{{{ Lang::choice('messages.note', 1) }}} {{ Form::textarea('note', null, ['size' => '50x5']) }} {{ $errors->first('note', ':message') }}

{{{ Lang::get('messages.note_date_occured') }}} {{ Form::text('date_occured', null, ['class' => 'datepicker']) }} {{ $errors->first('date_occured', ':message') }}

{{ Form::checkbox('reminder', '1') }} {{{ Lang::get('messages.note_reminder') }}}

{{{ Lang::get('messages.note_reminder_date') }}} {{ Form::text('reminder_at', null, ['class' => 'datepicker']) }} {{ $errors->first('reminder_at', ':message') }}

{{{ Lang::get('messages.note_reminder_title') }}} {{ Form::text('reminder_title') }} {{ $errors->first('reminder_title', ':message') }}

{{{ Lang::get('messages.note_reminder_text') }}} {{ Form::textarea('reminder_text') }} {{ $errors->first('reminder_text', ':message') }}

{{ Form::submit(Lang::get('messages.save'), ['class' => 'button']) }}