";
        // line 67
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "other_adult_twoLastName"));
        echo "
                ";
        // line 68
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "other_adult_twoLastName"));
        echo "
                ";
        // line 69
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "other_adult_twoLastName"), array("attr" => array("size" => "30")));
        echo "
            </div>
                    <div id=\"other_adult_twoSsn\">
                ";
        // line 72
        echo $this->env->getExtension('form')->renderLabel($this->getAttribute($this->getContext($context, "form"), "other_adult_twoFirstName"));
        echo "
                ";
        // line 73
        echo $this->env->getExtension('form')->renderErrors($this->getAttribute($this->getContext($context, "form"), "other_adult_twoFirstName"));
        echo "
                ";
        // line 74
        echo $this->env->getExtension('form')->renderWidget($this->getAttribute($this->getContext($context, "form"), "other_adult_twoFirstName"), array("attr" => array("size" => "30")));
        echo "
            </div>\t\t
        </div>
\t
\t<br>&nbsp;<br>
\t<br>&nbsp;<br>
\t
\t<div style=\"margin-left:25%; margin-right:25%;\">
            <div style=\" padding-top: 18px;\">
                <input type=\"submit\" value=\"Submit Search\" >
            </div> 
\t</div>

\t<br>&nbsp;<br>

        ";
        // line 89
        echo $this->env->getExtension('form')->renderRest($this->getContext($context, "form"));
        echo "

</form>



";
    }

    public function getTemplateName()
    {
        return "DorcasTabithaBundle:Search:searchformaction.html.twig";
    }

    public function isTraitable()
    {
        return false;
    }

    public function getDebugInfo()
    {
        return array (  210 => 89,  188 => 73,  184 => 72,  178 => 69,  170 => 67,  161 => 61,  157 => 60,  147 => 56,  139 => 54,  128 => 46,  124 => 45,  120 => 44,  115 => 41,  113 => 40,  105 => 38,  99 => 35,  95 => 34,  80 => 28,  76 => 27,  61 => 21,  55 => 18,  51 => 17,  47 => 16,  33 => 9,  23 => 4,  21 => 3,  17 => 1,  244 => 74,  240 => 73,  236 => 72,  231 => 71,  228 => 70,  222 => 65,  217 => 62,  214 => 61,  209 => 57,  204 => 49,  198 => 50,  196 => 49,  192 => 74,  189 => 46,  185 => 43,  177 => 41,  174 => 68,  171 => 39,  167 => 37,  159 => 35,  156 => 34,  153 => 59,  146 => 30,  143 => 55,  134 => 20,  130 => 19,  126 => 18,  122 => 17,  118 => 16,  114 => 15,  109 => 39,  106 => 13,  101 => 7,  98 => 6,  93 => 116,  91 => 33,  86 => 30,  84 => 29,  79 => 58,  77 => 57,  71 => 24,  69 => 23,  65 => 22,  63 => 39,  60 => 38,  58 => 33,  54 => 31,  52 => 29,  45 => 24,  43 => 13,  36 => 10,  34 => 6,  27 => 6,);
    }
}
