{"id":1625,"date":"2026-04-24T10:04:04","date_gmt":"2026-04-24T08:04:04","guid":{"rendered":"https:\/\/corrievannieuwkerk.nl\/?page_id=1625"},"modified":"2026-04-24T11:55:06","modified_gmt":"2026-04-24T09:55:06","slug":"inschrijfformulier-meebewegen-met-dementie","status":"publish","type":"page","link":"https:\/\/corrievannieuwkerk.nl\/?page_id=1625","title":{"rendered":"Inschrijfformulier Meebewegen met dementie"},"content":{"rendered":"\n<div style=\"height:16px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Met dit formulier schrijf je je in voor de training (1 dag) &#8216;Meebewegen met dementie&#8217;<\/h4>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1611-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"1611\">\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%2F1625#wpcf7-f1611-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=\"1611\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1611-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Jouw gegevens:\n<\/p>\n<p><label> Voornaam <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\" autocomplete=\"voornaam\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><br \/>\n<label> Achternaam <span class=\"wpcf7-form-control-wrap\" data-name=\"your-lastname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"achternaam\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-lastname\" \/><\/span> <\/label><br \/>\n<label> Straat + huisnummer <span class=\"wpcf7-form-control-wrap\" data-name=\"your-street\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"straat\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-street\" \/><\/span> <\/label><br \/>\n<label> Postcode <span class=\"wpcf7-form-control-wrap\" data-name=\"your-postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"postcode\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-postcode\" \/><\/span> <\/label><br \/>\n<label> Plaats <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"plaats\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city\" \/><\/span> <\/label><br \/>\n<label> Functie <span class=\"wpcf7-form-control-wrap\" data-name=\"your-role\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-role\" \/><\/span> <\/label><br \/>\n<label> Organisatie <span class=\"wpcf7-form-control-wrap\" data-name=\"your-organisation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-organisation\" \/><\/span> <\/label><br \/>\n<label> Je e-mailadres <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\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label><br \/>\n<label> Telefoon <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-699\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"telefoon\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-699\" \/><\/span> <\/label>\n<\/p>\n<p>Factuuradres:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-278\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-278\" value=\"Zelfde als huisadres\" \/><span class=\"wpcf7-list-item-label\">Zelfde als huisadres<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-278\" value=\"Anders, namelijk\" \/><span class=\"wpcf7-list-item-label\">Anders, namelijk<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-1\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-1\"><\/textarea><\/span>\n<\/p>\n<p>Ik schrijf mij in voor de volgende training:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-907\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-907\" value=\"Donderdag 25 juni 2026 van 09.30-16.30 uur\" \/><span class=\"wpcf7-list-item-label\">Donderdag 25 juni 2026 van 09.30-16.30 uur<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-907\" value=\"Dinsdag 15 september 2026 van 09.30-16.30 uur\" \/><span class=\"wpcf7-list-item-label\">Dinsdag 15 september 2026 van 09.30-16.30 uur<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Let op: de training gaat door bij minimaal 6 deelnemers. Je wordt hierover tijdig bericht.\n<\/p>\n<p>Je bericht (optioneel)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-37\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-37\"><\/textarea><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Verzenden\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"198\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Met dit formulier schrijf je je in voor de training (1 dag) &#8216;Meebewegen met dementie&#8217;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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