{"id":6254,"date":"2020-08-30T13:44:10","date_gmt":"2020-08-30T12:44:10","guid":{"rendered":"https:\/\/www.dekoplopers.nl\/?page_id=6254"},"modified":"2025-12-13T21:59:11","modified_gmt":"2025-12-13T20:59:11","slug":"inschrijfformulier-kopjesloop","status":"publish","type":"page","link":"https:\/\/dekoplopers.nl\/en\/home\/evenementen\/inschrijfformulier-kopjesloop\/","title":{"rendered":"Inschrijfformulier Kopjesloop"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;kopjesloop formulier&#8221; _builder_version=&#8221;4.24.0&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;rgba(0,0,0,0.5) 0%|rgba(0,0,0,0) 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(0,0,0,0.5)&#8221; background_color_gradient_end=&#8221;rgba(0,0,0,0)&#8221; background_image=&#8221;https:\/\/dekoplopers.nl\/wp-content\/uploads\/running_image_24.webp&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;35px||113px|||&#8221; bottom_divider_style=&#8221;slant&#8221; bottom_divider_color=&#8221;#ffffff&#8221; bottom_divider_flip=&#8221;horizontal&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;top&#8221; animation_intensity_slide=&#8221;5%&#8221; animation_starting_opacity=&#8221;100%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;4.20.2&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; width=&#8221;90%&#8221; width_tablet=&#8221;90%&#8221; width_phone=&#8221;90%&#8221; width_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Kopjesloop formulier of gesloten tonen&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(255,255,255,0.68)&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;10px|10px|10px|10px|false|false&#8221; border_radii=&#8221;on|5px|5px|5px|5px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\"><b>Inschrijfformulier<\/b><strong> Kopjesloop<\/strong><\/h2>\n<div style=\"display:none\" class=\"fm-form-container fm-theme1\"><div id=\"fm-pages15\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form15\" action=\"\/en\/wp-json\/wp\/v2\/pages\/6254\" method=\"post\" id=\"form15\" class=\"fm-form form15  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"fm_page_id15\" value=\"6254\" name=\"fm_page_id15\" \/><input type=\"hidden\" id=\"fm_current_post_type15\" value=\"page\" name=\"fm_current_post_type15\" \/><input type=\"hidden\" id=\"counter15\" value=\"52\" name=\"counter15\" \/><input type=\"hidden\" id=\"Itemid15\" value=\"\" name=\"Itemid15\" \/><input type=\"hidden\" id=\"fm_shake15\" value=\"1\" name=\"fm_shake15\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation15\" value=\"\" name=\"fm_empty_field_validation15\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><input type=\"hidden\" id=\"fm_ajax_url15\" data-ajax_url=\"https:\/\/dekoplopers.nl\/wp-admin\/admin-ajax.php?action=fm_submit_form&current_id=15&formType=embedded\" \/><input type=\"hidden\" id=\"fm_ajax_redirect_url15\" data-ajax_redirect_url=\"0\" \/><input type=\"hidden\" id=\"fm_form_nonce15\" name=\"fm_form_nonce15\" value=\"7564903d20\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/6254\" \/><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"15form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"38\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>Om rijen bij de inschrijfbalie te voorkomen, vragen we je om het inschrijfgeld over te maken. Het inschrijfgeld voor de 5 km en 10 km bedraagt \u20ac 3,-.<br>Het inschrijfgeld voor de kinderloop is \u20ac1,-\u00a0 (svp bedrag\u00a0 aanpassen in betaalverzoek)<br>We hebben 3 mogelijkheden daarvoor, alvast bedankt!<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>1) Maak het over<br>op rekening <b>NL95 INGB 0003 1783 58\ufeff<\/b><br>ten name van <b>Atletiekvereniging De Koplopers<\/b><br>onder vermelding van <b>Kopjesloop <Maand>, achternaam en afstand<\/b><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"42\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>2) Of gebruik een directe link:\u00a0<br><a href=\"https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7\">https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7\ufeff<\/a><br><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"43\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>3) Of scan de QR-code met een algemene QR-app (niet met je bankieren-app):<br><a href=\"https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7\" data-mce-href=\"https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/dekoplopers.nl\/wp-content\/uploads\/kopjesloop\/Kopjesloop 14 juni 2026.png\" alt=\"ING Betaalverzoek\" width=\"200\" height=\"200\" data-mce-src=\"https:\/\/dekoplopers.nl\/wp-content\/uploads\/kopjesloop\/Kopjesloop 14 juni 2026.png\"><\/a><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"44\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><div class=\"wdform-section-break-div\" style=\"min-width: 300px; border-top:1px solid\"><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"45\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p>Vul alle velden hieronder in en druk tot slot op de knop 'Verzenden'. De met een * gemarkeerde velden dienen verplicht ingevuld te worden.<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"46\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-row\">\n    <label  class=\"wdform-label\">Ik heb het inschrijfgeld overgemaakt:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_46_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_46_element150\" name=\"wdform_46_element15\" value=\"Ja\" onclick=\"set_default(&quot;wdform_46&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_46_element150\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_46_element151\" name=\"wdform_46_element15\" value=\"Nee\" onclick=\"set_default(&quot;wdform_46&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_46_element151\"><span><\/span>Nee<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_name\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">\n    <label  for=\"wdform_4_element_first15\" class=\"wdform-label\">Naam<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_4_element_first15\" name=\"wdform_4_element_first15\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_4_element_first15\">Voornaam<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_4_element_last15\" name=\"wdform_4_element_last15\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_4_element_last15\">Achternaam<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-100 wdform_date_fields wd-flex-row\">\n    <label  for=\"wdform_5_day15\" class=\"wdform-label\">Geboortedatum<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_5_day15\" name=\"wdform_5_day15\" class=\"wdform_select_day\" style=\"width: 60px;\" ><option value=\"\"><\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><label for=\"wdform_5_day15\" class=\"mini_label\">dag<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_5_month15\" name=\"wdform_5_month15\" class=\"wdform_select_month\" style=\"width: 100px;\" ><option value=\"\"><\/option><option value=\"01\"   >January<\/option><option value=\"02\" >February<\/option><option value=\"03\" >March<\/option><option value=\"04\"  >April<\/option><option value=\"05\"  >May<\/option><option value=\"06\"  >June<\/option><option value=\"07\"  >July<\/option><option value=\"08\"  >August<\/option><option value=\"09\"  >September<\/option><option value=\"10\"  >October<\/option><option value=\"11\" >November<\/option><option value=\"12\"  >December<\/option><\/select><label for=\"wdform_5_month15\" class=\"mini_label\">maand<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_5_year15\" name=\"wdform_5_year15\"  from=\"1901\" to=\"2023\" class=\"wdform_select_year\" style=\"width: 80px;\" ><option value=\"\"><\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><\/select><label for=\"wdform_5_year15\" class=\"mini_label\">jaar<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">\n    <label  class=\"wdform-label\">Geslacht<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_6_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_6_element150\" name=\"wdform_6_element15\" value=\"Man\" onclick=\"set_default(&quot;wdform_6&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_6_element150\"><span><\/span>Man<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_6_element151\" name=\"wdform_6_element15\" value=\"Vrouw\" onclick=\"set_default(&quot;wdform_6&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_6_element151\"><span><\/span>Vrouw<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_address\" ><div class=\"wdform-label-section wd-width-30 wd-hidden wdform_address wd-flex-column\">\n    <label  for=\"wdform_7_street115\" class=\"wdform-label\">Adres<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-100\" ><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\" id=\"wdform_7_address_2\">\n                <input class=\"wd-width-100 wdform_7_address_2\" type=\"text\" id=\"wdform_7_city15\" name=\"wdform_9_city15\" value=\"\"  \/>\n                <label for=\"wdform_7_city15\" class=\"mini_label\">Plaats<\/label><\/span><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"14\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submitter_mail\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">\n    <label  for=\"wdform_14_element15\" class=\"wdform-label\">Email<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_14_element15\" name=\"wdform_14_element15\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('14', '15', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"17\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">\n    <label  for=\"wdform_17_element15\" class=\"wdform-label\">Vereninging<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"\n                           class=\"wd-width-100\"\n                           id=\"wdform_17_element15\"\n                           name=\"wdform_17_element15\"\n                           value=\"\"\n                           data-value=\"\"\n                           title=\"\"\n                           placeholder=\"\"\n                           \n                            \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"47\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-row\">\n    <label  class=\"wdform-label\">Afstand<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_47_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_47_element150\" name=\"wdform_47_element15\" value=\"5 km\" onclick=\"set_default(&quot;wdform_47&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_47_element150\"><span><\/span>5 km<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_47_element151\" name=\"wdform_47_element15\" value=\"10 km\" onclick=\"set_default(&quot;wdform_47&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_47_element151\"><span><\/span>10 km<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_47_element152\" name=\"wdform_47_element15\" value=\"1 km\" onclick=\"set_default(&quot;wdform_47&quot;,&quot;2&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_47_element152\"><span><\/span>1 km<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"51\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_own_select\" ><div class=\"wdform-label-section wd-width-100 wdform_select wd-flex-row\">\n    <label  for=\"wdform_51_element15\" class=\"wdform-label\">Ik wil me inschrijven voor de kopjesloop van<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-100\" ><select class=\"wd-width-100\" id=\"wdform_51_element15\" name=\"wdform_51_element15\" ><option value=\"14 juni\" selected=\"selected\">14 juni<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"20\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><div class=\"wdform-section-break-div\" style=\"min-width: 300px; border-top:1px solid\"><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"29\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100 \">\n    <label  for=\"wdform_29_element15\" class=\"wdform-label\">Toelichting\/opmerking<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 250px;\"><textarea class=\"wd-width-100\"\n                      id=\"wdform_29_element15\"\n                      name=\"wdform_29_element15\"\n                      placeholder=\"\"\n                      data-value=\"\"\n                      maxlength=\"\"\n                      style=\"height: 100px;\"\n                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"34\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><div class=\"wdform-section-break-div\" style=\"min-width: 300px; border-top:1px solid\"><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"31\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><b>Algemene Verordening Persoonsgegevens (AVG \/ GDPR)<\/b>\n\nAV De Koplopers: <b><a href=\"..\/privacy-policy\/#lid\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a><\/b>\n\nAtletiekunie: <b><a href=\"https:\/\/www.atletiekunie.nl\/privacy-statement\" target=\"_blank\" rel=\"noopener\">Privacy Statement<\/a><\/b><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"32\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">\n    <label  class=\"wdform-label\">Ik ga akkoord met de verwerking van persoonsgegevens door de vereniging zoals vastgelegd in de <a href=\"..\/privacy-policy\/#lid\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a> en door de bond zoals vastgelegd in het <a href=\"https:\/\/www.atletiekunie.nl\/privacy-statement\" target=\"_blank\" rel=\"noopener\">Privacy Statement<\/a><\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_32_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_32_element150\" name=\"wdform_32_element15\" value=\"Ja\" onclick=\"set_default(&quot;wdform_32&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_32_element150\"><span><\/span>Ja<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"33\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">\n    <label  class=\"wdform-label\">Ik ga akkoord met de publicatie van beeldmateriaal van het evenement<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_33_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_33_element150\" name=\"wdform_33_element15\" value=\"Ja\" onclick=\"set_default(&quot;wdform_33&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_33_element150\"><span><\/span>Ja<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset\" ><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('15');\"  data-ajax=\"1\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Submit<\/button><button  type=\"button\" class=\"button-reset \" onclick=\"fm_reset_form(15);\" >Wissen<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"15page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><input type=\"hidden\" name=\"fm-current-page\" value=\"https:\/\/dekoplopers.nl\/en\/wp-json\/wp\/v2\/pages\/6254\" \/><\/form><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Inschrijfformulier Kopjesloop <div style=\"display:none\" class=\"fm-form-container fm-theme1\"><div id=\"fm-pages15\" class=\"fm-pages wdform_page_navigation\" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form15\" action=\"\/en\/wp-json\/wp\/v2\/pages\/6254\" method=\"post\" id=\"form15\" class=\"fm-form form15\" enctype=\"multipart\/form-data\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/6254\"><input type=\"hidden\" id=\"fm_page_id15\" value=\"6254\" name=\"fm_page_id15\" \/><input type=\"hidden\" id=\"fm_current_post_type15\" value=\"page\" name=\"fm_current_post_type15\" \/><input type=\"hidden\" id=\"counter15\" value=\"52\" name=\"counter15\" \/><input type=\"hidden\" id=\"Itemid15\" value=\"\" name=\"Itemid15\" \/><input type=\"hidden\" id=\"fm_shake15\" value=\"1\" name=\"fm_shake15\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation15\" value=\"\" name=\"fm_empty_field_validation15\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><input type=\"hidden\" id=\"fm_ajax_url15\" data-ajax_url=\"https:\/\/dekoplopers.nl\/wp-admin\/admin-ajax.php?action=fm_submit_form&current_id=15&formType=embedded\" \/><input type=\"hidden\" id=\"fm_ajax_redirect_url15\" data-ajax_redirect_url=\"0\" \/><input type=\"hidden\" id=\"fm_form_nonce15\" name=\"fm_form_nonce15\" value=\"7564903d20\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/6254\" \/><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"15form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"38\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>Om rijen bij de inschrijfbalie te voorkomen, vragen we je om het inschrijfgeld over te maken. Het inschrijfgeld voor de 5 km en 10 km bedraagt \u20ac 3,-.<br>Het inschrijfgeld voor de kinderloop is \u20ac1,-\u00a0 (svp bedrag\u00a0 aanpassen in betaalverzoek)<br>We hebben 3 mogelijkheden daarvoor, alvast bedankt!<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>1) Maak het over<br>op rekening <b>NL95 INGB 0003 1783 58<\/b><br>ten name van <b>Atletiekvereniging De Koplopers<\/b><br>onder vermelding van <b>Kopjesloop <maand>, achternaam en afstand<\/b><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"42\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>2) Of gebruik een directe link:\u00a0<br><a href=\"https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7\">https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7<\/a><br><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"43\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p>3) Of scan de QR-code met een algemene QR-app (niet met je bankieren-app):<br><a href=\"https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7\" data-mce-href=\"https:\/\/www.ing.nl\/payreq\/m\/?trxid=R0zKyYDBOD0SISx1UZTcEEv0lqcA1hT7\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/dekoplopers.nl\/wp-content\/uploads\/kopjesloop\/Kopjesloop 14 juni 2026.png\" alt=\"ING Betaalverzoek\" width=\"200\" height=\"200\" data-mce-src=\"https:\/\/dekoplopers.nl\/wp-content\/uploads\/kopjesloop\/Kopjesloop 14 juni 2026.png\"><\/a><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"44\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><div class=\"wdform-section-break-div\" style=\"min-width: 300px; border-top:1px solid\"><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"45\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p>Vul alle velden hieronder in en druk tot slot op de knop 'Verzenden'. De met een * gemarkeerde velden dienen verplicht ingevuld te worden.<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"46\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-row\">\n    <label  class=\"wdform-label\">Ik heb het inschrijfgeld overgemaakt:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_46_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_46_element150\" name=\"wdform_46_element15\" value=\"Ja\" onclick=\"set_default(&quot;wdform_46&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_46_element150\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_46_element151\" name=\"wdform_46_element15\" value=\"Nee\" onclick=\"set_default(&quot;wdform_46&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_46_element151\"><span><\/span>Nee<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_name\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">\n    <label  for=\"wdform_4_element_first15\" class=\"wdform-label\">Naam<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_4_element_first15\" name=\"wdform_4_element_first15\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_4_element_first15\">Voornaam<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_4_element_last15\" name=\"wdform_4_element_last15\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_4_element_last15\">Achternaam<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-100 wdform_date_fields wd-flex-row\">\n    <label  for=\"wdform_5_day15\" class=\"wdform-label\">Geboortedatum<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_5_day15\" name=\"wdform_5_day15\" class=\"wdform_select_day\" style=\"width: 60px;\" ><option value=\"\"><\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><label for=\"wdform_5_day15\" class=\"mini_label\">dag<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_5_month15\" name=\"wdform_5_month15\" class=\"wdform_select_month\" style=\"width: 100px;\" ><option value=\"\"><\/option><option value=\"01\"   >January<\/option><option value=\"02\" >February<\/option><option value=\"03\" >March<\/option><option value=\"04\"  >April<\/option><option value=\"05\"  >May<\/option><option value=\"06\"  >June<\/option><option value=\"07\"  >July<\/option><option value=\"08\"  >August<\/option><option value=\"09\"  >September<\/option><option value=\"10\"  >October<\/option><option value=\"11\" >November<\/option><option value=\"12\"  >December<\/option><\/select><label for=\"wdform_5_month15\" class=\"mini_label\">maand<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_5_year15\" name=\"wdform_5_year15\"  from=\"1901\" to=\"2023\" class=\"wdform_select_year\" style=\"width: 80px;\" ><option value=\"\"><\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><\/select><label for=\"wdform_5_year15\" class=\"mini_label\">jaar<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">\n    <label  class=\"wdform-label\">Geslacht<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_6_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_6_element150\" name=\"wdform_6_element15\" value=\"Man\" onclick=\"set_default(&quot;wdform_6&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_6_element150\"><span><\/span>Man<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_6_element151\" name=\"wdform_6_element15\" value=\"Vrouw\" onclick=\"set_default(&quot;wdform_6&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_6_element151\"><span><\/span>Vrouw<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_address\" ><div class=\"wdform-label-section wd-width-30 wd-hidden wdform_address wd-flex-column\">\n    <label  for=\"wdform_7_street115\" class=\"wdform-label\">Adres<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-100\" ><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\" id=\"wdform_7_address_2\">\n                <input class=\"wd-width-100 wdform_7_address_2\" type=\"text\" id=\"wdform_7_city15\" name=\"wdform_9_city15\" value=\"\"  \/>\n                <label for=\"wdform_7_city15\" class=\"mini_label\">Plaats<\/label><\/span><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"14\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submitter_mail\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">\n    <label  for=\"wdform_14_element15\" class=\"wdform-label\">Email<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_14_element15\" name=\"wdform_14_element15\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('14', '15', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"17\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">\n    <label  for=\"wdform_17_element15\" class=\"wdform-label\">Vereninging<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"\n                           class=\"wd-width-100\"\n                           id=\"wdform_17_element15\"\n                           name=\"wdform_17_element15\"\n                           value=\"\"\n                           data-value=\"\"\n                           title=\"\"\n                           placeholder=\"\"\n                           \n                            \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"47\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-row\">\n    <label  class=\"wdform-label\">Afstand<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_47_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_47_element150\" name=\"wdform_47_element15\" value=\"5 km\" onclick=\"set_default(&quot;wdform_47&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_47_element150\"><span><\/span>5 km<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_47_element151\" name=\"wdform_47_element15\" value=\"10 km\" onclick=\"set_default(&quot;wdform_47&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_47_element151\"><span><\/span>10 km<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_47_element152\" name=\"wdform_47_element15\" value=\"1 km\" onclick=\"set_default(&quot;wdform_47&quot;,&quot;2&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_47_element152\"><span><\/span>1 km<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"51\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_own_select\" ><div class=\"wdform-label-section wd-width-100 wdform_select wd-flex-row\">\n    <label  for=\"wdform_51_element15\" class=\"wdform-label\">Ik wil me inschrijven voor de kopjesloop van<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-100\" ><select class=\"wd-width-100\" id=\"wdform_51_element15\" name=\"wdform_51_element15\" ><option value=\"14 juni\" selected=\"selected\">14 juni<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"20\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><div class=\"wdform-section-break-div\" style=\"min-width: 300px; border-top:1px solid\"><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"29\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100\">\n    <label  for=\"wdform_29_element15\" class=\"wdform-label\">Toelichting\/opmerking<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 250px;\"><textarea class=\"wd-width-100\"\n                      id=\"wdform_29_element15\"\n                      name=\"wdform_29_element15\"\n                      placeholder=\"\"\n                      data-value=\"\"\n                      maxlength=\"\"\n                      style=\"height: 100px;\"\n                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"34\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><div class=\"wdform-section-break-div\" style=\"min-width: 300px; border-top:1px solid\"><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"31\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><b>Algemene Verordening Persoonsgegevens (AVG \/ GDPR)<\/b>\n\nAV De Koplopers: <b><a href=\"..\/privacy-policy\/#lid\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a><\/b>\n\nAtletiekunie: <b><a href=\"https:\/\/www.atletiekunie.nl\/privacy-statement\" target=\"_blank\" rel=\"noopener\">Privacy Statement<\/a><\/b><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"32\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">\n    <label  class=\"wdform-label\">Ik ga akkoord met de verwerking van persoonsgegevens door de vereniging zoals vastgelegd in de <a href=\"..\/privacy-policy\/#lid\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a> en door de bond zoals vastgelegd in het <a href=\"https:\/\/www.atletiekunie.nl\/privacy-statement\" target=\"_blank\" rel=\"noopener\">Privacy Statement<\/a><\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_32_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_32_element150\" name=\"wdform_32_element15\" value=\"Ja\" onclick=\"set_default(&quot;wdform_32&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_32_element150\"><span><\/span>Ja<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"33\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">\n    <label  class=\"wdform-label\">Ik ga akkoord met de publicatie van beeldmateriaal van het evenement<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_33_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_33_element150\" name=\"wdform_33_element15\" value=\"Ja\" onclick=\"set_default(&quot;wdform_33&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_33_element150\"><span><\/span>Ja<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div 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value=\"en\"\/><\/form><\/div><\/p>","protected":false},"author":5,"featured_media":0,"parent":228498,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>[kl_kopjesloop_gesloten]<\/p><p><!-- Inschrijven is op dit moment niet mogelijk. --><\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-6254","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Inschrijfformulier Kopjesloop - Atletiek Vereniging De Koplopers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dekoplopers.nl\/en\/home\/evenementen\/inschrijfformulier-kopjesloop\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" 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