premiosfondena.rpacomunicacion.com Open in urlscan Pro
13.38.199.240  Public Scan

URL: https://premiosfondena.rpacomunicacion.com/premios-fondena-2023/register/edit/b6f8ac1c-24e5-4a7e-a533-4f732767073e
Submission: On October 31 via api from ES — Scanned from FR

Form analysis 1 forms found in the DOM

Name: register_formPOST

<form name="register_form" method="post" autocomplete="off">
  <div class="form-row">
    <div class="col-md-4 register-form-field-attendee_name form-group" id="register-form-field-wrapper_2d43733f-606d-48d5-be17-346f2bf039f0"><label for="register_form_2d43733f-606d-48d5-be17-346f2bf039f0" class="required">Nombre</label><input
        type="text" id="register_form_2d43733f-606d-48d5-be17-346f2bf039f0" name="register_form[2d43733f-606d-48d5-be17-346f2bf039f0]" required="required" class="field-required form-control" value="Guillermo"></div>
    <div class="col-md-4 register-form-field-attendee_surname form-group" id="register-form-field-wrapper_c15cd4c4-ecf6-46c0-b9dc-997c0b4df3a0"><label for="register_form_c15cd4c4-ecf6-46c0-b9dc-997c0b4df3a0" class="required">Apellidos</label><input
        type="text" id="register_form_c15cd4c4-ecf6-46c0-b9dc-997c0b4df3a0" name="register_form[c15cd4c4-ecf6-46c0-b9dc-997c0b4df3a0]" required="required" class="field-required form-control" value="Morenés"></div>
    <div class="col-md-4 register-form-field-attendee_email form-group" id="register-form-field-wrapper_fc3dd4ad-81fd-4382-9fa1-442d8882973d"><label for="register_form_fc3dd4ad-81fd-4382-9fa1-442d8882973d" class="required">Email</label><input
        type="email" id="register_form_fc3dd4ad-81fd-4382-9fa1-442d8882973d" name="register_form[fc3dd4ad-81fd-4382-9fa1-442d8882973d]" disabled="disabled" required="required" class="field-required form-control" value="anabotin@gruposantander.com">
    </div>
  </div>
  <div class="form-row">
    <div class="col-md-12 register-form-field-choice_select form-group" id="register-form-field-wrapper_cc6dd2b1-61b0-4426-a589-5579a364004a"><label class="required" for="register_form_cc6dd2b1-61b0-4426-a589-5579a364004a">¿Asistirá al
        evento?</label><select id="register_form_cc6dd2b1-61b0-4426-a589-5579a364004a" name="register_form[cc6dd2b1-61b0-4426-a589-5579a364004a]" required="required" class="field-required form-control select2-hidden-accessible"
        data-select2-id="register_form_cc6dd2b1-61b0-4426-a589-5579a364004a" tabindex="-1" aria-hidden="true">
        <option value="" selected="selected" data-select2-id="2"></option>
        <option value="si_asiste">Sí</option>
        <option value="no_asiste">No</option>
      </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="1" style="width: 1110px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
            aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-register_form_cc6dd2b1-61b0-4426-a589-5579a364004a-container"><span class="select2-selection__rendered"
              id="select2-register_form_cc6dd2b1-61b0-4426-a589-5579a364004a-container" role="textbox" aria-readonly="true"></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
          class="dropdown-wrapper" aria-hidden="true"></span></span></div>
  </div>
  <div class="form-row">
    <div class="col-md-6 register-form-field-text form-group" id="register-form-field-wrapper_544587c0-364e-406d-9474-249ce45f15d7" style="display: none;"><label for="register_form_544587c0-364e-406d-9474-249ce45f15d7"
        class="required">DNI</label><input type="text" id="register_form_544587c0-364e-406d-9474-249ce45f15d7" name="register_form[544587c0-364e-406d-9474-249ce45f15d7]" required="required" class="field-required form-control field-dependent"
        disabled=""></div>
    <div class="col-md-6 register-form-field-date form-group" id="register-form-field-wrapper_bd24dd5c-7ac3-498e-981c-cee878564623" style="display: none;"><label for="register_form_bd24dd5c-7ac3-498e-981c-cee878564623" class="required">Fecha de
        nacimiento</label><input type="text" id="register_form_bd24dd5c-7ac3-498e-981c-cee878564623" name="register_form[bd24dd5c-7ac3-498e-981c-cee878564623]" required="required" class="field-required js-datepicker form-control field-dependent"
        placeholder="dd/mm/yyyy" disabled=""></div>
  </div>
  <div class="form-row">
    <div class="col-md-12 register-form-field-choice_select form-group" id="register-form-field-wrapper_ae573d61-3a1b-4148-8af1-c4292e145238" style="display: none;"><label class="required"
        for="register_form_ae573d61-3a1b-4148-8af1-c4292e145238">¿Asistirá con acompañante?</label><select id="register_form_ae573d61-3a1b-4148-8af1-c4292e145238" name="register_form[ae573d61-3a1b-4148-8af1-c4292e145238]" required="required"
        class="field-required form-control select2-hidden-accessible field-dependent" data-select2-id="register_form_ae573d61-3a1b-4148-8af1-c4292e145238" tabindex="-1" aria-hidden="true" disabled="">
        <option value="" selected="selected" data-select2-id="4"></option>
        <option value="si_acompañante">Sí</option>
        <option value="no_acompañante">No</option>
      </select><span class="select2 select2-container select2-container--default select2-container--disabled" dir="ltr" data-select2-id="3" style="width: 1110px;"><span class="selection"><span class="select2-selection select2-selection--single"
            role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="-1" aria-disabled="true" aria-labelledby="select2-register_form_ae573d61-3a1b-4148-8af1-c4292e145238-container"><span class="select2-selection__rendered"
              id="select2-register_form_ae573d61-3a1b-4148-8af1-c4292e145238-container" role="textbox" aria-readonly="true"></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
          class="dropdown-wrapper" aria-hidden="true"></span></span></div>
  </div>
  <div class="form-row">
    <div class="col-md-4 register-form-field-text form-group" id="register-form-field-wrapper_c7764c51-7e4c-4620-8ad1-108841dbad2f" style="display: none;"><label for="register_form_c7764c51-7e4c-4620-8ad1-108841dbad2f" class="required">Nombre y
        apellidos del acompañante</label><input type="text" id="register_form_c7764c51-7e4c-4620-8ad1-108841dbad2f" name="register_form[c7764c51-7e4c-4620-8ad1-108841dbad2f]" required="required" class="field-required form-control field-dependent"
        disabled=""></div>
    <div class="col-md-4 register-form-field-text form-group" id="register-form-field-wrapper_9df26006-254a-4783-8424-36cb387a1ab4" style="display: none;"><label for="register_form_9df26006-254a-4783-8424-36cb387a1ab4"
        class="required">DNI</label><input type="text" id="register_form_9df26006-254a-4783-8424-36cb387a1ab4" name="register_form[9df26006-254a-4783-8424-36cb387a1ab4]" required="required" class="field-required form-control field-dependent"
        disabled=""></div>
    <div class="col-md-4 register-form-field-date form-group" id="register-form-field-wrapper_61420f94-f1e5-4a85-bbca-b8e5c623c7c3" style="display: none;"><label for="register_form_61420f94-f1e5-4a85-bbca-b8e5c623c7c3" class="required">Fecha de
        nacimiento</label><input type="text" id="register_form_61420f94-f1e5-4a85-bbca-b8e5c623c7c3" name="register_form[61420f94-f1e5-4a85-bbca-b8e5c623c7c3]" required="required" class="field-required js-datepicker form-control field-dependent"
        placeholder="dd/mm/yyyy" disabled=""></div>
  </div>
  <div class="form-row">
    <input type="hidden" id="register_form_dac6f03c-531a-4a23-8048-2d8f635ad019" name="register_form[dac6f03c-531a-4a23-8048-2d8f635ad019]" class="" value="LUCAS URQUIJO">
  </div>
  <div class="form-row">
    <input type="hidden" id="register_form_6ee84430-7d51-460a-b782-142eb6713ab6" name="register_form[6ee84430-7d51-460a-b782-142eb6713ab6]" class="">
  </div>
  <div class="register-form-submit-wrapper text-center mt-2">
    <button type="submit" class="btn btn-submit col-sm-12 col-md-3">
      <span class="oi oi-pencil" aria-hidden="true"></span>
      <span class="btn-label"> Enviar </span>
    </button>
  </div>
  <input type="hidden" id="register_form__token" name="register_form[_token]" value="201088bfa6751263a4f3fb232c01.W4m7DE-YgJwJJyLLdhcnFEXARMZdvKsM9eazNx8BpO8.DfGDRgvMwuQ5eGqFFV1QRhCFNpcxhZhkmdKFA3dQnJ4h5vhOKqzry3l4Zw">
</form>

Text Content

Esta página necesita JavaScript para funcionar correctamente

Tiene desactivado JavaScript en su navegador, es necesario activarlo para poder
completar el registro


XIV PREMIO FONDENA DE PROTECCIÓN DE LA NATURALEZA 2023

Nombre
Apellidos
Email
¿Asistirá al evento?SíNo
DNI
Fecha de nacimiento
¿Asistirá con acompañante?SíNo
Nombre y apellidos del acompañante
DNI
Fecha de nacimiento


Enviar