{"id":493,"date":"2024-02-28T17:05:44","date_gmt":"2024-02-28T16:05:44","guid":{"rendered":"https:\/\/dev.aszvspons.nl\/sign-up-for-the-breastcrawl-course\/"},"modified":"2024-04-30T15:54:23","modified_gmt":"2024-04-30T15:54:23","slug":"aanmelden-zwemcursus","status":"publish","type":"page","link":"https:\/\/aszvspons.nl\/en\/aanmelden-zwemcursus\/","title":{"rendered":"Sign up for the breastcrawl course"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 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xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/en\/wp-json\/wp\/v2\/pages\/493#gf_4' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_4_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_4_49\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_49'>LinkedIn<\/label><div class='gfield_description' id='gfield_description_4_49'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_49' id='input_4_49' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_4_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Personal information<\/h3><\/div><fieldset id=\"field_4_30\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_30'>\n                            \n                            <span id='input_4_30_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_4_30_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_30.3' id='input_4_30_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_4_30_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_4_30_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_30.6' id='input_4_30_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_4_12\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'>E-mail address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_4_12' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_31\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_31'>Phone number<\/label><div class='ginput_container ginput_container_phone'><input name='input_31' id='input_4_31' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_32\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_32'>Language<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_4_32' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select one...<\/option><option value='Nederlands' selected='selected'>Dutch<\/option><option value='English' >English<\/option><\/select><\/div><\/div><fieldset id=\"field_4_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Student status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_41'>You are a student if you can submit a Proof of Enrollment for the current academic year. PhDs do not count as students.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_41'>\n\t\t\t<div class='gchoice gchoice_4_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Ik ben student'  id='choice_4_41_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_41\"   \/>\n\t\t\t\t\t<label for='choice_4_41_0' id='label_4_41_0' class='gform-field-label gform-field-label--type-inline'>I am a student<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Ik ben geen student'  id='choice_4_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_41_1' id='label_4_41_1' class='gform-field-label gform-field-label--type-inline'>I am not a student<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Study<\/h3><\/div><fieldset id=\"field_4_43\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Educational institution<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_43'><div class='gchoice gchoice_4_43_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.1' type='checkbox'  value='Universiteit van Amsterdam'  id='choice_4_43_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_43_1' id='label_4_43_1' class='gform-field-label gform-field-label--type-inline'>University of Amsterdam<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_43_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.2' type='checkbox'  value='Vrije Universiteit'  id='choice_4_43_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_43_2' id='label_4_43_2' class='gform-field-label gform-field-label--type-inline'>Vrije Universiteit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_43_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.3' type='checkbox'  value='Hogeschool van Amsterdam'  id='choice_4_43_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_43_3' id='label_4_43_3' class='gform-field-label gform-field-label--type-inline'>Amsterdam University of Applied Sciences<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_43_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.4' type='checkbox'  value='Andere'  id='choice_4_43_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_43_4' id='label_4_43_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_5'>Other educational institution<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_4_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_33'>Student number UvA<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_4_33' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_36'>Student number VU<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_4_36' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_37'>Student number HvA<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_4_37' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_39\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_39'>Proof of Enrolment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_4_39'>Upload your proof of enrolment<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='16777216' \/><input name='input_39' id='input_4_39' type='file' class='large' aria-describedby=\"gfield_upload_rules_4_39 gfield_description_4_39\" onchange='javascript:gformValidateFileSize( this, 16777216 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_39'>Accepted file types: pdf, Max. file size: 16 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_39'><\/div> <\/div><\/div><fieldset id=\"field_4_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Upload PoE later<\/legend><div class='gfield_description' id='gfield_description_4_40'>Don't have your Proof of Enrollment at hand? You can also send it later.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_40'><div class='gchoice gchoice_4_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Ja'  id='choice_4_40_1'   aria-describedby=\"gfield_description_4_40\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_40_1' id='label_4_40_1' class='gform-field-label gform-field-label--type-inline'>I will upload my Proof of Enrollment later<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_42\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gf_alert_blue gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >You will receive an e-mail about uploading your Proof of Enrollment This has to be done <b>at leat two days before the start of the course<\/b>.<\/div><div id=\"field_4_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Swimming experience<\/h3><\/div><div id=\"field_4_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_9'>How much swimming experience do you have?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_4_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select one...<\/option><option value='Weinig\/geen' >Little\/none<\/option><option value='Gemiddeld' >Average<\/option><option value='Veel' >A lot<\/option><\/select><\/div><\/div><div id=\"field_4_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_13'>Engels What goal do you want to achieve with this course?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_4_13' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_4_29' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page' data-js='page-field-id-29' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_4_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Privacy Policy<\/h3><\/div><div id=\"field_4_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >A.S.Z.V. SPONS needs this information to complete your registration. The purpose of registration is to be able to check attendance and communicate with you about the activity. To comply with the General Data Protection Regulation (GDPR), we require your consent for this processing. For a full explanation of what we do with the data, your rights and the procedure for access, deletion, and changes can be found <a href=\"https:\/\/www.aszvspons.nl\/over-spons\/privacy\">here<\/a>.<\/div><fieldset id=\"field_4_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Ja, ik ga akkoord met de verwerking van mijn gegevens<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_25'><div class='gchoice gchoice_4_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Ja, ik ga akkoord met de verwerking van mijn gegevens'  id='choice_4_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_25_1' id='label_4_25_1' class='gform-field-label gform-field-label--type-inline'>Ja, ik ga akkoord met de verwerking van mijn gegevens<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Terms and Conditions<\/h3><\/div><fieldset id=\"field_4_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Agreement to Terms and Conditions<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_27'><div class='gchoice gchoice_4_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Ja, ik ga akkoord met de &lt;a href=&quot;aszvspons.nl\/algemene-voorwaarden\/&quot;&gt;algemene voorwaarden&lt;\/a&gt;'  id='choice_4_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_27_1' id='label_4_27_1' class='gform-field-label gform-field-label--type-inline'>Yes, I agree with the <a href=\"aszvspons.nl\/algemene-voorwaarden\/\">Terms and Conditions <\/a><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_15\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Payment<\/h3><\/div><fieldset id=\"field_4_46\" class=\"gfield gfield--type-image_choice gfield--type-choice gfield--image-choice-appearance-card gfield--image-choice-style-square gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Badmuts<\/legend><div class='ginput_container ginput_container_checkbox ginput_container_image_choice ginput_container_image_choice--label-show ginput_container_image_choice--input-show'><div class=\"gfield_checkbox\" id=\"input_4_46\"><div class='gchoice gchoice_4_46_1'>\n\t\t\t\t\t<span class='gfield-image-choice-wrapper-outer'>\n\t\t\t\t\t\t<div class=\"gfield-choice-image-wrapper\"><img fetchpriority=\"high\" decoding=\"async\" width=\"354\" height=\"236\" src=\"https:\/\/aszvspons.nl\/wp-content\/uploads\/2024\/04\/Untitled.jpg\" class=\"gfield-choice-image\" alt=\"Image for choice number 1\" id=\"gchoice_image_4_46_1\" loading=\"false\" srcset=\"https:\/\/aszvspons.nl\/wp-content\/uploads\/2024\/04\/Untitled.jpg 354w, https:\/\/aszvspons.nl\/wp-content\/uploads\/2024\/04\/Untitled-300x200.jpg 300w\" sizes=\"(max-width: 354px) 100vw, 354px\" \/><\/div>\n\t\t\t\t\t\t<span class='gfield-image-choice-wrapper-inner'>\n\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.1' type='checkbox'  value='Ja'  id='choice_4_46_1'   aria-describedby=\"gchoice_image_4_46_1\"\/>\n\t\t\t\t\t\t\t<label for='choice_4_46_1' id='label_4_46_1' class='gform-field-label gform-field-label--type-inline'>\n\t\t\t\t\t\t\t\tJa, ik wil een SPONS badmuts (\u20ac11)\n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_47\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_4_47 gfield_product_4_47 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_4_47_1'>SPONS Badmuts<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_47.1' value='SPONS Badmuts' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_4_47' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_4_47' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_47.2' id='ginput_base_price_4_47' value='&#8364; 11,00' aria-label='SPONS Badmuts Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_47.3' value='1' class='ginput_quantity_4_47 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_4_20\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_4_20 gfield_product_4_20 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_4_20_1'>Swimming course student<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_20.1' value='Swimming course student' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_4_20' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_4_20' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_20.2' id='ginput_base_price_4_20' value='&#8364; 43,00' aria-label='Swimming course student Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_20.3' value='1' class='ginput_quantity_4_20 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_4_21\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_4_21 gfield_product_4_21 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_4_21_1'>Swimming course non-student<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_21.1' value='Swimming course non-student' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_4_21' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_4_21' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_21.2' id='ginput_base_price_4_21' value='&#8364; 60,00' aria-label='Swimming course non-student Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_21.3' value='1' class='ginput_quantity_4_21 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_4_48\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_4_48 gfield_product_4_48 field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_4_48_1'>Borg toegangsbandje<\/label><div class='gfield_description' id='gfield_description_4_48'>Borg toegangsbandje<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_48.1' value='Borg toegangsbandje' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_4_48' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_4_48' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_48.2' id='ginput_base_price_4_48' value='&#8364; 10,00' aria-label='Borg toegangsbandje Price' aria-describedby=\"gfield_description_4_48\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_48.3' value='1' class='ginput_quantity_4_48 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_4_44\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_4_44 gfield_product_4_44 field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_4_44_1'>Transactiekosten<\/label><div class='gfield_description' id='gfield_description_4_44'>Transactiekosten<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_44.1' value='Transactiekosten' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_4_44' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_4_44' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_44.2' id='ginput_base_price_4_44' value='&#8364; 0,32' aria-label='Transactiekosten Price' aria-describedby=\"gfield_description_4_44\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_44.3' value='1' class='ginput_quantity_4_44 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_4_18\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_4_ gfield_total gfield_total_4_ field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_4_18'>Total amount<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_18' id='input_4_18' value='&#8364; 0,00' class='gform-text-input-reset ginput_total ginput_total_4' \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_4_22\" class=\"gfield gfield--type-mollie gfield--input-type-mollie gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield_mollie\"  data-field-class=\"gfield_mollie\" ><legend class='gfield_label gfield_label_before_complex gfield_label_mollie gform-field-label'  >Payment method<\/legend><div class='ginput_container ginput_container_select ginput_mollie_payment_method' ><select name='input_22.6' id='input_4_22' class='medium gfield_select' ><option value='ideal' >iDEAL | Wero<\/option><\/select><\/div><div class='ginput_complex ginput_container ginput_container_mollie_components gform-grid-row' id='input_4_22' style=\"display: none;\"><span class='ginput_full gform-grid-col' id='input_4_22_1_container'>\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_4_22_supported_creditcards'>Supported Credit Cards: American Express, MasterCard, Visa<\/span><\/div>\n                                    <label for='input_4_22_1' id='input_4_22_1_label'  class='gform-field-label gform-field-label--type-sub'>Card Number<\/label>\n                                    <span id='input_4_22_1' class='ginput_card_field ginput_card_number gform-theme-field-control'><\/span>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_4_22_2_container'>\n                                            <span class='ginput_cardinfo_left gform-grid-col' id='input_4_22_2_cardinfo_left'>\n                                                <label for='input_4_22_2'  class='gform-field-label gform-field-label--type-sub'>Expiration Date<\/label>\n                                                <span id='input_4_22_2' class='ginput_card_field ginput_card_expiration gform-theme-field-control'><\/span>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_4_22_2_cardinfo_right gform-theme-field-control'>\n                                                <label for='input_4_22_3'  class='gform-field-label gform-field-label--type-sub'>Security Code<\/label>\n                                                <span id='input_4_22_3' class='ginput_card_field ginput_card_security_code gform-theme-field-control'><\/span>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_4_22_5_container'>\n                                            <label for='input_4_22_5' id='input_4_22_5_label'  class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\n                                            <span id='input_4_22_5' class='ginput_card_field ginput_card_name gform-theme-field-control'><\/span>\n                                        <\/span> <\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_4' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='pI1R0vuCj7uhT1\/NAEReaFVPX7M5MCKbFUHmY3G7RZQqSipplpINv4GsXxVg5li8eEtEG5oNCNvb+LLrc4WoqPPgjpWsvuPypvciiShDzUEf3X4=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' 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