{"id":70,"date":"2017-07-10T15:44:52","date_gmt":"2017-07-10T13:44:52","guid":{"rendered":"http:\/\/localhost\/?page_id=70"},"modified":"2019-06-21T10:48:46","modified_gmt":"2019-06-21T08:48:46","slug":"aanmelden","status":"publish","type":"page","link":"https:\/\/www.herbergpapilio.nl\/?page_id=70","title":{"rendered":"Aanmelden"},"content":{"rendered":"<p>Aangezien dat we graag de weken zo samenstellen dat er overeenkomsten zijn tussen de gezinnen moeten we helaas enkele vragen stellen die pijnlijk kunnen zijn. Onze excuses hiervoor.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1259-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"1259\">\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%2F70#wpcf7-f1259-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=\"1259\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.4.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1259-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h2>Gegevens van het overleden kind\n<\/h2>\n<p><label> Voornaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam\"><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=\"voornaam\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam\"><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=\"achternaam\" \/><\/span> <\/label>\n<\/p>\n<p><label> Geslacht <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geslacht\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"geslacht\" value=\"M\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"geslacht\" value=\"V\" \/><span class=\"wpcf7-list-item-label\">V<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Geboortedatum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum\"><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=\"geboortedatum\" \/><\/span> <\/label>\n<\/p>\n<p><label> Datum overlijden<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datum-overlijden\"><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=\"datum-overlijden\" \/><\/span> <\/label>\n<\/p>\n<p><label> Oorzaak overlijden<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"oorzaak\"><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=\"oorzaak\" \/><\/span> <\/label>\n<\/p>\n<h2>Gegevens ouders\n<\/h2>\n<p><label> Voornaam Ouder 1<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam-ouder-1\"><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=\"voornaam-ouder-1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam Ouder 1<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam-ouder-1\"><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=\"achternaam-ouder-1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Voornaam Ouder 2<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam-ouder-2\"><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=\"voornaam-ouder-2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam Ouder 2<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam-ouder-2\"><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=\"achternaam-ouder-2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Adres<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adres\"><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=\"adres\" \/><\/span> <\/label>\n<\/p>\n<p><label> Postcode<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> <\/label>\n<\/p>\n<p><label> Woonplaats<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"woonplaats\"><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=\"woonplaats\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"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=\"email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Telefoon<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon\"><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\" value=\"\" type=\"tel\" name=\"telefoon\" \/><\/span> <\/label>\n<\/p>\n<h2>Gegevens broers\/zussen\n<\/h2>\n<p><label> Voornaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"voornaam-1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"achternaam-1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Geslacht <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geslacht-1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"geslacht-1[]\" value=\"Man\" \/><span class=\"wpcf7-list-item-label\">Man<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"geslacht-1[]\" value=\"Vrouw\" \/><span class=\"wpcf7-list-item-label\">Vrouw<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Geboortedatum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geboortedatum-1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Voornaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"voornaam-2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"achternaam-2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Geslacht <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geslacht-2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"geslacht-2[]\" value=\"Man\" \/><span class=\"wpcf7-list-item-label\">Man<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"geslacht-2[]\" value=\"Vrouw\" \/><span class=\"wpcf7-list-item-label\">Vrouw<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Geboortedatum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geboortedatum-2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Voornaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"voornaam-3\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"achternaam-3\" \/><\/span> <\/label>\n<\/p>\n<p><label> Geslacht <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geslacht-3\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"geslacht-3[]\" value=\"Man\" \/><span class=\"wpcf7-list-item-label\">Man<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"geslacht-3[]\" value=\"Vrouw\" \/><span class=\"wpcf7-list-item-label\">Vrouw<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Geboortedatum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geboortedatum-3\" \/><\/span> <\/label>\n<\/p>\n<p><label> Voornaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"voornaam-4\" \/><\/span> <\/label>\n<\/p>\n<p><label> Achternaam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"achternaam-4\" \/><\/span> <\/label>\n<\/p>\n<p><label> Geslacht <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geslacht-4\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"geslacht-4[]\" value=\"Man\" \/><span class=\"wpcf7-list-item-label\">Man<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"geslacht-4[]\" value=\"Vrouw\" \/><span class=\"wpcf7-list-item-label\">Vrouw<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Geboortedatum<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geboortedatum-4\" \/><\/span> <\/label>\n<\/p>\n<h2>Gegevens aanvrager\n<\/h2>\n<p><label> Naam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam-aanvrager\"><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=\"voornaam-aanvrager\" \/><\/span> <\/label>\n<\/p>\n<p><label> Relatie tot het gezin<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relatie-aanvrager\"><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=\"relatie-aanvrager\" \/><\/span> <\/label>\n<\/p>\n<p><label> Telefoon<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon-aanvrager\"><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\" value=\"\" type=\"tel\" name=\"telefoon-aanvrager\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-aanvrager\"><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=\"email-aanvrager\" \/><\/span> <\/label>\n<\/p>\n<p><label> Hoe bent u bij ons terecht gekomen?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"referentie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"referentie\" \/><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Verstuur aanvraag\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Aangezien dat we graag de weken zo samenstellen dat er overeenkomsten zijn tussen de gezinnen moeten we helaas enkele vragen stellen die pijnlijk kunnen zijn. Onze excuses hiervoor.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-70","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=\/wp\/v2\/pages\/70","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=70"}],"version-history":[{"count":10,"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions"}],"predecessor-version":[{"id":2253,"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions\/2253"}],"wp:attachment":[{"href":"https:\/\/www.herbergpapilio.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=70"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}