{"id":6593,"date":"2019-09-23T13:08:41","date_gmt":"2019-09-23T11:08:41","guid":{"rendered":"http:\/\/www.mindconnected.nl\/?page_id=6593"},"modified":"2026-08-28T16:02:05","modified_gmt":"2026-08-28T14:02:05","slug":"inschrijven","status":"publish","type":"page","link":"https:\/\/www.mindconnected.nl\/en\/mc-dance-centre-2\/inschrijven\/","title":{"rendered":"Inschrijven"},"content":{"rendered":"<section id=\"section_id-16593\" class=\"fw-main-row fw-section-no-padding\" style=\" \" >\n\t<div class=\"fw-col-inner fw-container\" >\n\t\t<div class=\"fw-row\">\n\t\n<div id=\"column-6ae43fcc19449\" class=\"fw-col-xs-12\" style=\" \">\n        <div class=\"fw-col-inner\" >\n\t\t\n\t<\/div>\n<\/div><\/div>\n\n<div class=\"fw-row\">\n\t\n<div id=\"column-6ae43fcc19fa3\" class=\"fw-col-xs-12 fw-col-sm-2\" style=\" \">\n        <div class=\"fw-col-inner\" >\n\t\t\t<\/div>\n<\/div>\n<div id=\"column-6ae43fcc1a2e7\" class=\"fw-col-xs-12 fw-col-sm-8\" style=\" \">\n        <div class=\"fw-col-inner\" >\n\t\t<div class=\"form-wrapper fw-contact-form contact-form\">\n\t<form data-fw-form-id=\"fw_form\" method=\"post\" action=\"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/pages\/6593\" class=\"fw_form_fw_form\" data-fw-ext-forms-type=\"contact-forms\" data-trp-original-action=\"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/pages\/6593\"  ><input type=\"hidden\" name=\"fwf\" value=\"fw_form\" \/><input type=\"hidden\" id=\"_nonce_e4936b5b7eb575d8371441da8e68c875\" name=\"_nonce_e4936b5b7eb575d8371441da8e68c875\" value=\"d70af7d81d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/6593\" \/><input type=\"hidden\" name=\"fw_ext_forms_form_type\" value=\"contact-forms\" \/><input type=\"hidden\" name=\"fw_ext_forms_form_id\" value=\"e36d6754578aac9535fd463b33d6c48c\" \/><div class=\"wrap-forms\">\n\t<div class=\"fw-row\"><\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-2\">Voornaam\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_e40fb35\" placeholder=\"Vul hier je voornaam in\" value=\"\" id=\"id-2\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-3\">Achternaam\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_1c2dc0c\" placeholder=\"Vul hier je achternaam in\" value=\"\" id=\"id-3\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-4\">Geslacht\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_b58c61e\" placeholder=\"Vul hier je geslacht in\" value=\"\" id=\"id-4\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-5\">Geboortedatum\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_780e703\" placeholder=\"DD\/MM\/JJJJ\" value=\"\" id=\"id-5\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 fw-col-sm-4 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-6\">Adres\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_3ad4afa\" placeholder=\"Vul hier je adres in\" value=\"\" id=\"id-6\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><div class=\"fw-col-xs-12 fw-col-sm-4 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-7\">Postcode\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_87a0d13\" placeholder=\"Vul hier je postcode in\" value=\"\" id=\"id-7\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><div class=\"fw-col-xs-12 fw-col-sm-3 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-8\">Woonplaats\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_451cdfc\" placeholder=\"Vul hier je woonplaats in\" value=\"\" id=\"id-8\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-9\">Telefoonnummer mobiel\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_cd141f7\" placeholder=\"Telefoonnummer (ouders\/verzorgers)\" value=\"\" id=\"id-9\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-10\">E-mail (ouders\/verzorgers)\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_f75fb63\" placeholder=\"e-mailadres (ouders\/verzorgers)\" value=\"\" id=\"id-10\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-11\">E-mail (ouders\/verzorgers) Bevestiging\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"email_c83de51\" placeholder=\"Herhaal e-mailadres\" value=\"\" id=\"id-11\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-12\">IBAN\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_d706466\" placeholder=\"Iban van de bankrekening waar ge\u00efncasseerd gaat worden\" value=\"\" id=\"id-12\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-13\">Tenaamstelling\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_6456625\" placeholder=\"Naam van de rekeninghouder\" value=\"\" id=\"id-13\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\">\t<div class=\"fw-col-xs-12 form-builder-item\">\n\t\t<div class=\"field-radio input-styled\">\n\t\t\t\t\t\t<label>Bij deze geef ik akkoord op het automatisch incasso van Mind Connected Dance Centre\t\t\t\t<sup>*<\/sup>\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"custom-radio field-columns-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"radio_bc14a90\" value=\"Ja\" id=\"rand-14\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-14\">Ja<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"fw-row\">\t<div class=\"fw-col-xs-12 form-builder-item\">\n\t\t<div class=\"field-checkbox input-styled\">\n\t\t\t\t\t\t<label>Ik schrijf mij of mijn kind in voor de volgende les op locatie Rotterdam:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"custom-checkbox field-columns-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Kleuterdans 4-5 jr, Dinsdag 16.00 *3kwartier Rotterdam\" id=\"rand-15\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-15\">Kleuterdans 4-5 jr, Dinsdag 16.00 *3kwartier Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Kinderballet 6-7 jr, Dinsdag 16.45 Rotterdam\" id=\"rand-16\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-16\">Kinderballet 6-7 jr, Dinsdag 16.45 Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Modern 8-12 jr, Dinsdag 18.00 Rotterdam\" id=\"rand-17\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-17\">Modern 8-12 jr, Dinsdag 18.00 Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Modern 12-16 jr - Dinsdag, 19.00 Rotterdam\" id=\"rand-18\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-18\">Modern 12-16 jr - Dinsdag, 19.00 Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Hiphop 10-12 jr - Donderdag, 17.30 Rotterdam\" id=\"rand-19\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-19\">Hiphop 10-12 jr - Donderdag, 17.30 Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Hiphop 12-14 jr - Donderdag, 18.30 Rotterdam\" id=\"rand-20\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-20\">Hiphop 12-14 jr - Donderdag, 18.30 Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Hiphop 15-18 jr - Donderdag 19.30 Rotterdam\" id=\"rand-21\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-21\">Hiphop 15-18 jr - Donderdag 19.30 Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_1110927[]\" value=\"Modern 18+ Volw. - Donderdag, 20.30 Rotterdam\" id=\"rand-22\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-22\">Modern 18+ Volw. - Donderdag, 20.30 Rotterdam<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"fw-row\">\t<div class=\"fw-col-xs-12 form-builder-item\">\n\t\t<div class=\"field-checkbox input-styled\">\n\t\t\t\t\t\t<label>Ik schrijf mij of mijn kind in voor de volgende dansles op locatie Houten:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"custom-checkbox field-columns-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Modern 8-12 jr - Maandag 16.15 Houten\" id=\"rand-23\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-23\">Modern 8-12 jr - Maandag 16.15 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Modern 13-15 jr - Maandag, 17.15 Houten\" id=\"rand-24\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-24\">Modern 13-15 jr - Maandag, 17.15 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Hiphop Str. 18+ adv. - Maandag, 18.15 Houten\" id=\"rand-25\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-25\">Hiphop Str. 18+ adv. - Maandag, 18.15 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Hiphop str. 9-10 jr - Dinsdag, 16.00 Houten\" id=\"rand-26\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-26\">Hiphop str. 9-10 jr - Dinsdag, 16.00 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Hiphop str. 11-12 jr - Dinsdag, 17.00 Houten\" id=\"rand-27\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-27\">Hiphop str. 11-12 jr - Dinsdag, 17.00 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Hiphop str. 13-14 jr - Dinsdag, 18.00 Houten\" id=\"rand-28\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-28\">Hiphop str. 13-14 jr - Dinsdag, 18.00 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Hiphop str. 15-18 jr - Dinsdag, 19.00 Houten\" id=\"rand-29\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-29\">Hiphop str. 15-18 jr - Dinsdag, 19.00 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Hiphop str. 16+ - Dinsdag, 20.00 Houten\" id=\"rand-30\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-30\">Hiphop str. 16+ - Dinsdag, 20.00 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Peuterdans 2,5-4 jr - Woensdag 15.00 Houten *3kwartier \" id=\"rand-31\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-31\">Peuterdans 2,5-4 jr - Woensdag 15.00 Houten *3kwartier <\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Kleuterdans 4-5 jr - Woensdag 15.45 Houten *3kwartier \" id=\"rand-32\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-32\">Kleuterdans 4-5 jr - Woensdag 15.45 Houten *3kwartier <\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Kinderballet 6-7 jr - Woensdag 16.30 Houten\" id=\"rand-33\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-33\">Kinderballet 6-7 jr - Woensdag 16.30 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Jazz 16+ (volw.) - Woensdag 18.00 Houten\" id=\"rand-34\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-34\">Jazz 16+ (volw.) - Woensdag 18.00 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Modern 18+ (volw.) - Woensdag 19.00 Houten\" id=\"rand-35\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-35\">Modern 18+ (volw.) - Woensdag 19.00 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Kleuterdans 4-5 jr - Vrijdag, 16.00 Houten *3 kwartier\" id=\"rand-36\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-36\">Kleuterdans 4-5 jr - Vrijdag, 16.00 Houten *3 kwartier<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Kinderballet 6-7 jr - Vrijdag 16.45 Houten\" id=\"rand-37\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-37\">Kinderballet 6-7 jr - Vrijdag 16.45 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Hiphop streetstyles 9-12 jr - Vrijdag 17.45 Houten\" id=\"rand-38\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-38\">Hiphop streetstyles 9-12 jr - Vrijdag 17.45 Houten<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"checkboxes_03c1101[]\" value=\"Pop up class - verschillende stijlen en docenten - vrijdag 19.30 Houten *1x per 2 weken\" id=\"rand-39\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-39\">Pop up class - verschillende stijlen en docenten - vrijdag 19.30 Houten *1x per 2 weken<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"fw-row\">\t<div class=\"fw-col-xs-12 form-builder-item\">\n\t\t<div class=\"field-radio input-styled\">\n\t\t\t\t\t\t<label>Ik betaal per\t\t\t\t<sup>*<\/sup>\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"custom-radio field-columns-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"radio_90a16be\" value=\"Jaar\" id=\"rand-40\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-40\">Jaar<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"radio_90a16be\" value=\"Maand\" id=\"rand-41\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-41\">Maand<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<p><em>Wij werken met een automatisch incasso.\r\nHet bovengenoemde mailadres gebruiken wij om de factuur heen te sturen.<\/em><\/p>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 form-builder-item\">\n\t<div class=\"field-text\">\n\t\t\t\t<label for=\"id-42\">Ik wil mij inschrijven vanaf\t\t\t<sup>*<\/sup>\t\t<\/label>\n\t\t\t\t<input type=\"text\" name=\"text_f2cd48a\" placeholder=\"DD\/MM\/JJJJ\" value=\"\" id=\"id-42\" required=\"required\" >\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 form-builder-item\">\n\t<div class=\"field-textarea\">\n\t\t\t\t<label for=\"id-43\">Opmerkingen\t\t\t\t\t<\/label>\n\t\t\t\t<textarea name=\"textarea_29da811\" placeholder=\"Zijn er nog dingen je graag wilt doorgeven aan ons?\" id=\"id-43\" ><\/textarea>\n\t\t\t<\/div>\n<\/div><\/div><div class=\"fw-row\">\t<div class=\"fw-col-xs-12 form-builder-item\">\n\t\t<div class=\"field-radio input-styled\">\n\t\t\t\t\t\t<label>Ik ga akkoord met de privacyverklaring en algemene voorwaarden.\t\t\t\t<sup>*<\/sup>\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"custom-radio field-columns-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"radio_5e963c4\" value=\"Ja\" id=\"rand-44\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-44\">Ja<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"fw-row\">\t<div class=\"fw-col-xs-12 form-builder-item\">\n\t\t<div class=\"field-radio input-styled\">\n\t\t\t\t\t\t<label>Ik geef toestemming aan Mind Connected voor het verwerken van bovenstaande gegevens.\t\t\t\t<sup>*<\/sup>\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"custom-radio field-columns-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"options\">\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"radio_a09aa30\" value=\"Ja\" id=\"rand-45\"  \/>\n\t\t\t\t\t\t\t<label for=\"rand-45\">Ja<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"fw-row\"><div class=\"fw-col-xs-12 fw-col-sm-6 form-builder-item\">\n\t<div class=\"field-recaptcha\">\n\t\t<label>Recaptcha<\/label>\n\t\t<input type=\"hidden\" name=\"recaptcha_c6a4766\">\n\t\t<div class=\"form-builder-item-recaptcha\" ><\/div>\n\t<\/div>\n<\/div><\/div><\/div><div>\n\t<input type=\"submit\" value=\"Verzenden\"\/>\n<\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>\t<\/div>\n<\/div>\n<div id=\"column-6ae43fcc1e35b\" class=\"fw-col-xs-12 fw-col-sm-2\" style=\" \">\n        <div class=\"fw-col-inner\" >\n\t\t\t<\/div>\n<\/div><\/div>\n\n\t<\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Voornaam * Achternaam * Geslacht * Geboortedatum * Adres * Postcode * Woonplaats * Telefoonnummer mobiel * E-mail (ouders\/verzorgers) * E-mail (ouders\/verzorgers) Bevestiging * IBAN * Tenaamstelling * Bij deze geef ik akkoord op het automatisch incasso van Mind Connected Dance Centre * Ja Ik schrijf mij of mijn kind [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":6583,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6593","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P9nNPq-1Il","jetpack_likes_enabled":true,"jetpack-related-posts":[],"brizy_media":[],"_links":{"self":[{"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/pages\/6593","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/comments?post=6593"}],"version-history":[{"count":76,"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/pages\/6593\/revisions"}],"predecessor-version":[{"id":8482,"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/pages\/6593\/revisions\/8482"}],"up":[{"embeddable":true,"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/pages\/6583"}],"wp:attachment":[{"href":"https:\/\/www.mindconnected.nl\/en\/wp-json\/wp\/v2\/media?parent=6593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}