{"id":3567,"date":"2017-08-02T19:38:11","date_gmt":"2017-08-02T18:38:11","guid":{"rendered":"http:\/\/sbv-bloemhof.nl\/?page_id=3567"},"modified":"2022-07-15T20:13:06","modified_gmt":"2022-07-15T19:13:06","slug":"inschrijfformulier-2017","status":"publish","type":"page","link":"http:\/\/sbv-bloemhof.nl\/?page_id=3567","title":{"rendered":"Inschrijfformulier Lidmaatschap"},"content":{"rendered":"<p><\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3658-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"3658\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F3567#wpcf7-f3658-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3658\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3658-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label>Hiermee verzoek ik u mij te noteren als lid van S.B.V. Bloemhof<br \/>\nIk ga mijn contributie \u00e0 \u20ac35,00 voor dit kalender jaar betalen via:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Bank\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Bank[]\" value=\"automatische incasso*\" \/><span class=\"wpcf7-list-item-label\">automatische incasso*<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Bank[]\" value=\"bank op rekeningnummer NL92RABO0301648514\" \/><span class=\"wpcf7-list-item-label\">bank op rekeningnummer NL92RABO0301648514<\/span><\/span><\/span><\/span><br \/>\n<\/label><label>* Bij automatische incasso hier IBAN invullen <span class=\"wpcf7-form-control-wrap\" data-name=\"IBAN\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"IBAN\" \/><\/span><br \/>\n<\/label><label> Je naam (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<\/label><label>Straat huisnummer (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Straat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Straat\" \/><\/span><br \/>\n<\/label><label>Postcode (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Postcode\" \/><\/span><br \/>\n<\/label><label>Mobiele nummer (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Mobieletelefoonnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"06-\" value=\"\" type=\"tel\" name=\"Mobieletelefoonnummer\" \/><\/span><br \/>\n<\/label><label> Je e-mail (verplicht)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span><br \/>\n<\/label><label>Naam kind 1<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"kind1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"kind1\" \/><\/span><br \/>\n<\/label><label>Geb.datum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geb1\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"geb1\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"JM\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"JM[]\" value=\"Meisje\" \/><span class=\"wpcf7-list-item-label\">Meisje<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"JM[]\" value=\"jongen\" \/><span class=\"wpcf7-list-item-label\">jongen<\/span><\/span><\/span><\/span><br \/>\n<\/label><label>Naam kind 2<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"kind2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"kind2\" \/><\/span><br \/>\n<\/label><label>Geb.datum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geb2\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"geb2\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"JM\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"JM[]\" value=\"Meisje\" \/><span class=\"wpcf7-list-item-label\">Meisje<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"JM[]\" value=\"jongen\" \/><span class=\"wpcf7-list-item-label\">jongen<\/span><\/span><\/span><\/span><br \/>\n<\/label><label>Naam kind 3<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"kind3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"kind3\" \/><\/span><br \/>\n<\/label><label>Geb.datum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geb3\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"geb3\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"JM\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"JM[]\" value=\"Meisje\" \/><span class=\"wpcf7-list-item-label\">Meisje<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"JM[]\" value=\"jongen\" \/><span class=\"wpcf7-list-item-label\">jongen<\/span><\/span><\/span><\/span><br \/>\n<\/label><label>Naam kind 4<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"kind4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"kind4\" \/><\/span><br \/>\n<\/label><label>Geb.datum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geb4\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"geb4\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"JM\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"JM[]\" value=\"Meisje\" \/><span class=\"wpcf7-list-item-label\">Meisje<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"JM[]\" value=\"jongen\" \/><span class=\"wpcf7-list-item-label\">jongen<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Accoord\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"Accoord\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> <\/label><label>Ik heb kennis genomen van de volgende voorwaarden:<br \/>\nUitschrijven als lid kan uitsluitend door opzegging 3 maanden voor<br \/>\nhet verstrijken van het jaar, schriftelijk bij het secretariaat.<br \/>\nHet bestuur heeft te allen tijde het recht leden te schorsen wegens<br \/>\nwangedrag, na herhaaldelijke waarschuwingen door het bestuur<br \/>\nof de daarvoor aangestelde personen.<br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Verzenden\" \/><\/label>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n<p>[form-1]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[form-1]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":161,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3567","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=\/wp\/v2\/pages\/3567","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3567"}],"version-history":[{"count":1,"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=\/wp\/v2\/pages\/3567\/revisions"}],"predecessor-version":[{"id":3943,"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=\/wp\/v2\/pages\/3567\/revisions\/3943"}],"up":[{"embeddable":true,"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=\/wp\/v2\/pages\/161"}],"wp:attachment":[{"href":"http:\/\/sbv-bloemhof.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3567"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}