@php($c = $customer ?? null)
<div class="grid grid-2">
<div class="field"><label>Nome *</label><input name="name" value="{{ old('name',$c?->name) }}" required></div>
<div class="field"><label>CPF</label><input name="cpf" value="{{ old('cpf',$c?->cpf) }}" inputmode="numeric"></div>
<div class="field"><label>Data de nascimento</label><input type="date" name="birth_date" value="{{ old('birth_date',$c?->birth_date?->format('Y-m-d')) }}"></div>
<div class="field"><label>E-mail</label><input type="email" name="email" value="{{ old('email',$c?->email) }}"></div>
<div class="field"><label>Telefone</label><input name="phone" value="{{ old('phone',$c?->phone) }}"></div>
<div class="field"><label>WhatsApp</label><input name="whatsapp" value="{{ old('whatsapp',$c?->whatsapp) }}"></div>
</div>

<div class="card" style="margin:8px 0 16px;padding:14px;background:#f8fafc">
    <div class="row between"><div><strong>Responsável pelo cliente</strong><div class="small muted">Opcional. Use para menores, dependentes ou quando houver responsável financeiro.</div></div></div>
    <div class="grid grid-2" style="margin-top:12px">
        <div class="field"><label>Nome do responsável</label><input name="responsible_name" value="{{ old('responsible_name',$c?->responsible_name) }}"></div>
        <div class="field"><label>Parentesco / vínculo</label><input name="responsible_relationship" value="{{ old('responsible_relationship',$c?->responsible_relationship) }}" placeholder="Pai, mãe, responsável financeiro..."></div>
        <div class="field"><label>CPF do responsável</label><input name="responsible_cpf" value="{{ old('responsible_cpf',$c?->responsible_cpf) }}" inputmode="numeric"></div>
        <div class="field"><label>Telefone do responsável</label><input name="responsible_phone" value="{{ old('responsible_phone',$c?->responsible_phone) }}"></div>
    </div>
</div>

<div class="grid grid-2">
<div class="field"><label>CEP</label><input name="zip_code" value="{{ old('zip_code',$c?->zip_code) }}"></div>
<div class="field"><label>Logradouro</label><input name="street" value="{{ old('street',$c?->street) }}"></div>
<div class="field"><label>Número</label><input name="number" value="{{ old('number',$c?->number) }}"></div>
<div class="field"><label>Complemento</label><input name="complement" value="{{ old('complement',$c?->complement) }}"></div>
<div class="field"><label>Bairro</label><input name="district" value="{{ old('district',$c?->district) }}"></div>
<div class="field"><label>Cidade</label><input name="city" value="{{ old('city',$c?->city) }}"></div>
<div class="field"><label>UF</label><input name="state" maxlength="2" value="{{ old('state',$c?->state) }}"></div>
</div>
<div class="field"><label>Observações</label><textarea name="notes">{{ old('notes',$c?->notes) }}</textarea></div>
<div class="row"><label style="font-weight:500"><input style="width:auto" type="checkbox" name="marketing_opt_in" value="1" @checked(old('marketing_opt_in',$c?->marketing_opt_in))> Autoriza comunicações comerciais</label><label style="font-weight:500"><input style="width:auto" type="checkbox" name="active" value="1" @checked(old('active',$c?->active ?? true))> Cadastro ativo</label></div>