{"id":5409,"date":"2024-12-11T21:23:36","date_gmt":"2024-12-11T20:23:36","guid":{"rendered":"https:\/\/www.sterrenkunde.nl\/jwg\/?page_id=5409"},"modified":"2025-11-24T14:39:57","modified_gmt":"2025-11-24T13:39:57","slug":"laka-aanmeldingsformulier","status":"publish","type":"page","link":"https:\/\/www.sterrenkunde.nl\/jwg\/laka-aanmeldingsformulier\/","title":{"rendered":"LAKa Aanmeldingsformulier"},"content":{"rendered":"\n<p>Het kamp is helaas vol! Het is dus niet meer mogelijk om zich aan te melden.<\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-af8b835d-8eef-4bb3-875d-242b39a63a0a\" id=\"wpforms-4925\"><form id=\"wpforms-form-4925\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4925\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/jwg\/wp-json\/wp\/v2\/pages\/5409\" data-token=\"719702dad5fc605a2752ddf4c096febb\" data-token-time=\"1777617369\"><noscript class=\"wpforms-error-noscript\">Schakel JavaScript in je browser in om dit formulier in te vullen.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-4925-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Naam deelnemer <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4925-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" required><label for=\"wpforms-4925-field_2\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-4925-field_2-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][2][middle]\" ><label for=\"wpforms-4925-field_2-middle\" class=\"wpforms-field-sublabel after\">Tussenvoegsel<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4925-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" required><label for=\"wpforms-4925-field_2-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/div><div id=\"wpforms-4925-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_3\">Geboortedatum deelnemer <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-4925-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_12\">JWG-lidmaatschap deelnemer <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-4925-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"Deelnemer is lid van de JWG\"  class=\"choice-1 depth-1\"  >Deelnemer is lid van de JWG<\/option><option value=\"Deelnemer is geen lid van de JWG, maar iemand uit het gezin is dat wel\"  class=\"choice-2 depth-1\"  >Deelnemer is geen lid van de JWG, maar iemand uit het gezin is dat wel<\/option><option value=\"Niemand in het gezin is lid van de JWG\"  class=\"choice-3 depth-1\"  >Niemand in het gezin is lid van de JWG<\/option><\/select><\/div><div id=\"wpforms-4925-field_11-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_11\">Geslacht deelnemer <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-4925-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Maak een keuze<\/option><option value=\"Non-binair \/ Anders\"  class=\"choice-3 depth-1\"  >Non-binair \/ Anders<\/option><option value=\"Jongen\"  class=\"choice-1 depth-1\"  >Jongen<\/option><option value=\"Meisje\"  class=\"choice-2 depth-1\"  >Meisje<\/option><\/select><\/div><div id=\"wpforms-4925-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_4\">Naam ouder\/verzorger <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-4925-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_5\">Adres ouder\/verzorger <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-4925-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_6\">Postcode ouder\/verzorger <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-4925-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_14\">Woonplaats ouder\/verzorger <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><div id=\"wpforms-4925-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_10\">Telefoonnummer ouder\/verzorger <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-4925-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_13\">E-mailadres ouder\/verzorger <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4925-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" spellcheck=\"false\" required><div class=\"wpforms-field-description\">Op dit e-mailadres zul je onder andere praktische informatie over het kamp ontvangen.<\/div><\/div><div id=\"wpforms-4925-field_16-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"16\"><label class=\"wpforms-field-label\">Tweede contactpersoon voor noodgevallen <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4925-field_16\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][16][first]\" required><label for=\"wpforms-4925-field_16\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-4925-field_16-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][16][middle]\" ><label for=\"wpforms-4925-field_16-middle\" class=\"wpforms-field-sublabel after\">Tussenvoegsel<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4925-field_16-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][16][last]\" required><label for=\"wpforms-4925-field_16-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><div class=\"wpforms-field-description\">Tijdens het kamp moet er iemand bereikbaar zijn voor de leiding. Indien wij in noodgevallen niemand kunnen bereiken op het eerste adres, zullen wij de contactpersoon in noodgevallen proberen. Vul hier dus andere contactgegevens in.<\/div><\/div><div id=\"wpforms-4925-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_17\">Adres tweede contactpersoon voor noodgevallen <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-4925-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_18\">Postcode tweede contactpersoon voor noodgevallen <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/div><div id=\"wpforms-4925-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_19\">Woonplaats tweede contactpersoon voor noodgevallen <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-4925-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_20\">Telefoonnummer tweede contactpersoon voor noodgevallen <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/div><div id=\"wpforms-4925-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_21\">Zorgverzekeraar deelnemer <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4925-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\">Graag weten we waar de deelnemer verzekerd is voor de ziektekosten. Mochten we tijdens kamp met de deelnemer naar een zorgverlener moeten, dan kunnen we deze informatie doorgeven.<\/div><\/div><div id=\"wpforms-4925-field_22-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_22\">Polisnummer zorgverzekering deelnemer <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4925-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" step=\"any\" required><\/div><div id=\"wpforms-4925-field_25-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_25\">Medische aandachtspunten <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-4925-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" placeholder=\"We vragen je vriendelijk om hier \u00e1lle relevante informatie op te geven. Ook als je deze al voor een eerder kamp of andere activiteit hebt opgegeven. Deze informatie mag namelijk niet zomaar tussen de verschillende onderdelen van de JWG worden uitgewisseld. En we willen graag zeker weten dat we \u00e1lle relevante informatie hebben!\" required><\/textarea><div class=\"wpforms-field-description\">Indien niet van toepassing &#8220;n.v.t.&#8221; invullen. Denk hierbij aan medicijnen en allergie\u00ebn, maar bijvoorbeeld ook een fysieke beperking of autisme.<\/div><\/div><div id=\"wpforms-4925-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_24\">Dieetwensen en allergie\u00ebn <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-4925-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" placeholder=\"We vragen je vriendelijk om hier \u00e1lle relevante informatie op te geven. Ook als je deze al voor een eerder kamp of andere activiteit hebt opgegeven. Deze informatie mag namelijk niet zomaar tussen de verschillende onderdelen van de JWG worden uitgewisseld. En we willen graag zeker weten dat we \u00e1lle relevante informatie hebben!\" required><\/textarea><div class=\"wpforms-field-description\">Indien niet van toepassing &#8220;n.v.t.&#8221; invullen. Wij houden hier in principe (zonder tegenbericht) rekening mee. Denk aan: vegetari\u00ebr, veganist, halal, gluten, lactose, etc.<\/div><\/div><div id=\"wpforms-4925-field_26-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-4925-field_26\">Overige opmerkingen<\/label><textarea id=\"wpforms-4925-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-hcaptcha\" ><div class=\"h-captcha\" data-sitekey=\"faa88c20-7d51-4fd8-8d2b-3597cd0068ee\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-hcaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4925\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/pages\/5409\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4925\" class=\"wpforms-submit\" data-alt-text=\"Verzenden...\" data-submit-text=\"Verzend\" aria-live=\"assertive\" value=\"wpforms-submit\">Verzend<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.sterrenkunde.nl\/jwg\/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 -->","protected":false},"excerpt":{"rendered":"<p>Het kamp is helaas vol! Het is dus niet meer mogelijk om zich aan te melden.<\/p>\n","protected":false},"author":44,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5409","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/pages\/5409","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/comments?post=5409"}],"version-history":[{"count":4,"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/pages\/5409\/revisions"}],"predecessor-version":[{"id":6116,"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/pages\/5409\/revisions\/6116"}],"wp:attachment":[{"href":"https:\/\/www.sterrenkunde.nl\/jwg\/wp-json\/wp\/v2\/media?parent=5409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}