diff --git a/templates/new_ticket.html b/templates/new_ticket.html
new file mode 100644
index 0000000..48a042f
--- /dev/null
+++ b/templates/new_ticket.html
@@ -0,0 +1,26 @@
+{{ define "new_ticket" }}
+<a href="/">← Back</a>
+<h2>Log My Ticket</h2>
+<form method="POST" action="/submit-ticket">
+    <div class="form-section">
+        <label>Draw Date:
+            <select name="draw_date" required>
+                {{ range .DrawDates }}
+                    <option value="{{ . }}">{{ . }}</option>
+                {{ end }}
+            </select>
+        </label>
+    </div>
+    <div class="form-section">
+        <label>Ball 1: <input type="text" name="ball1" required></label>
+        <label>Ball 2: <input type="text" name="ball2" required></label>
+        <label>Ball 3: <input type="text" name="ball3" required></label>
+        <label>Ball 4: <input type="text" name="ball4" required></label>
+        <label>Ball 5: <input type="text" name="ball5" required></label>
+    </div>
+    <div class="form-section">
+        <label>Thunderball: <input type="text" name="thunderball" required></label>
+    </div>
+    <button type="submit">Save Ticket</button>
+</form>
+{{ end }}