{"id":721,"date":"2011-07-16T17:19:13","date_gmt":"2011-07-16T15:19:13","guid":{"rendered":"http:\/\/www.kendogroningen.nl\/wordpress\/?page_id=721"},"modified":"2011-07-16T19:26:17","modified_gmt":"2011-07-16T17:26:17","slug":"form-test-2","status":"publish","type":"page","link":"https:\/\/www.kendogroningen.nl\/wordpress\/?page_id=721","title":{"rendered":"Aanmeldformulier Kendo Fun Weekend"},"content":{"rendered":"\n\n<!-- Fast Secure Contact Form plugin 4.0.52 - begin - FastSecureContactForm.com -->\r\n<div style=\"clear:both;\"><\/div>\n<p>Gelieve per persoon op te geven ivm de planning. Dus partners ook apart op te geven!<br>Al uw gegevens zullen vertrouwelijk behandeld worden en zullen alleen gebruikt worden om contact met u op te nemen omtrent het weekend.<br><br>U krijgt na verzending een e-mail ontvangstbevestiging.<\/p>\r\n<div id=\"FSContact1\" style=\"width:99%; max-width:555px;\">\r\n<form action=\"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F721#FSContact1\" id=\"fscf_form1\" method=\"post\">\r\n\n<div id=\"fscf_required1\">\n  <span style=\"text-align:left;\">*<\/span> <span style=\"text-align:left;\">Verplicht veld<\/span>\n<\/div>\n\n\n<div id=\"fscf_div_clear1_0\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_0\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\r\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_f_name1\">Voornaam:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\r\n    <div style=\"text-align:left;\">\r\n\t  <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_f_name1\" name=\"f_name\" value=\"\"  \/>\r\n    <\/div>\r\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_l_name1\">Achternaam:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\r\n    <div style=\"text-align:left;\">\r\n\t  <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_l_name1\" name=\"l_name\" value=\"\"  \/>\r\n    <\/div>\r\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_1\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_1\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_email1\">E-mail adres:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_email1\" name=\"email\" value=\"\"  readonly=\"readonly\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_4\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_4\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_4\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_4\">Telefoonnummer:<\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_4\" name=\"telefoonnummer\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_5\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_5\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_5\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_5\">Leeftijd:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_5\" name=\"leeftijd\" value=\"\"  maxlength=\"2\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_6\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_6\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_6\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_6\">Clubnaam:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_6\" name=\"clubnaam\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_7\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_7\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_7\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_7\">Clubadres (plaatsnaam):<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_7\" name=\"clubadres-plaatsnaam\" value=\"\"  maxlength=\"50\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_8\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_8\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_8\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_8\">Neemt deel aan de volgende activiteiten:<\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_1\" name=\"neemt-deel-aan-de-volgende-activiteiten[1]\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_1\">Zwemmen in Natuurbad Engelbert (Vrijdag)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_2\" name=\"neemt-deel-aan-de-volgende-activiteiten[2]\" value=\"2\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_2\">Eten bij Hock Sieng (Vismarkt) (eigen kosten) (Vrijdag)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_3\" name=\"neemt-deel-aan-de-volgende-activiteiten[3]\" value=\"3\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_3\">Schiermonikoog (eigen kosten) (Zaterdag)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_4\" name=\"neemt-deel-aan-de-volgende-activiteiten[4]\" value=\"4\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_4\">Barbeque (Zaterdag)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_5\" name=\"neemt-deel-aan-de-volgende-activiteiten[5]\" value=\"5\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_5\">Kendotraining vrijdag<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_6\" name=\"neemt-deel-aan-de-volgende-activiteiten[6]\" value=\"6\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_6\">Kendotraining zondag.<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_7\" name=\"neemt-deel-aan-de-volgende-activiteiten[7]\" value=\"7\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_7\">Ontbijt zondag<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field1_8_8\" name=\"neemt-deel-aan-de-volgende-activiteiten[8]\" value=\"8\" \/> <label style=\"display:inline;\" for=\"fscf_field1_8_8\">Lichte Lunch (Zondag)<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_11\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_11\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_11\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_11\">Vegetarisch of andere dieet wensen?<\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_11\" name=\"vegetarisch-of-andere-dieet-wensen\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_9\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_9\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_9\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_9\">Verwachte aankomsttijd (datum\/tijd):<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_9\" name=\"verwachte-aankomsttijd-datumtijd\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_10\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_10\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_10\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_10\">Verwachte vertrektijd (datum\/tijd):<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_10\" name=\"verwachte-vertrektijd-datumtijd\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<div style=\"text-align:left; padding-top:5px;\">\n<\/div>\n<div id=\"fscf_captcha_image_div1\" style=\"width:250px; height:65px; padding-top:2px;\">\n      <img loading=\"lazy\" decoding=\"async\" id=\"fscf_captcha_image1\" style=\"border-style:none; margin:0; padding:0px; padding-right:5px; float:left;\" src=\"https:\/\/www.kendogroningen.nl\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix=HNJqLAMPJpVQsxbm\" width=\"175\" height=\"60\" alt=\"CAPTCHA\" title=\"CAPTCHA\" \/>\n      <input id=\"fscf_captcha_prefix1\" type=\"hidden\" name=\"fscf_captcha_prefix1\" value=\"HNJqLAMPJpVQsxbm\" \/>\n     <div id=\"fscf_captcha_refresh1\">\n        <a href=\"#\" rel=\"nofollow\" title=\"Refresh\" onclick=\"fscf_captcha_refresh('1','\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha','https:\/\/www.kendogroningen.nl\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix='); return false;\">\n        <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.kendogroningen.nl\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha\/images\/refresh.png\" width=\"22\" height=\"20\" alt=\"Refresh\" style=\"border-style:none; margin:0; padding:0px; vertical-align:bottom;\" onclick=\"this.blur();\" \/><\/a>\r\n     <\/div>\r\n<\/div>\r\n\r\n<div id=\"fscf_captcha_field1\" style=\"text-align:left; padding-top:5px;\">\r\n     <label style=\"text-align:left;\" for=\"fscf_captcha_code1\">CAPTCHA Code:<span style=\"text-align:left;\">*<\/span><\/label>\r\n<\/div>\r\n<div style=\"text-align:left;\">\n     <input style=\"text-align:left; margin:0; width:50px;\" type=\"text\" value=\"\" autocomplete=\"off\" id=\"fscf_captcha_code1\" name=\"captcha_code\"  \/>\n<\/div>\n\n<div id=\"fscf_submit_div1\" style=\"text-align:left; clear:both; padding-top:15px;\">\r\n\t\t<input type=\"submit\" id=\"fscf_submit1\" style=\"cursor:pointer; margin:0;\" value=\"Submit\"  onclick=\"return confirm('U staat op het punt uw aanmelding te versturen. Weet u het zeker?')\" \/> \n<\/div>\n\n<input type=\"hidden\" name=\"fscf_submitted\" value=\"0\" \/>\n<input type=\"hidden\" name=\"fs_postonce_1\" value=\"716bc4bd7bdce597c2d0873ba67bdde2,1780334822\" \/>\n<input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"1\" \/>\n<input type=\"hidden\" name=\"mailto_id\" value=\"1\" \/>\n\n<\/form>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<!-- Fast Secure Contact Form plugin 4.0.52 - end - FastSecureContactForm.com -->\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":25,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-721","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/721","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=721"}],"version-history":[{"count":3,"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/721\/revisions"}],"predecessor-version":[{"id":725,"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/721\/revisions\/725"}],"wp:attachment":[{"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}