{{ msg | raw }}
<p>Add a video to your Video Playlist.  You have one of two choices for your video selection.<br /><br /><b>[1]</b> YouTube video - copy and paste the YouTube link into the "YouTube Link" input field.<br /><br /><b>[2]</b> Select an .mp4 video that you uploaded to your Media Library.<br /><br /><i>Note: Only one of the two video options can be chosen.</i></p>
<form action="" method="post">
    <input type="hidden" name="{{ hidden_field_name }}" value="1" />
    <div class="form-group">
        <label for="video_caption_en">Caption * {% if french_enabled %}(EN){% endif %} :</label>
        <input type="text" name="video_caption_en" id="video_caption_en" value="{{ caption_en }}" maxlength="64" class="widefat" tabindex="2" />
    </div>

    {% if french_enabled %}
    <div class="form-group">
    	<label for="video_caption_fr">Caption * (FR) :</label>
    	<input type="text" name="video_caption_fr" id="video_caption_fr" value="{{ caption_fr }}" maxlength="64" class="widefat" tabindex="2" />
    </div>
    {% endif %}
    
    <div class="form-group">
        <label for="cpc_video_date">Date * :</label>
        <input type="text" name="video_date" id="cpc_video_date" value="{{ date }}" maxlength="10" class="widefat" tabindex="1" />
    </div>
    
    <div class="form-group">
        <label for="video_youtube">YouTube Link :<br /><em>IE: http://www.youtube.com/watch?v=3cMBWYmVrWA</em></label>
        <input type="text" name="video_youtube" id="video_youtube" value="{{ youtube }}" maxlength="2020" class="widefat" tabindex="3" />
    </div>

    <div class="form-group">- OR -</div>
    
    <div class="form-group">
        <label for="video_id">Video from my Media Library :<br /><em>Note: Video format must be .mp4</em></label>
        <select name="video_id" id="video_id" class="widefat" tabindex="4">
            {{ vid_options | raw }}
        </select>
    </div>
    
    <div class="form-group">
        <label for="video_image_id">Video image from my Media Library</label>
        <select name="video_image_id" id="video_image_id" class="widefat" tabindex="5">
            {{ img_options | raw }}
        </select>
    </div>
    
    <div class="form-group">
        <label for="is_video_visible">
            <input type="checkbox" name="video_visible" id="is_video_visible" value="1" {{ (1 == video_visible) ? 'checked="checked"' : '' }} tabindex="6" />
            &nbsp;Yes, make this video visible to public
        </label>
    </div>
    <div class="form-group">
        <input type="submit" name="Submit" value="ADD VIDEO TO MY PLAYLIST" class="button button-primary" tabindex="7" />
    </div>
</form>