---
title: Online Course Registration Form
product: PDF Generator
description: Get a printable online course registration form in PDF. Create editable or prefilled course enrollment forms using SurveyJS PDF Generator.
framework: Vanilla JS
source: https://surveyjs.io/pdf-generator/examples/pdf-education-online-course-registration-form-template/vanillajs
index: https://surveyjs.io/pdf-generator/examples/overview.md
---

# Online Course Registration Form (Vanilla JS)

## Files

### `public/index.html`

```html
<div style="display: flex;">
    <div id="surveyElement" style="flex: 1 1 0%; height: 100%; min-width: 0;"></div>
    <div id="pdf-preview" style="flex: 0.7 0.7 0%; display: none">
        <embed id="pdf-preview-frame" type="application/pdf" style="width:100%; height:100%;" />
    </div>
</div>
```

### `src/index.css`

```css
/* You can add your custom CSS here. */
```

### `src/index.js`

```js
import { Model } from "survey-core";
import "survey-js-ui";
import { SurveyPDF } from "survey-pdf";
import "survey-core/survey-core.min.css";
import "./index.css";
import { json } from "./json";

function createSurveyPdfModel (surveyModel) {
    const surveyPDF = new SurveyPDF(json);
    if (surveyModel) {
        surveyPDF.data = surveyModel.data;
        surveyPDF.locale = surveyModel.locale;
        
        
    }
    
    return surveyPDF;
}
function saveSurveyToPdf (filename, surveyModel) {
    const pdfDoc = createSurveyPdfModel(surveyModel);
    if (!pdfDoc) return;

    pdfDoc.save(filename);
}

const previewDiv = document.getElementById("pdf-preview");
const previewEmbed = document.getElementById("pdf-preview-frame");
let pdfBlobUrl;

function showPdfPreview(surveyModel) {
    if (!previewDiv || !previewEmbed) return;

    const pdfDoc = createSurveyPdfModel(surveyModel);
    if (!pdfDoc) return;

    pdfDoc.raw("blob").then((blob) => {
        if (pdfBlobUrl) {
            URL.revokeObjectURL(pdfBlobUrl);
        }
        pdfBlobUrl = URL.createObjectURL(blob);
        previewEmbed.setAttribute("src", pdfBlobUrl);
        previewDiv.style.display = "block";
    });
}

function previewPdf(surveyModel) {
    if (!previewDiv) return;

    if (previewDiv.style.display !== "none") {
        previewDiv.style.display = "none";
        return;
    }

    showPdfPreview(surveyModel);
}

const survey = new Model(json);
survey.showCompleteButton = false;
survey.navigationButtonsLocation = "topBottom";
survey.addNavigationItem({
    id: "survey_save_as_file",
    title: "Download PDF",
    action: () => {
        saveSurveyToPdf("surveyResult.pdf", survey);
    }
});
survey.addNavigationItem({
    id: "survey_pdf_preview",
    title: "Preview PDF",
    visible: window.navigator.pdfViewerEnabled,
    action: () => {
        previewPdf(survey);
    }
});
survey.render(document.getElementById("surveyElement"));
```

### `src/json.js`

```js
export const json = {
  "title": "Online Course Registration Form",
  "pages": [
    {
      "name": "terms-conditions",
      "elements": [
        {
          "type": "panel",
          "name": "important-info-panel",
          "elements": [
            {
              "type": "html",
              "name": "intro",
              "html": "<p><strong>Payment Disclosures and Terms</strong></p><p>I understand that I am responsible for all charges related to this registration at the college.</p><p>I confirm that I have read the policies and procedures described in the student handbook.</p><p>I understand the drop, add, withdrawal, and refund policies described in the handbook.</p><p>I understand that tuition and fees must be paid in full for all classes in which I remain enrolled after the fifth class day of the term.</p><p>I understand that all tuition and fees must be paid no later than the fifth day of the term unless an approved deferment is in effect.</p><p>I understand that late fees may apply.</p><p>I understand that if I have an unpaid balance, further enrollment may be restricted and the balance may be sent to a collection agency. I accept responsibility for any collection costs and fees.</p>"
            }
          ]
        },
        {
          "type": "boolean",
          "name": "terms-confirmation",
          "title": "I confirm that I have read and understand the terms above.",
          "displayMode": "checkbox"
        }
      ]
    },
    {
      "name": "details",
      "title": "Personal Information",
      "elements": [
        {
          "type": "radiogroup",
          "name": "term",
          "title": "Term",
          "isRequired": true,
          "choices": [
            "Fall",
            "Winter",
            "Spring",
            "May",
            "Summer"
          ],
          "colCount": 2
        },
        {
          "type": "text",
          "name": "dob",
          "title": "Date of birth (you must be at least 16 years old to register)",
          "isRequired": true,
          "validators": [
            {
              "type": "expression",
              "text": "You must be at least 16 years old to register for courses.",
              "expression": "age({dob}) > 16"
            }
          ],
          "inputType": "date"
        },
        {
          "type": "text",
          "name": "ssn",
          "title": "Last 4 digits of Social Security Number",
          "description": "Enter the last four digits to help prevent duplicate student records.",
          "descriptionLocation": "underInput",
          "isRequired": true,
          "startWithNewLine": false,
          "maskType": "pattern",
          "maskSettings": {
            "pattern": "9999"
          }
        }
      ]
    },
    {
      "name": "ethnicity-race",
      "elements": [
        {
          "type": "radiogroup",
          "name": "ethnicity",
          "title": "Ethnicity",
          "choices": [
            {
              "value": "hispanic",
              "text": "Hispanic"
            },
            {
              "value": "latino",
              "text": "Latino"
            }
          ],
          "showOtherItem": true,
          "otherText": "Other"
        },
        {
          "type": "radiogroup",
          "name": "race",
          "title": "Race",
          "choices": [
            "American Indian or Alaska Native",
            "Black or African American",
            "Native Hawaiian or Other Pacific Islander",
            "Asian",
            "White"
          ],
          "colCount": 2
        }
      ]
    },
    {
      "name": "contact-info",
      "title": "Contact Information",
      "elements": [
        {
          "type": "text",
          "name": "first-name",
          "title": "First name"
        },
        {
          "type": "text",
          "name": "last-name",
          "startWithNewLine": false,
          "title": "Last name"
        },
        {
          "type": "text",
          "name": "address",
          "title": "Street address"
        },
        {
          "type": "text",
          "name": "city",
          "title": "City"
        },
        {
          "type": "text",
          "name": "zip-code",
          "startWithNewLine": false,
          "title": "ZIP code",
          "inputType": "number",
          "autocomplete": "postal-code",
          "maskType": "pattern",
          "maskSettings": {
            "pattern": "999999"
          }
        },
        {
          "type": "text",
          "name": "phone",
          "title": "Phone number with area code",
          "maskType": "pattern",
          "maskSettings": {
            "pattern": "+1(999)-999-99-99"
          }
        },
        {
          "type": "text",
          "name": "email",
          "startWithNewLine": false,
          "title": "Email address",
          "autocomplete": "email"
        }
      ]
    },
    {
      "name": "residency",
      "title": "Residency",
      "elements": [
        {
          "type": "radiogroup",
          "name": "resident",
          "title": "Are you a resident of the United States?",
          "choices": [
            "Yes",
            "No"
          ]
        },
        {
          "type": "text",
          "name": "since-date",
          "startWithNewLine": false,
          "title": "If yes, enter the date when your U.S. residency began",
          "inputType": "date"
        },
        {
          "type": "text",
          "name": "how-long",
          "title": "Duration of U.S. residency"
        },
        {
          "type": "text",
          "name": "country-residency",
          "title": "Country of residency (if you are not a U.S. resident)",
          "description": "List all countries that apply."
        },
        {
          "type": "radiogroup",
          "name": "citizenship",
          "title": "Do you have U.S. citizenship?",
          "choices": [
            "Yes",
            "No"
          ]
        },
        {
          "type": "radiogroup",
          "name": "status",
          "title": "If you do not have U.S. citizenship, indicate your status if applicable",
          "choices": [
            "Resident alien",
            "Refugee or asylee",
            "Temporary protected status",
            "None of these"
          ]
        },
        {
          "type": "radiogroup",
          "name": "visa",
          "title": "Do you have or intend to apply for a visa, if applicable?",
          "choices": [
            "Yes",
            "No"
          ]
        },
        {
          "type": "html",
          "name": "comment",
          "html": "If you intend to apply for a visa, contact the international student office to determine whether a separate application is required."
        }
      ]
    },
    {
      "name": "courses",
      "elements": [
        {
          "type": "paneldynamic",
          "name": "courses",
          "title": "Courses to register for",
          "description": "Specify the courses you want to register for. You must register for at least three courses and no more than six.",
          "panelCount": 6,
          "minPanelCount": 3,
          "maxPanelCount": 6,
          "panelsState": "firstExpanded",
          "templateTitle": "Course {panelIndex}",
          "templateElements": [
            {
              "type": "text",
              "name": "id",
              "title": "Course ID",
              "isRequired": true
            },
            {
              "type": "text",
              "name": "subject",
              "startWithNewLine": false,
              "title": "Subject and number"
            },
            {
              "type": "text",
              "name": "title",
              "title": "Course title",
              "isRequired": true
            },
            {
              "type": "text",
              "name": "credits",
              "startWithNewLine": false,
              "title": "Credits"
            }
          ],
          "addPanelText": "Add another course"
        }
      ]
    },
    {
      "name": "signature",
      "elements": [
        {
          "type": "signaturepad",
          "name": "signature",
          "title": "Signature",
          "signatureHeight": 100
        },
        {
          "type": "text",
          "name": "date",
          "startWithNewLine": false,
          "title": "Date",
          "inputType": "date"
        }
      ]
    }
  ],
  "calculatedValues": [
    {
      "name": "residency-years",
      "expression": "dateDiff({since-date}, today(), 'years')"
    },
    {
      "name": "residency-months",
      "expression": "dateDiff({since-date}, today(), 'months') % 12"
    }
  ],
  "checkErrorsMode": "onValueChanged",
  "headerView": "advanced",
  "questionsOnPageMode": "singlePage"
};
```

### `src/theme.js`

```js
export const themeJson = {};
```

### `package.json`

```json
{
  "dependencies": {
    "survey-core": "latest",
    "survey-js-ui": "latest",
    "survey-pdf": "latest"
  }
}
```

## Other Frameworks

- [Angular](https://surveyjs.io/pdf-generator/examples/pdf-education-online-course-registration-form-template/angular.md)
- [React](https://surveyjs.io/pdf-generator/examples/pdf-education-online-course-registration-form-template/reactjs.md)
- [Vue 3](https://surveyjs.io/pdf-generator/examples/pdf-education-online-course-registration-form-template/vue3js.md)
- [jQuery](https://surveyjs.io/pdf-generator/examples/pdf-education-online-course-registration-form-template/jquery.md)