{template "header.html"}

<form class="form-horizontal" method="post" role="form" id="myform">
    {dr_form_hidden()}
    <div class="form-body">

        <div class="form-group" id="dr_row_name">
            <div class="col-xs-12">
                <input type="text" class="form-control" id="dr_name" name="name" value="{htmlspecialchars($name)}">
            </div>
        </div>

    </div>
</form>

{template "footer.html"}