{"id":726,"date":"2011-07-16T19:37:54","date_gmt":"2011-07-16T17:37:54","guid":{"rendered":"http:\/\/www.kendogroningen.nl\/wordpress\/?page_id=726"},"modified":"2011-07-16T19:37:54","modified_gmt":"2011-07-16T17:37:54","slug":"registration-form-kendo-fun-weekend","status":"publish","type":"page","link":"https:\/\/www.kendogroningen.nl\/wordpress\/?page_id=726","title":{"rendered":"Registration form 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>Please register per person so we can make an accurate planning. If you bring a partner or guest please register him\/her too!<br>\r\nAll your information will be treated confidentially and will only be used to contact you regarding the weekend.<br><br>After registering you will receive a confirmation e-mail.<\/p>\r\n<div id=\"FSContact2\" style=\"width:99%; max-width:555px;\">\r\n<form action=\"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F726#FSContact2\" id=\"fscf_form2\" method=\"post\">\r\n\n<div id=\"fscf_required2\">\n  <span style=\"text-align:left;\">*<\/span> <span style=\"text-align:left;\">indicates required field<\/span>\n<\/div>\n\n\n<div id=\"fscf_div_clear2_0\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_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_name2\">First Name:<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_name2\" 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_name2\">Last Name:<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_name2\" name=\"l_name\" value=\"\"  \/>\r\n    <\/div>\r\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_1\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_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_email2\">Email:<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_email2\" name=\"email\" value=\"\"  readonly=\"readonly\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_4\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_4\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_4\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_4\">Phone number:<\/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_field2_4\" name=\"phone-number\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_5\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_5\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_5\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_5\">Age:<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_field2_5\" name=\"age\" value=\"\"  maxlength=\"2\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_6\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_6\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_6\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_6\">Club name:<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_field2_6\" name=\"club-name\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_7\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_7\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_7\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_7\">Club address (City):<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_field2_7\" name=\"club-address-city\" value=\"\"  maxlength=\"50\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_8\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_8\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_8\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_8\">Will participate in the following activities:<\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_1\" name=\"will-participate-in-the-following-activi[1]\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_1\">Swimming in natural pool Engelbert (Friday)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_2\" name=\"will-participate-in-the-following-activi[2]\" value=\"2\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_2\">Chinese restaurant meal (own expense) (Friday)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_3\" name=\"will-participate-in-the-following-activi[3]\" value=\"3\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_3\">Trip to Schiermonikoog(Own expense) (Saturday)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_4\" name=\"will-participate-in-the-following-activi[4]\" value=\"4\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_4\">Barbeque (Saturday)<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_5\" name=\"will-participate-in-the-following-activi[5]\" value=\"5\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_5\">Kendotraining Friday<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_6\" name=\"will-participate-in-the-following-activi[6]\" value=\"6\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_6\">Kendotraining Sunday.<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_7\" name=\"will-participate-in-the-following-activi[7]\" value=\"7\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_7\">Sunday morning breakfast<\/label><\/span><br \/>\n      <span><input type=\"checkbox\" style=\"width:13px;\" id=\"fscf_field2_8_8\" name=\"will-participate-in-the-following-activi[8]\" value=\"8\" \/> <label style=\"display:inline;\" for=\"fscf_field2_8_8\">Light lunch on Sunday<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_11\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_11\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_11\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_11\">Vegetarian or other dietary wishes?<\/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_field2_11\" name=\"vegetarian-or-other-dietary-wishes\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_9\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_9\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_9\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_9\">Expected arrival date\/time:<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_field2_9\" name=\"expected-arrival-datetime\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_10\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_10\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_10\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_10\">Expected departure date\/time:<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_field2_10\" name=\"expected-departure-datetime\" 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_div2\" style=\"width:250px; height:65px; padding-top:2px;\">\n      <img loading=\"lazy\" decoding=\"async\" id=\"fscf_captcha_image2\" 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=ZJh5KESImDkrPdkA\" width=\"175\" height=\"60\" alt=\"CAPTCHA\" title=\"CAPTCHA\" \/>\n      <input id=\"fscf_captcha_prefix2\" type=\"hidden\" name=\"fscf_captcha_prefix2\" value=\"ZJh5KESImDkrPdkA\" \/>\n     <div id=\"fscf_captcha_refresh2\">\n        <a href=\"#\" rel=\"nofollow\" title=\"Refresh\" onclick=\"fscf_captcha_refresh('2','\/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_field2\" style=\"text-align:left; padding-top:5px;\">\r\n     <label style=\"text-align:left;\" for=\"fscf_captcha_code2\">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_code2\" name=\"captcha_code\"  \/>\n<\/div>\n\n<div id=\"fscf_submit_div2\" style=\"text-align:left; clear:both; padding-top:15px;\">\r\n\t\t<input type=\"submit\" id=\"fscf_submit2\" style=\"cursor:pointer; margin:0;\" value=\"Submit\"  onclick=\"return confirm('Are you sure?')\" \/> \n<\/div>\n\n<input type=\"hidden\" name=\"fscf_submitted\" value=\"0\" \/>\n<input type=\"hidden\" name=\"fs_postonce_2\" value=\"3f04d7d451a698af4d2611687acd148c,1780333840\" \/>\n<input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\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-726","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/726","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=726"}],"version-history":[{"count":1,"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/726\/revisions"}],"predecessor-version":[{"id":727,"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/726\/revisions\/727"}],"wp:attachment":[{"href":"https:\/\/www.kendogroningen.nl\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=726"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}