Deprecated: Required parameter $contentPdf follows optional parameter $shotcodes_tags in /customers/2/f/7/vzvnjord.nl/httpd.www/wp-content/plugins/send-pdf-for-contact-form-7/classes/prepare-pdf.php on line 20
{"id":74,"date":"2019-02-08T14:56:45","date_gmt":"2019-02-08T14:56:45","guid":{"rendered":"http:\/\/sub2.supportpunt.nl\/vzvnjord\/?page_id=74"},"modified":"2023-07-20T13:11:43","modified_gmt":"2023-07-20T11:11:43","slug":"inschrijven","status":"publish","type":"page","link":"https:\/\/www.vzvnjord.nl\/en\/zwemmen-veldhoven\/formulieren\/inschrijven\/","title":{"rendered":"Registration form new members"},"content":{"rendered":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f2529-o1\" lang=\"nl-NL\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/74#wpcf7-f2529-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/74#wpcf7-f2529-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2529\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2529-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2529,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;leszwemmen&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-793&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Leszwemmen&quot;}]},{&quot;then_field&quot;:&quot;onderwaterhockey&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-793&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Onderwaterhockey&quot;}]},{&quot;then_field&quot;:&quot;waterpolo&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-793&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Waterpolo&quot;}]},{&quot;then_field&quot;:&quot;wedstrijdzwemmen&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-793&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Wedstrijdzwemmen&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-5.7.7&quot;:true}}\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><b> I register for *:<\/b>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-793\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-793\" value=\"Leszwemmen\" \/><span class=\"wpcf7-list-item-label\">Swimming lessons<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-793\" value=\"Trimzwemmen\" \/><span class=\"wpcf7-list-item-label\">Swimming workout<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-793\" value=\"Onderwaterhockey\" \/><span class=\"wpcf7-list-item-label\">Underwater hockey<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-793\" value=\"Waterpolo\" \/><span class=\"wpcf7-list-item-label\">Water polo<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-793\" value=\"Wedstrijdzwemmen\" \/><span class=\"wpcf7-list-item-label\">Competition swimming<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-793\" value=\"Zwemvaardigheid (diploma&#039;s A-B-C vereist)\" \/><span class=\"wpcf7-list-item-label\">Swimmingskills (certificates A-B-C required)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-793\" value=\"Masters\" \/><span class=\"wpcf7-list-item-label\">Masters<\/span><\/span><\/span><\/span>\n<\/p>\n<p>I have the following swimming diplomas*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-224\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"Geen\" \/><span class=\"wpcf7-list-item-label\">None<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"A\" \/><span class=\"wpcf7-list-item-label\">A<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"B\" \/><span class=\"wpcf7-list-item-label\">B<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"C\" \/><span class=\"wpcf7-list-item-label\">C<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"Zwemvaardigheid\" \/><span class=\"wpcf7-list-item-label\">Swimming Skill<\/span><\/span><\/span><\/span><br \/>\n<\/>\n<\/p>\n<div data-id=\"leszwemmen\" data-orig_data_id=\"leszwemmen\"  data-class=\"wpcf7cf_group\">\n\t<p><b>Swimming lessons<\/b>\n\t<\/p>\n\t<p>My preferred day of the week is*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-480\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-480[]\" value=\"Dinsdag\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-480[]\" value=\"Woensdag\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-480[]\" value=\"Zaterdag\" \/><span class=\"wpcf7-list-item-label\">Saturday<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>I have the following swimming diplomas*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-224\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"Geen\" \/><span class=\"wpcf7-list-item-label\">None<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"A\" \/><span class=\"wpcf7-list-item-label\">A<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"B\" \/><span class=\"wpcf7-list-item-label\">B<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"C\" \/><span class=\"wpcf7-list-item-label\">C<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-224[]\" value=\"Zwemvaardigheid\" \/><span class=\"wpcf7-list-item-label\">Swimming Skill<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"onderwaterhockey\" data-orig_data_id=\"onderwaterhockey\"  data-class=\"wpcf7cf_group\">\n\t<p><b>Underwater hockey<\/b>\n\t<\/p>\n\t<p>I'm participating with*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-515\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-515\" value=\"met logboeknummer\" \/><span class=\"wpcf7-list-item-label\">with logbook number<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-515\" value=\"zonder logboeknummer\" \/><span class=\"wpcf7-list-item-label\">without logbook number<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>I have*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-242\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-242\" value=\"Wel EHBO kennis\" \/><span class=\"wpcf7-list-item-label\">First aid knowledge<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-242\" value=\"Geen EHBO kennis\" \/><span class=\"wpcf7-list-item-label\">No first aid knowledge<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"waterpolo\" data-orig_data_id=\"waterpolo\"  data-class=\"wpcf7cf_group\">\n\t<p><b>Water polo<\/b>\n\t<\/p>\n\t<p>I'm participating with*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-275\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-275\" value=\"Zwempolo of instroom\" \/><span class=\"wpcf7-list-item-label\">Swimming polo or inflow<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-275\" value=\"Competitie\" \/><span class=\"wpcf7-list-item-label\">Competition<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"wedstrijdzwemmen\" data-orig_data_id=\"wedstrijdzwemmen\"  data-class=\"wpcf7cf_group\">\n\t<p><b>Competition swimming<\/b>\n\t<\/p>\n\t<p>I'm participating with*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-861\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-861\" value=\"Met startnummer\" \/><span class=\"wpcf7-list-item-label\">With starting number<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-861\" value=\"Zonder startnummer\" \/><span class=\"wpcf7-list-item-label\">Without starting number<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<p><b>Personal details<\/b>\n<\/p>\n<p>Family name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-703\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-703\" \/><\/span>\n<\/p>\n<p>Given name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-334\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-334\" \/><\/span>\n<\/p>\n<p>Initials*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-101\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-101\" \/><\/span>\n<\/p>\n<p>Day of birth (dd-mm-yyyy)*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-989\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-989\" \/><\/span>\n<\/p>\n<p>Gender*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-467\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-467\" value=\"Man\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-467\" value=\"Vrouw\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-717\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-717\" \/><\/span>\n<\/p>\n<p>Postal code*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-815\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-815\" \/><\/span>\n<\/p>\n<p>City*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-65\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-65\" \/><\/span>\n<\/p>\n<p>Phone number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-943\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-943\" \/><\/span>\n<\/p>\n<p>E-mail address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" 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>\n<\/p>\n<p>Remarks<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-273\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-273\"><\/textarea><\/span>\n<\/p>\n<p><b>Agreement<\/b>\n<\/p>\n<p> Yes, I agree that my data will be used by VZV Njord for all communication during my membership.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-514\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-514\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p>\n<p>*Required fields\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":105,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Inschrijven - Zwemmen in Veldhoven<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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