{"id":1029,"date":"2026-07-05T17:19:18","date_gmt":"2026-07-05T17:19:18","guid":{"rendered":"http:\/\/specialdeathcare.nl\/?page_id=1029"},"modified":"2026-07-05T17:19:19","modified_gmt":"2026-07-05T17:19:19","slug":"formulier-aanmelden-les","status":"publish","type":"page","link":"http:\/\/specialdeathcare.nl\/?page_id=1029","title":{"rendered":"Formulier aanmelden les"},"content":{"rendered":"\n<h2 class=\"wp-block-heading has-text-align-center\">Aanmelden voor de les<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Vul hieronder alle gegevens in voor het aanmelden voor de gewenste les of lessen:<\/p>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-799a22f7-c6c8-49b8-aef4-7da643ce42a3 wpforms-render-modern\" id=\"wpforms-1014\"><form id=\"wpforms-form-1014\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1014\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1029\" data-token=\"d156ee91b86deaa274e92684ae696159\" data-token-time=\"1783367230\"><noscript class=\"wpforms-error-noscript\">Schakel JavaScript in je browser in om dit formulier in te vullen.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Schakel JavaScript in je browser in om dit formulier in te vullen.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1014-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Aanmelden voor de Klinische les A (basis):<\/legend><ul id=\"wpforms-1014-field_13\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1014-field_13_1\" name=\"wpforms[fields][13]\" value=\"Zaterdag 19 September 2026 Zuidlaren\" aria-errormessage=\"wpforms-1014-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1014-field_13_1\">Zaterdag 19 September 2026 Zuidlaren<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1014-field_13_5\" name=\"wpforms[fields][13]\" value=\"Zaterdag 30 Januari 2027 Zuidlaren\" aria-errormessage=\"wpforms-1014-field_13_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1014-field_13_5\">Zaterdag 30 Januari 2027 Zuidlaren<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1014-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Aanmelden voor de Klinische les B (vervolg):<\/legend><ul id=\"wpforms-1014-field_14\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1014-field_14_1\" name=\"wpforms[fields][14]\" value=\"Zaterdag 6 Februari 2027 Zuidlaren\" aria-errormessage=\"wpforms-1014-field_14_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1014-field_14_1\">Zaterdag 6 Februari 2027 Zuidlaren<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1014-field_14_2\" name=\"wpforms[fields][14]\" value=\"Zaterdag 3 Oktober 2026 Zuidlaren\" aria-errormessage=\"wpforms-1014-field_14_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1014-field_14_2\">Zaterdag 3 Oktober 2026 Zuidlaren<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1014-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Aanmelden voor de Combi cursus &#8211; Camouflage make-up &amp; Airbrush cursus:<\/legend><ul id=\"wpforms-1014-field_15\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1014-field_15_1\" name=\"wpforms[fields][15]\" value=\"Zaterdag 28 November 2026 Zuidlaren\" aria-errormessage=\"wpforms-1014-field_15_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1014-field_15_1\">Zaterdag 28 November 2026 Zuidlaren<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1014-field_15_2\" name=\"wpforms[fields][15]\" value=\"Zaterdag 22 Mei 2027 Zuidlaren\" aria-errormessage=\"wpforms-1014-field_15_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1014-field_15_2\">Zaterdag 22 Mei 2027 Zuidlaren<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1014-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Naam <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-1014-field_1-error\" aria-describedby=\"wpforms-1014-field_1-description\" required><label for=\"wpforms-1014-field_1\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-1014-field_1-last-error\" aria-describedby=\"wpforms-1014-field_1-description\" required><label for=\"wpforms-1014-field_1-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><div id=\"wpforms-1014-field_1-description\" class=\"wpforms-field-description\">(wanneer je meerdere personen aanmeldt graag alle voor- en achternamen doorgeven)<\/div><\/fieldset><\/div><div id=\"wpforms-1014-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Naam<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_9\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][9][first]\" aria-errormessage=\"wpforms-1014-field_9-error\" ><label for=\"wpforms-1014-field_9\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_9-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][9][last]\" aria-errormessage=\"wpforms-1014-field_9-last-error\" ><label for=\"wpforms-1014-field_9-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1014-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Naam<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_10\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][10][first]\" aria-errormessage=\"wpforms-1014-field_10-error\" ><label for=\"wpforms-1014-field_10\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_10-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][10][last]\" aria-errormessage=\"wpforms-1014-field_10-last-error\" ><label for=\"wpforms-1014-field_10-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1014-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Naam<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_11\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][11][first]\" aria-errormessage=\"wpforms-1014-field_11-error\" ><label for=\"wpforms-1014-field_11\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_11-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][11][last]\" aria-errormessage=\"wpforms-1014-field_11-last-error\" ><label for=\"wpforms-1014-field_11-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1014-field_12-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Naam<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_12\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][12][first]\" aria-errormessage=\"wpforms-1014-field_12-error\" ><label for=\"wpforms-1014-field_12\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1014-field_12-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][12][last]\" aria-errormessage=\"wpforms-1014-field_12-last-error\" ><label for=\"wpforms-1014-field_12-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1014-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1014-field_2\">Straatnaam &amp; Huisnummer <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1014-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-1014-field_2-error\" required><\/div><div id=\"wpforms-1014-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1014-field_3\">Postcode &amp; Woonplaats <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1014-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-1014-field_3-error\" required><\/div><div id=\"wpforms-1014-field_4-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1014-field_4\">Telefoonnummer <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1014-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" step=\"any\" aria-errormessage=\"wpforms-1014-field_4-error\" required><\/div><div id=\"wpforms-1014-field_5-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1014-field_5\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1014-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1014-field_5-error\" required><\/div><div id=\"wpforms-1014-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1014-field_6\">SKU\/NaVU-registratienummer:<\/label><input type=\"text\" id=\"wpforms-1014-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-1014-field_6-error\" aria-describedby=\"wpforms-1014-field_6-description\" ><div id=\"wpforms-1014-field_6-description\" class=\"wpforms-field-description\">(alleen indien u register uitvaartverzorger bent, zonder dit nummer kunnen wij uw aanwezigheid niet verwerken):<\/div><\/div><div id=\"wpforms-1014-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1014-field_7\">We zouden het leuk vinden wanneer u aan ons laat weten hoe u ons heeft gevonden: <\/label><input type=\"text\" id=\"wpforms-1014-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-1014-field_7-error\" aria-describedby=\"wpforms-1014-field_7-description\" ><div id=\"wpforms-1014-field_7-description\" class=\"wpforms-field-description\">* Afzeggen voor de cursus kan tot uiterlijk 3 weken op voorhand.\nVoor afzeggingen binnen 3 weken, of zonder berichtgeving afwezig op de lesdag, ongeacht de reden, wordt \u20ac20,- voor een Klinische les | \u20ac50,- voor een Camouflage les | \u20ac100,- voor een Airbrush cursus per persoon in rekening gebracht of je kunt een plaatsvervanger doorgeven. Dit in verband met de door ons reeds gemaakte kosten zoals catering\/zaalhuur en inkomstenderving omdat je met jouw afzegging de deelname voor een eventuele andere cursist ontneemt.<\/div><\/div>\t\t<div id=\"wpforms-1014-field_8-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"8\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-1014-field_8\" >Combi de Straatnaam<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-1014-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-1014-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1014-field_16\">Opmerkingen<\/label><textarea id=\"wpforms-1014-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-1014-field_16-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-1014-field_8-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-1014-field_8-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-1014-field_8-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1014\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"http:\/\/specialdeathcare.nl\/index.php?rest_route=\/wp\/v2\/pages\/1029\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1014\" class=\"wpforms-submit\" data-alt-text=\"Verzenden...\" data-submit-text=\"Opgeven\" aria-live=\"assertive\" value=\"wpforms-submit\">Opgeven<\/button><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/specialdeathcare.nl\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Aan het laden\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Aanmelden voor de les Vul hieronder alle gegevens in voor het aanmelden voor de gewenste les of lessen:<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1029","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=\/wp\/v2\/pages\/1029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1029"}],"version-history":[{"count":1,"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=\/wp\/v2\/pages\/1029\/revisions"}],"predecessor-version":[{"id":1030,"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=\/wp\/v2\/pages\/1029\/revisions\/1030"}],"wp:attachment":[{"href":"http:\/\/specialdeathcare.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}