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No*\"},domProps:{\"value\":(_vm.phone)},on:{\"input\":function($event){if($event.target.composing)return;_vm.phone=$event.target.value}}}),(_vm.errors.phone)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.phone[0]))]):_vm._e()])])]),_c('div',{staticClass:\"row\"},[_c('div',{staticClass:\"col-md-4\"},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"\"}},[_vm._v(\"Date of birth \"),_c('i',{staticClass:\"fa fa-calendar pl-2\",attrs:{\"aria-hidden\":\"true\"}})]),_c('datepicker',{class:{ 'is-invalid': _vm.errors.date_of_birth },staticStyle:{\"border\":\"2px solid #045C68 !important\"},attrs:{\"placeholder\":\"Date of birth*, M/D/Y\",\"input-class\":\"form-control\",\"format\":\"MM/dd/yyyy\",\"typeable\":true},on:{\"selected\":_vm.birthDate},model:{value:(_vm.date_of_birth),callback:function ($$v) {_vm.date_of_birth=$$v},expression:\"date_of_birth\"}}),(_vm.errors.date_of_birth)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.date_of_birth[0]))]):_vm._e()],1)]),_c('div',{staticClass:\"col-md-8\"},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"\"}},[_vm._v(\"Address\")]),_c('textarea',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.address),expression:\"address\"}],staticClass:\"form-control\",attrs:{\"name\":\"\",\"id\":\"\",\"cols\":\"30\",\"placeholder\":\"Address\"},domProps:{\"value\":(_vm.address)},on:{\"input\":function($event){if($event.target.composing)return;_vm.address=$event.target.value}}}),(_vm.errors.address)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.address[0]))]):_vm._e()])])]),_c('div',{staticClass:\"row mb-3\"},[_c('div',{staticClass:\"col-md-4\"},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"\"}},[_vm._v(\"City\")]),_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.city),expression:\"city\"}],staticClass:\"form-control\",attrs:{\"type\":\"text\",\"placeholder\":\"City\"},domProps:{\"value\":(_vm.city)},on:{\"input\":function($event){if($event.target.composing)return;_vm.city=$event.target.value}}}),(_vm.errors.zip)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.zip[0]))]):_vm._e()])]),_c('div',{staticClass:\"col-md-5\"},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"\"}},[_vm._v(\"State\")]),_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.state),expression:\"state\"}],staticClass:\"form-control\",attrs:{\"type\":\"text\",\"placeholder\":\"State\"},domProps:{\"value\":(_vm.state)},on:{\"input\":function($event){if($event.target.composing)return;_vm.state=$event.target.value}}}),(_vm.errors.state)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.state[0]))]):_vm._e()])]),_c('div',{staticClass:\"col-md-3\"},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"\"}},[_vm._v(\"ZIP\")]),_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.zip),expression:\"zip\"}],staticClass:\"form-control\",attrs:{\"type\":\"text\",\"placeholder\":\"ZIP\"},domProps:{\"value\":(_vm.zip)},on:{\"input\":function($event){if($event.target.composing)return;_vm.zip=$event.target.value}}}),(_vm.errors.zip)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.zip[0]))]):_vm._e()])])]),_c('div',{staticClass:\"row mb-3\"},[_c('div',{staticClass:\"col-md-6\"},[_c('div',{staticClass:\"form-group\"},[_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.password),expression:\"password\"}],staticClass:\"form-control\",attrs:{\"type\":\"password\",\"placeholder\":\"Password*\"},domProps:{\"value\":(_vm.password)},on:{\"input\":function($event){if($event.target.composing)return;_vm.password=$event.target.value}}}),(_vm.errors.password)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.password[0]))]):_vm._e()])]),_c('div',{staticClass:\"col-md-6\"},[_c('div',{staticClass:\"form-group\"},[_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.confirm_password),expression:\"confirm_password\"}],staticClass:\"form-control\",attrs:{\"type\":\"password\",\"placeholder\":\"Confirm Password*\"},domProps:{\"value\":(_vm.confirm_password)},on:{\"input\":function($event){if($event.target.composing)return;_vm.confirm_password=$event.target.value}}}),(_vm.errors.confirm_password)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.confirm_password[0]))]):_vm._e()])])]),_c('div',{staticClass:\"row\"},[_c('div',{staticClass:\"col-md-12\"},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"\"}},[_vm._v(\"How did you hear about us?\")]),_c('label',{staticClass:\"my-2 wrap\"},[_c('select',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.know_about_us),expression:\"know_about_us\"}],staticClass:\"form-control noBorder\",attrs:{\"id\":\"property_type\"},on:{\"change\":function($event){var $$selectedVal = Array.prototype.filter.call($event.target.options,function(o){return o.selected}).map(function(o){var val = \"_value\" in o ? o._value : o.value;return val}); _vm.know_about_us=$event.target.multiple ? $$selectedVal : $$selectedVal[0]}}},[_c('option',{attrs:{\"value\":\"\"}},[_vm._v(\" --Select-- \")]),_c('option',{attrs:{\"value\":\"Facebook/ Instagram\"}},[_vm._v(\"Facebook/ Instagram\")]),_c('option',{attrs:{\"value\":\"Google Search\"}},[_vm._v(\"Google Search\")]),_c('option',{attrs:{\"value\":\"Doctors office\"}},[_vm._v(\"Doctors office\")]),_c('option',{attrs:{\"value\":\"Friend/Family Member\"}},[_vm._v(\"Friend/Family Member\")]),_c('option',{attrs:{\"value\":\"TV commercial\"}},[_vm._v(\"TV commercial\")]),_c('option',{attrs:{\"value\":\"Physician/Nurse\"}},[_vm._v(\"Physician/Nurse\")]),_c('option',{attrs:{\"value\":\"Digital Email\"}},[_vm._v(\"Digital Email\")]),_c('option',{attrs:{\"value\":\"Other\"}},[_vm._v(\"Other\")])])]),(_vm.errors.know_about_us)?_c('span',{staticClass:\"text-danger\"},[_vm._v(_vm._s(this.errors.know_about_us[0]))]):_vm._e()])])]),_c('div',{staticClass:\"row mb-1\"},[_c('div',{staticClass:\"mt-4 col-lg-6 col-sm-12 mb-2\"},[_c('button',{staticClass:\"btn btn-light1 btn-block px-4\",attrs:{\"type\":\"button\"},on:{\"click\":_vm.register}},[_vm._v(\" Create Account \")])]),_c('div',{staticClass:\"col-md-3 py-5\"},[_c('router-link',{staticClass:\"text3-c\",attrs:{\"to\":\"/site\"}},[_vm._v(\" Login\")])],1)])])])]),_c('img',{staticClass:\"img-fluid\",staticStyle:{\"position\":\"absolute\",\"left\":\"100%\",\"width\":\"45%\",\"bottom\":\"0%\"},attrs:{\"src\":require(\"@/assets/site/images/contact.webp\"),\"alt\":\"\"}})])])]):_vm._e()])])],1)\n}\nvar staticRenderFns = [function (){var _vm=this,_c=_vm._self._c;return _c('head',[_c('meta',{attrs:{\"name\":\"description\",\"content\":\"Sign up for an account with CalMed Hawaii and access our healthcare services. Fill out the registration form with your name, email, phone, date of birth, address, and more\"}})])\n}]\n\nexport { render, staticRenderFns }","\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n Sign up\n \n name\n \n \n \n \n {{\n this.errors.first_name[0]\n }}\n \n \n \n \n \n {{\n this.errors.last_name[0]\n }}\n \n \n \n \n \n \n e-mail\n \n {{\n this.errors.email[0]\n }}\n \n \n \n \n Phone\n \n {{\n this.errors.phone[0]\n }}\n \n \n \n \n \n \n Date of birth\n \n \n \n \n \n {{ this.errors.date_of_birth[0] }}\n \n \n \n \n Address\n \n {{\n this.errors.address[0]\n }}\n \n \n \n \n \n \n City\n \n {{\n this.errors.zip[0]\n }}\n \n \n \n \n \n State\n \n {{\n this.errors.state[0]\n }}\n \n \n \n \n \n ZIP\n \n {{\n this.errors.zip[0]\n }}\n \n \n \n\n \n \n \n \n {{\n this.errors.password[0]\n }}\n \n \n \n \n \n {{ this.errors.confirm_password[0] }}\n \n \n \n \n \n \n How did you hear about us?\n \n \n --Select-- \n Facebook/ Instagram\n Google Search\n Doctors office\n Friend/Family Member\n TV commercial\n Physician/Nurse\n Digital Email\n Other\n \n \n \n {{\n this.errors.know_about_us[0]\n }}\n \n \n \n \n \n \n \n Create Account\n \n \n \n \n Login\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n\n\n","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./SignupView.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./SignupView.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./SignupView.vue?vue&type=template&id=6850ed52&scoped=true&\"\nimport script from \"./SignupView.vue?vue&type=script&lang=js&\"\nexport * from \"./SignupView.vue?vue&type=script&lang=js&\"\nimport style0 from \"./SignupView.vue?vue&type=style&index=0&id=6850ed52&prod&scoped=true&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n script,\n render,\n staticRenderFns,\n false,\n null,\n \"6850ed52\",\n null\n \n)\n\nexport default component.exports","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../node_modules/@vue/cli-service/node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./SignupView.vue?vue&type=style&index=0&id=6850ed52&prod&scoped=true&lang=css&\""],"sourceRoot":""}