{$recaptcha_script}
<form action="{$jncfg['sys_currentURL']}" method="post">
    <div class="container-fluid">
        <div class="row">
            <div class="bg-dark col-12 text-white text-center text-md-left">
                <h5 class="my-1">
                    Gruß- und Wunschbox
                </h5>
            </div>
            <div class="col-md-6">
                <div class="input-group px-0 mx-0">
                    <div class="input-group-prepend">
                        <span class="input-group-text" id="input_name_text" style="width:150px;">Dein Name:</span>
                    </div>
                    <input type="text" name="name" value="{$name}" maxlength="64" class="form-control" placeholder="Name" aria-label="Name"
                           aria-describedby="input_name_text" autofocus required>
                </div>
            {$grussbox_shortform}
            </div>
            <div class="col-md-6 hidden-md-up d-none d-md-flex">
            </div>

            <div class="col-12 bg-dark text-white text-center text-md-left">
                <h5 class="my-1">
                    Dein Gru&szlig;
                </h5>
            </div>
            <div class="col-12 mt-2">
                <textarea name="wunsch" rows="6" class="form-control col-md-6" cols="100">{$wunsch}</textarea>
            </div>
			{$recaptcha}
            <div class="col-12 my-3">
                <input type="submit" name="gruss_submit" value="Nachricht senden" class="btn btn-success">
            </div>
        </div>
    </div>
</form>