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roll20-character-sheets/kitchensink/kitchensink.html
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<div class="sheet-3colrow">
<div class="sheet-col">
<label>Name:</label><input type="text" name="attr_character_name" />
<label>Rank:</label><input type="text" name="attr_rank" />
<label>XP:</label><input type="number" name="attr_xp" />
</div>
<div class="sheet-col">
<p style="text-align: center;">
<img src="http://i.imgur.com/LczNS8W.png" style="max-height: 100px;" />
</p>
</div>
<div class="sheet-col">
<label>Setting:</label><input type="text" name="attr_setting" />
<label>Race:</label><input type="text" name="attr_race" />
</div>
</div>
<hr/>
<div class="sheet-3colrow">
<div class="sheet-col">
<h3 style="margin-bottom: 10px;">Attributes</h3>
<label>Agility</label><strong class='dee'>d</strong><input type="text" name='attr_agility' class='sheet-short'><button type='roll' name='roll_TestAttack' value='/roll 1d20 + @{Agility}'></button><br />
<label>Smarts</label><strong class='dee'>d</strong><input type="text" name='attr_smarts' class='sheet-short'><br />
<label>Spirit</label><strong class='dee'>d</strong><input type="text" name='attr_spirit' class='sheet-short'><br />
<label>Strength</label><strong class='dee'>d</strong><input type="text" name='attr_strength' class='sheet-short'><br />
<label>Vigor</label><strong class='dee'>d</strong><input type="text" name='attr_vigor' class='sheet-short' value='25'>
<hr />
<h3 style="margin-bottom: 10px;">Skills</h3>
<fieldset class="repeating_skills">
<select name="attr_dtype" class="dtype">
<option value="d4">d4</option>
<option value="d6">d6</option>
<option value="d8">d8</option>
<option value="d10">d10</option>
<option value="d12">d12</option>
</select>
<input type="text" name="attr_skillname" />
</fieldset>
</div>
<div class="sheet-col">
<h3 style="text-align: center;">Derived Stats</h3>
<table style="width: 100%;">
<thead>
<tr>
<th>Base</th>
<th>&nbsp;</th>
<th>Mod</th>
</tr>
</thead>
<tbody>
<tr>
<td><input type="text" name="attr_pace" class="sheet-short" /></td>
<td>Pace</td>
<td><input type="text" name="attr_pace_max" class="sheet-short" /></td>
</tr>
<tr>
<td><input type="text" name="attr_parry" class="sheet-short" /></td>
<td>Parry</td>
<td><input type="text" name="attr_parry_max" class="sheet-short" /></td>
</tr>
<tr>
<td><input type="text" name="attr_toughness" class="sheet-short" /></td>
<td>Toughness</td>
<td><input type="text" name="attr_toughness_max" class="sheet-short" /></td>
</tr>
<tr>
<td><input type="text" name="attr_charisma" class="sheet-short" /></td>
<td>Charisma</td>
<td><input type="text" name="attr_charisma_max" class="sheet-short" /></td>
</tr>
</tbody>
</table>
</div>
<div class="sheet-col">
<h3>Hindrances</h3>
<textarea name="attr_hindrances"></textarea>
<hr/>
<h3>Edges</h3>
<textarea name="attr_edges"></textarea>
</div>
</div>