{"id":13969,"date":"2026-08-25T13:42:00","date_gmt":"2026-08-25T12:42:00","guid":{"rendered":"https:\/\/www.kinderopvanglittlepeople.nl\/?page_id=13969"},"modified":"2026-08-25T13:42:00","modified_gmt":"2026-08-25T12:42:00","slug":"aanmeldfomulier-brcks","status":"publish","type":"page","link":"https:\/\/www.kinderopvanglittlepeople.nl\/de\/aanmeldfomulier-brcks\/","title":{"rendered":"Anmeldeformular BR!CKS"},"content":{"rendered":"\n\n\t\n\t\n    <link rel='stylesheet' id='formidable-css' href='https:\/\/www.kinderopvanglittlepeople.nl\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=721847' media='all' \/>\n<form enctype=\"multipart\/form-data\" method=\"post\" id=\"form_id5\" data-token=\"a2e7cb9bc27cb8837b788ed8d4605fbb\">\n<fieldset>\n<legend>BR!CKS aanmeldformulier<\/legend>\n<h3>BR!CKS aanmeldformulier<\/h3>\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"id5\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"b1071bdd6b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/?page_id=13969&#038;fl_builder\" \/>&nbsp;\n<p>Indien afkomstig van een andere school:<\/p>\n<p>&nbsp;<\/p>\n\t<label for=\"field_r553r\" id=\"field_r553r_label\">Naam school van herkomst\n\t<\/label>\n\t<input type=\"text\" id=\"field_r553r\" name=\"item_meta[69]\" value=\"\"  data-invmsg=\"Naam school van herkomst is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_xkugr\" id=\"field_xkugr_label\">Plaats school van herkomst\n\t<\/label>\n\t<input type=\"text\" id=\"field_xkugr\" name=\"item_meta[70]\" value=\"\"  data-invmsg=\"Plaats school van herkomst is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_htm9n\" id=\"field_htm9n_label\">Volgt onderwijs sinds (dd-mm-jj)\n\t<\/label>\n\t<input type=\"text\" id=\"field_htm9n\" name=\"item_meta[73]\" value=\"\"  data-invmsg=\"Volgt onderwijs sinds (dd-mm-jj) is ongeldig\" aria-invalid=\"false\"   \/>\n&nbsp;\n<h1>Gezin<\/h1>\n<p>&nbsp;<\/p>\n\t\t\t\t\t\t<label  for=\"field_mk2nf-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[75][]\" id=\"field_mk2nf-0\" value=\"\u00e9\u00e9n-ouder gezin\"  data-invmsg=\"Dit veld is ongeldig\" aria-describedby=\"frm_desc_field_mk2nf\"   \/> \u00e9\u00e9n-ouder gezin<\/label>\n\t\t\t\t\t<label  for=\"field_mk2nf-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[75][]\" id=\"field_mk2nf-1\" value=\"Twee-ouder gezin\"  data-invmsg=\"Dit veld is ongeldig\" aria-describedby=\"frm_desc_field_mk2nf\"   \/> Twee-ouder gezin<\/label>\n\t\t\t\t\t<label  for=\"field_mk2nf-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[75][]\" id=\"field_mk2nf-2\" value=\"Co-ouderschap\"  data-invmsg=\"Dit veld is ongeldig\" aria-describedby=\"frm_desc_field_mk2nf\"   \/> Co-ouderschap<\/label>\n\t\t\t\t\t<label  for=\"field_mk2nf-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[75][]\" id=\"field_mk2nf-3\" value=\"Voogd\"  data-invmsg=\"Dit veld is ongeldig\" aria-describedby=\"frm_desc_field_mk2nf\"   \/> Voogd<\/label>\n\t\t\t\t\t<label  for=\"field_mk2nf-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[75][]\" id=\"field_mk2nf-4\" value=\"Omgangsregeling\"  data-invmsg=\"Dit veld is ongeldig\" aria-describedby=\"frm_desc_field_mk2nf\"   \/> Omgangsregeling<\/label>\n\t\t\t\t\t<label  for=\"field_mk2nf-other_6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[75][other_6]\" id=\"field_mk2nf-other_6\" value=\"Geloofsovertuiging\"  data-invmsg=\"Dit veld is ongeldig\" aria-describedby=\"frm_desc_field_mk2nf\"   \/> Geloofsovertuiging<\/label><label for=\"field_mk2nf-other_6-otext\">Geloofsovertuiging<\/label><input type=\"text\" id=\"field_mk2nf-other_6-otext\"  name=\"item_meta[other][75][other_6]\" value=\"\" aria-describedby=\"frm_desc_field_mk2nf\" \/>\n\t*Niet verplicht. Omdat dit van invloed kan zijn op uw kind, stellen we het op prijs als u dit wilt invullen. We kunnen er dan zo nodig rekening mee houden. \n\t<label for=\"field_o6qbl\" id=\"field_o6qbl_label\">Broers\/zussen\n\t<\/label>\n\t<input type=\"text\" id=\"field_o6qbl\" name=\"item_meta[76]\" value=\"\"  placeholder=\"Naam en geb. datum\" data-invmsg=\"Broers\/zussen is ongeldig\" aria-invalid=\"false\"   \/>\n\t\t\t\t\t\t<label  for=\"field_yljjp-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[77][]\" id=\"field_yljjp-0\" value=\"Zelfde school\"  data-invmsg=\"Dit veld is ongeldig\"   \/> Zelfde school<\/label>\n\t<label for=\"field_h2y3p\" id=\"field_h2y3p_label\">Broers\/zussen\n\t<\/label>\n\t<input type=\"text\" id=\"field_h2y3p\" name=\"item_meta[79]\" value=\"\"  placeholder=\"Naam en geb. datum\" data-invmsg=\"Broers\/zussen is ongeldig\" aria-invalid=\"false\"   \/>\n\t\t\t\t\t\t<label  for=\"field_vf8we-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[80][]\" id=\"field_vf8we-0\" value=\"Zelfde school\"  data-invmsg=\"Dit veld is ongeldig\"   \/> Zelfde school<\/label>\n\t<label for=\"field_5gnty\" id=\"field_5gnty_label\">Broers\/zussen\n\t<\/label>\n\t<input type=\"text\" id=\"field_5gnty\" name=\"item_meta[82]\" value=\"\"  placeholder=\"Naam en geb. datum\" data-invmsg=\"Broers\/zussen is ongeldig\" aria-invalid=\"false\"   \/>\n\t\t\t\t\t\t<label  for=\"field_vcv02-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[81][]\" id=\"field_vcv02-0\" value=\"Zelfde school\"  data-invmsg=\"Dit veld is ongeldig\"   \/> Zelfde school<\/label>\n\t<label for=\"field_ooyb2\" id=\"field_ooyb2_label\">Broers\/zussen\n\t<\/label>\n\t<input type=\"text\" id=\"field_ooyb2\" name=\"item_meta[78]\" value=\"\"  placeholder=\"Naam en geb. datum\" data-invmsg=\"Broers\/zussen is ongeldig\" aria-invalid=\"false\"   \/>\n\t\t\t\t\t\t<label  for=\"field_uk7v9-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[83][]\" id=\"field_uk7v9-0\" value=\"Zelfde school\"  data-invmsg=\"Dit veld is ongeldig\"   \/> Zelfde school<\/label>\n&nbsp;\n<h1>Medische gegevens kind<\/h1>\n<p>&nbsp;<\/p>\n\tInentingsprogramma gevolgd *\n\t\t\t\t\t\t<label  for=\"field_iglgd-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[85][]\" id=\"field_iglgd-0\" value=\"ja\"  data-invmsg=\"Inentingsprogramma gevolgd * is ongeldig\"   \/> ja<\/label>\n\t\t\t\t\t<label  for=\"field_iglgd-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[85][]\" id=\"field_iglgd-1\" value=\"nee\"  data-invmsg=\"Inentingsprogramma gevolgd * is ongeldig\"   \/> nee<\/label>\n\t<label for=\"field_wya4f\" id=\"field_wya4f_label\">Bijzonderheden m.b.t. gezondheid en\/of gedrag van het kind*\n\t<\/label>\n\t<input type=\"text\" id=\"field_wya4f\" name=\"item_meta[86]\" value=\"\"  data-invmsg=\"Bijzonderheden m.b.t. gezondheid en\/of gedrag van het kind* is ongeldig\" aria-invalid=\"false\"   \/>\n&nbsp;\n<p>Niet verplicht. In verband met eventueel bestemmingsgevaar en\/of omgaan met de gezondheid\/gedrag van uw kind stellen we het op prijs als u dit wilt invullen. <\/p>\n\t<label for=\"field_2c37b\" id=\"field_2c37b_label\">Naam huisarts\n\t<\/label>\n\t<input type=\"text\" id=\"field_2c37b\" name=\"item_meta[88]\" value=\"\"  data-invmsg=\"Naam huisarts is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_nktv9\" id=\"field_nktv9_label\">Telefoonnummer\n\t<\/label>\n\t<input type=\"number\" id=\"field_nktv9\" name=\"item_meta[89]\" value=\"\" data-invmsg=\"Telefoonnummer is ongeldig\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\n\t<label for=\"field_45slg\" id=\"field_45slg_label\">Straat en huisnummer huisarts\n\t<\/label>\n\t<input type=\"text\" id=\"field_45slg\" name=\"item_meta[90]\" value=\"\"  data-invmsg=\"Straat en huisnummer huisarts is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_m1wkc\" id=\"field_m1wkc_label\">Postcode en woonplaats huisarts\n\t<\/label>\n\t<input type=\"text\" id=\"field_m1wkc\" name=\"item_meta[91]\" value=\"\"  data-invmsg=\"Postcode en woonplaats huisarts is ongeldig\" aria-invalid=\"false\"   \/>\n<h1>Personalia verzorger 1<\/h1>\n\n\t<label for=\"field_4p5zl\" id=\"field_4p5zl_label\">Achternaam\n\t<\/label>\n\t<input type=\"text\" id=\"field_4p5zl\" name=\"item_meta[93]\" value=\"\"  data-invmsg=\"Achternaam is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_mq263\" id=\"field_mq263_label\">Roepnaam\n\t<\/label>\n\t<input type=\"text\" id=\"field_mq263\" name=\"item_meta[94]\" value=\"\"  data-invmsg=\"Roepnaam is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_sck64\" id=\"field_sck64_label\">Voorletters\n\t<\/label>\n\t<input type=\"text\" id=\"field_sck64\" name=\"item_meta[95]\" value=\"\"  data-invmsg=\"Voorletters is ongeldig\" aria-invalid=\"false\"   \/>\n\tAanhef\n\t\t\t\t\t\t<label  for=\"field_2f7el-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_2f7el-0\" value=\"Mevrouw\"  data-invmsg=\"Aanhef is ongeldig\"   \/> Mevrouw<\/label>\n\t\t\t\t\t<label  for=\"field_2f7el-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_2f7el-1\" value=\"Heer\"  data-invmsg=\"Aanhef is ongeldig\"   \/> Heer<\/label>\n\t<label for=\"field_a5srj\" id=\"field_a5srj_label\">Geboortedatum\n\t<\/label>\n\t<input type=\"text\" id=\"field_a5srj\" name=\"item_meta[97]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Geboortedatum is ongeldig\" aria-invalid=\"false\"  \/>\n\t<label for=\"field_w2u\" id=\"field_w2u_label\">Geboorteland\n\t<\/label>\n\t<input type=\"text\" id=\"field_w2u\" name=\"item_meta[98]\" value=\"\"  data-invmsg=\"Geboorteland is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_9n88a\" id=\"field_9n88a_label\">Telefoon mobiel\n\t<\/label>\n\t<input type=\"tel\" id=\"field_9n88a\" name=\"item_meta[99]\" value=\"\"  data-invmsg=\"Telefoon mobiel is ongeldig\" aria-invalid=\"false\" pattern=\"((+d{1,3}(-|.| )?(?d)?(-| |.)?d{1,5})|((?d{2,6})?))(-|.| )?(d{3,4})(-|.| )?(d{4})(( x| ext)d{1,5}){0,1}$\"  \/>\n\tGeheim\n\t\t\t\t\t\t<label  for=\"field_i4ppr-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[100][]\" id=\"field_i4ppr-0\" value=\"nee\"  data-invmsg=\"Geheim is ongeldig\"   \/> nee<\/label>\n\t\t\t\t\t<label  for=\"field_i4ppr-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[100][]\" id=\"field_i4ppr-1\" value=\"ja\"  data-invmsg=\"Geheim is ongeldig\"   \/> ja<\/label>\n\t<label for=\"field_6thnt\" id=\"field_6thnt_label\">E-mail\n\t<\/label>\n\t<input type=\"email\" id=\"field_6thnt\" name=\"item_meta[101]\" value=\"\"  autocomplete=\"email\"  data-invmsg=\"E-mail is ongeldig\" aria-invalid=\"false\"  \/>\n\t<label for=\"field_gu0yk\" id=\"field_gu0yk_label\">Relatie tot het kind\n\t<\/label>\n\t<input type=\"text\" id=\"field_gu0yk\" name=\"item_meta[102]\" value=\"\"  data-invmsg=\"Relatie tot het kind is ongeldig\" aria-invalid=\"false\"   \/>\n\tWettelijke verzorger\n\t\t\t\t\t\t<label  for=\"field_qnccm-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[103][]\" id=\"field_qnccm-0\" value=\"Nee\"  data-invmsg=\"Wettelijke verzorger is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_qnccm-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[103][]\" id=\"field_qnccm-1\" value=\"Ja\"  data-invmsg=\"Wettelijke verzorger is ongeldig\"   \/> Ja<\/label>\n\t<label for=\"field_juqe7\" id=\"field_juqe7_label\">Burgerlijke staat\n\t<\/label>\n\t\t\t<select name=\"item_meta[105]\" id=\"field_juqe7\"  data-frmval=\"ongehuwd\" data-invmsg=\"Burgerlijke staat is ongeldig\" aria-invalid=\"false\">\n\t\t<option  value=\"ongehuwd\" selected='selected'>ongehuwd<\/option><option  value=\"Gehuwd\">Gehuwd<\/option><option  value=\"Gescheiden\">Gescheiden<\/option><option  value=\"Weduwe\/weduwnaar\">Weduwe\/weduwnaar<\/option><option  value=\"Geregistreerd partnerschap\">Geregistreerd partnerschap<\/option>\t<\/select>\n\t<label for=\"field_xvagd\" id=\"field_xvagd_label\">Beroep\n\t<\/label>\n\t<input type=\"text\" id=\"field_xvagd\" name=\"item_meta[106]\" value=\"\"  data-invmsg=\"Beroep is ongeldig\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_xvagd\" \/>\n\tIn verband met ons Maakonderwijs vinden we het leuk om te weten wat u doet.\n\tAdres indien dit afwijkend is van de leerling\n\t<\/fieldset><fieldset aria-labelledby=\"field_hj7e_label\">\n<legend>\n\tAdres indien dit afwijkend is van de leerling<\/legend>\n\t<label for=\"field_hj7e_line1\">\n\t\tAdres indien dit afwijkend is van de leerling\t<\/label>\n\t\t<input type=\"text\" id=\"field_hj7e_line1\" value=\"\" name=\"item_meta[109][line1]\"  placeholder=\"straatnaam\" data-placeholder=\"straatnaam\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<label for=\"field_hj7e_line2\">\n\t\tAdres indien dit afwijkend is van de leerling\t<\/label>\n\t\t<input type=\"text\" id=\"field_hj7e_line2\" value=\"\" name=\"item_meta[109][line2]\"  placeholder=\"huisnummer\" data-placeholder=\"huisnummer\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<label for=\"field_hj7e_city\">\n\t\tStad\t<\/label>\n\t\t<input type=\"text\" id=\"field_hj7e_city\" value=\"\" name=\"item_meta[109][city]\"  placeholder=\"stad\" data-placeholder=\"stad\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\tStad\n\t<label for=\"field_hj7e_state\">\n\t\tStaat\/Provincie\t<\/label>\n\t\t<input type=\"text\" id=\"field_hj7e_state\" value=\"\" name=\"item_meta[109][state]\"  placeholder=\"provincie\" data-placeholder=\"provincie\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\tStaat\/Provincie\n\t<label for=\"field_hj7e_zip\">\n\t\tZip\/Postcode\t<\/label>\n\t\t<input type=\"text\" id=\"field_hj7e_zip\" value=\"\" name=\"item_meta[109][zip]\"  placeholder=\"postcode\" data-placeholder=\"postcode\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\tZip\/Postcode\n\t<label for=\"field_hj7e_country\">\n\t\tLand\t<\/label>\n\t\t\t<select name=\"item_meta[109][country]\" id=\"field_hj7e_country\"  placeholder=\"land\" data-placeholder=\"land\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\tland\t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\" data-code=\"AF\">Afghanistan<\/option><option  value=\"Aland eilanden\">Aland eilanden<\/option><option  value=\"Albani\u00eb\">Albani\u00eb<\/option><option  value=\"Algerije\">Algerije<\/option><option  value=\"Amerikaans Samoa\">Amerikaans Samoa<\/option><option  value=\"Andorra\" data-code=\"AD\">Andorra<\/option><option  value=\"Angola\" data-code=\"AO\">Angola<\/option><option  value=\"Anguilla\" data-code=\"AI\">Anguilla<\/option><option  value=\"Antarctica\" data-code=\"AQ\">Antarctica<\/option><option  value=\"Antigua en Barbuda\">Antigua en Barbuda<\/option><option  value=\"Argentini\u00eb\">Argentini\u00eb<\/option><option  value=\"Armeni\u00eb\">Armeni\u00eb<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australi\u00eb\">Australi\u00eb<\/option><option  value=\"Azerbaijan\" data-code=\"AZ\">Azerbaijan<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bahrein\">Bahrein<\/option><option  value=\"Bangladesh\" data-code=\"BD\">Bangladesh<\/option><option  value=\"Barbados\" data-code=\"BB\">Barbados<\/option><option  value=\"Belgi\u00eb\">Belgi\u00eb<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Benin\" data-code=\"BJ\">Benin<\/option><option  value=\"Bermuda\" data-code=\"BM\">Bermuda<\/option><option  value=\"Boetan\">Boetan<\/option><option  value=\"Bolivia\" data-code=\"BO\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius en Saba\">Bonaire, Sint Eustatius en Saba<\/option><option  value=\"Bosni\u00eb en Herzegovina\">Bosni\u00eb en Herzegovina<\/option><option  value=\"Botswana\" data-code=\"BW\">Botswana<\/option><option  value=\"Bouvet Island\" data-code=\"BV\">Bouvet Island<\/option><option  value=\"Brazili\u00eb\">Brazili\u00eb<\/option><option  value=\"Brits Indische Oceaanterritorium\">Brits Indische Oceaanterritorium<\/option><option  value=\"Brunei\" data-code=\"BN\">Brunei<\/option><option  value=\"Bulgarije\">Bulgarije<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"Cambodja\">Cambodja<\/option><option  value=\"Canada\" data-code=\"CA\">Canada<\/option><option  value=\"Centraal Afrikaanse Republiek\">Centraal Afrikaanse Republiek<\/option><option  value=\"Chili\">Chili<\/option><option  value=\"China\" data-code=\"CN\">China<\/option><option  value=\"Cocos (Keeling) eilanden\">Cocos (Keeling) eilanden<\/option><option  value=\"Colombia\" data-code=\"CO\">Colombia<\/option><option  value=\"Comoren\">Comoren<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook eilanden\">Cook eilanden<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Cuba\" data-code=\"CU\">Cuba<\/option><option  value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option><option  value=\"Cyprus\" data-code=\"CY\">Cyprus<\/option><option  value=\"Denemarken\">Denemarken<\/option><option  value=\"Djibouti\" data-code=\"DJ\">Djibouti<\/option><option  value=\"Dominica\" data-code=\"DM\">Dominica<\/option><option  value=\"Dominicaanse Republiek\">Dominicaanse Republiek<\/option><option  value=\"Duitsland\">Duitsland<\/option><option  value=\"Ecuador\" data-code=\"EC\">Ecuador<\/option><option  value=\"Egypte\">Egypte<\/option><option  value=\"El Salvador\" data-code=\"SV\">El Salvador<\/option><option  value=\"Engeland\">Engeland<\/option><option  value=\"Equatoriaal Guinea\">Equatoriaal Guinea<\/option><option  value=\"Eritrea\" data-code=\"ER\">Eritrea<\/option><option  value=\"Estland\">Estland<\/option><option  value=\"Ethiopi\u00eb\">Ethiopi\u00eb<\/option><option  value=\"Faero\u00ebr Eilanden\">Faero\u00ebr Eilanden<\/option><option  value=\"Falkland eilanden (Malvinas)\">Falkland eilanden (Malvinas)<\/option><option  value=\"Fiji\" data-code=\"FJ\">Fiji<\/option><option  value=\"Filippijnen\">Filippijnen<\/option><option  value=\"Finland\" data-code=\"FI\">Finland<\/option><option  value=\"Frankrijk\">Frankrijk<\/option><option  value=\"Frans Guyana\">Frans Guyana<\/option><option  value=\"Frans Polynesi\u00eb\">Frans Polynesi\u00eb<\/option><option  value=\"Franse Zuidelijke Gebieden\">Franse Zuidelijke Gebieden<\/option><option  value=\"Gabon\" data-code=\"GA\">Gabon<\/option><option  value=\"Gambia\" data-code=\"GM\">Gambia<\/option><option  value=\"Georgia\" data-code=\"GE\">Georgia<\/option><option  value=\"Ghana\" data-code=\"GH\">Ghana<\/option><option  value=\"Gibraltar\" data-code=\"GI\">Gibraltar<\/option><option  value=\"Grenada\" data-code=\"GD\">Grenada<\/option><option  value=\"Griekenland\">Griekenland<\/option><option  value=\"Groenland\">Groenland<\/option><option  value=\"Guadeloupe\" data-code=\"GP\">Guadeloupe<\/option><option  value=\"Guam\" data-code=\"GU\">Guam<\/option><option  value=\"Guatemala\" data-code=\"GT\">Guatemala<\/option><option  value=\"Guernsey\" data-code=\"GG\">Guernsey<\/option><option  value=\"Guinea\" data-code=\"GN\">Guinea<\/option><option  value=\"Guinee-Bissau\">Guinee-Bissau<\/option><option  value=\"Guyana\" data-code=\"GY\">Guyana<\/option><option  value=\"Haiti\" data-code=\"HT\">Haiti<\/option><option  value=\"Heard eiland en McDonald eilanden\">Heard eiland en McDonald eilanden<\/option><option  value=\"Holy See\">Holy See<\/option><option  value=\"Honduras\" data-code=\"HN\">Honduras<\/option><option  value=\"Hong Kong\" data-code=\"HK\">Hong Kong<\/option><option  value=\"Hongarije\">Hongarije<\/option><option  value=\"IJsland\">IJsland<\/option><option  value=\"Ierland\">Ierland<\/option><option  value=\"India\" data-code=\"IN\">India<\/option><option  value=\"Indonesi\u00eb\">Indonesi\u00eb<\/option><option  value=\"Irak\">Irak<\/option><option  value=\"Iran\" data-code=\"IR\">Iran<\/option><option  value=\"Isle of Man\" data-code=\"IM\">Isle of Man<\/option><option  value=\"Isra\u00ebl\">Isra\u00ebl<\/option><option  value=\"Itali\u00eb\">Itali\u00eb<\/option><option  value=\"Ivoorkust\">Ivoorkust<\/option><option  value=\"Jamaica\" data-code=\"JM\">Jamaica<\/option><option  value=\"Japan\" data-code=\"JP\">Japan<\/option><option  value=\"Jersey\" data-code=\"JE\">Jersey<\/option><option  value=\"Jordani\u00eb\">Jordani\u00eb<\/option><option  value=\"Kaaiman Eilanden\">Kaaiman Eilanden<\/option><option  value=\"Kaap Verdi\u00eb\">Kaap Verdi\u00eb<\/option><option  value=\"Kameroen\">Kameroen<\/option><option  value=\"Kazachstan\">Kazachstan<\/option><option  value=\"Kenya\" data-code=\"KE\">Kenya<\/option><option  value=\"Kersteiland\">Kersteiland<\/option><option  value=\"Kirgizi\u00eb\">Kirgizi\u00eb<\/option><option  value=\"Kiribati\" data-code=\"KI\">Kiribati<\/option><option  value=\"Kleine afgelegen eilanden van de Verenigde Staten\">Kleine afgelegen eilanden van de Verenigde Staten<\/option><option  value=\"Koeweit\">Koeweit<\/option><option  value=\"Kosovo\" data-code=\"XK\">Kosovo<\/option><option  value=\"Kroati\u00eb\">Kroati\u00eb<\/option><option  value=\"Laos\" data-code=\"LA\">Laos<\/option><option  value=\"Lesotho\" data-code=\"LS\">Lesotho<\/option><option  value=\"Letland\">Letland<\/option><option  value=\"Libanon\">Libanon<\/option><option  value=\"Liberia\" data-code=\"LR\">Liberia<\/option><option  value=\"Libi\u00eb\">Libi\u00eb<\/option><option  value=\"Liechtenstein\" data-code=\"LI\">Liechtenstein<\/option><option  value=\"Litouwen\">Litouwen<\/option><option  value=\"Luxemburg\">Luxemburg<\/option><option  value=\"Maagden Eilanden, Brits\">Maagden Eilanden, Brits<\/option><option  value=\"Maagden Eilanden, U.S.\">Maagden Eilanden, U.S.<\/option><option  value=\"Macao\" data-code=\"MO\">Macao<\/option><option  value=\"Macedoni\u00eb\">Macedoni\u00eb<\/option><option  value=\"Madagascar\" data-code=\"MG\">Madagascar<\/option><option  value=\"Malawi\" data-code=\"MW\">Malawi<\/option><option  value=\"Malediven\">Malediven<\/option><option  value=\"Maleisi\u00eb\">Maleisi\u00eb<\/option><option  value=\"Mali\" data-code=\"ML\">Mali<\/option><option  value=\"Malta\" data-code=\"MT\">Malta<\/option><option  value=\"Marokko\">Marokko<\/option><option  value=\"Marshall Eilanden\">Marshall Eilanden<\/option><option  value=\"Martinique\" data-code=\"MQ\">Martinique<\/option><option  value=\"Mauritani\u00eb\">Mauritani\u00eb<\/option><option  value=\"Mauritius\" data-code=\"MU\">Mauritius<\/option><option  value=\"Mayotte\" data-code=\"YT\">Mayotte<\/option><option  value=\"Mexico\" data-code=\"MX\">Mexico<\/option><option  value=\"Micronesi\u00eb\">Micronesi\u00eb<\/option><option  value=\"Moldavi\u00eb\">Moldavi\u00eb<\/option><option  value=\"Monaco\" data-code=\"MC\">Monaco<\/option><option  value=\"Mongoli\u00eb\">Mongoli\u00eb<\/option><option  value=\"Montenegro\" data-code=\"ME\">Montenegro<\/option><option  value=\"Montserrat\" data-code=\"MS\">Montserrat<\/option><option  value=\"Mozambique\" data-code=\"MZ\">Mozambique<\/option><option  value=\"Myanmar\" data-code=\"MM\">Myanmar<\/option><option  value=\"Namibi\u00eb\">Namibi\u00eb<\/option><option  value=\"Nauru\" data-code=\"NR\">Nauru<\/option><option  value=\"Nederland\">Nederland<\/option><option  value=\"Nepal\" data-code=\"NP\">Nepal<\/option><option  value=\"New Caledonia\" data-code=\"NC\">New Caledonia<\/option><option  value=\"Nicaragua\" data-code=\"NI\">Nicaragua<\/option><option  value=\"Nieuw Zeeland\">Nieuw Zeeland<\/option><option  value=\"Niger\" data-code=\"NE\">Niger<\/option><option  value=\"Nigeria\" data-code=\"NG\">Nigeria<\/option><option  value=\"Niue\" data-code=\"NU\">Niue<\/option><option  value=\"Noord Korea\">Noord Korea<\/option><option  value=\"Noordelijke Marianen\">Noordelijke Marianen<\/option><option  value=\"Norfolk Island\" data-code=\"NF\">Norfolk Island<\/option><option  value=\"Norwegen\">Norwegen<\/option><option  value=\"Oekra\u00efne\">Oekra\u00efne<\/option><option  value=\"Oezbekistan\">Oezbekistan<\/option><option  value=\"Oman\" data-code=\"OM\">Oman<\/option><option  value=\"Oost Timor\">Oost Timor<\/option><option  value=\"Oost-Timor\">Oost-Timor<\/option><option  value=\"Oostenrijk\">Oostenrijk<\/option><option  value=\"Pakistan\" data-code=\"PK\">Pakistan<\/option><option  value=\"Palau\" data-code=\"PW\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panama\" data-code=\"PA\">Panama<\/option><option  value=\"Papoea Nieuw Guinea\">Papoea Nieuw Guinea<\/option><option  value=\"Paraguay\" data-code=\"PY\">Paraguay<\/option><option  value=\"Peru\" data-code=\"PE\">Peru<\/option><option  value=\"Pitcairn\" data-code=\"PN\">Pitcairn<\/option><option  value=\"Polen\">Polen<\/option><option  value=\"Portugal\" data-code=\"PT\">Portugal<\/option><option  value=\"Puerto Rico\" data-code=\"PR\">Puerto Rico<\/option><option  value=\"Qatar\" data-code=\"QA\">Qatar<\/option><option  value=\"Romeni\u00eb\">Romeni\u00eb<\/option><option  value=\"Rusland\">Rusland<\/option><option  value=\"Rwanda\" data-code=\"RW\">Rwanda<\/option><option  value=\"R\u00e9unie\">R\u00e9unie<\/option><option  value=\"Saint Kitts en Nevis\">Saint Kitts en Nevis<\/option><option  value=\"Saint Lucia\" data-code=\"LC\">Saint Lucia<\/option><option  value=\"Saint Pierre en Miquelon\">Saint Pierre en Miquelon<\/option><option  value=\"Saint Vincent en de Grenadines\">Saint Vincent en de Grenadines<\/option><option  value=\"Samoa\" data-code=\"WS\">Samoa<\/option><option  value=\"San Marino\" data-code=\"SM\">San Marino<\/option><option  value=\"Sao Tome en Principe\">Sao Tome en Principe<\/option><option  value=\"Saudi Arabi\u00eb\">Saudi Arabi\u00eb<\/option><option  value=\"Senegal\" data-code=\"SN\">Senegal<\/option><option  value=\"Servi\u00eb\">Servi\u00eb<\/option><option  value=\"Seychellen\">Seychellen<\/option><option  value=\"Sierra Leone\" data-code=\"SL\">Sierra Leone<\/option><option  value=\"Singapore\" data-code=\"SG\">Singapore<\/option><option  value=\"Sint Bartholomeus\">Sint Bartholomeus<\/option><option  value=\"Sint Helena, Ascension en Tristan da Cunha\">Sint Helena, Ascension en Tristan da Cunha<\/option><option  value=\"Sint Maarten (Franse deel)\">Sint Maarten (Franse deel)<\/option><option  value=\"Sint Maarten (Nederlandse deel)\">Sint Maarten (Nederlandse deel)<\/option><option  value=\"Sloveni\u00eb\">Sloveni\u00eb<\/option><option  value=\"Slowakije\">Slowakije<\/option><option  value=\"Soedan\">Soedan<\/option><option  value=\"Solomon Eilanden\">Solomon Eilanden<\/option><option  value=\"Somali\u00eb\">Somali\u00eb<\/option><option  value=\"Spanje\">Spanje<\/option><option  value=\"Sri Lanka\" data-code=\"LK\">Sri Lanka<\/option><option  value=\"Suriname\" data-code=\"SR\">Suriname<\/option><option  value=\"Svalbard en Jan Mayen\">Svalbard en Jan Mayen<\/option><option  value=\"Swaziland\" data-code=\"SZ\">Swaziland<\/option><option  value=\"Syri\u00eb\">Syri\u00eb<\/option><option  value=\"Tadzjikistan\">Tadzjikistan<\/option><option  value=\"Taiwan\" data-code=\"TW\">Taiwan<\/option><option  value=\"Tanzania\" data-code=\"TZ\">Tanzania<\/option><option  value=\"Thailand\" data-code=\"TH\">Thailand<\/option><option  value=\"Togo\" data-code=\"TG\">Togo<\/option><option  value=\"Tokelau\" data-code=\"TK\">Tokelau<\/option><option  value=\"Tonga\" data-code=\"TO\">Tonga<\/option><option  value=\"Trinidad en Tobago\">Trinidad en Tobago<\/option><option  value=\"Tsjaad\">Tsjaad<\/option><option  value=\"Tsjechi\u00eb\">Tsjechi\u00eb<\/option><option  value=\"Tunesi\u00eb\">Tunesi\u00eb<\/option><option  value=\"Turkije\">Turkije<\/option><option  value=\"Turkmenistan\" data-code=\"TM\">Turkmenistan<\/option><option  value=\"Turks en Caicos eilanden\">Turks en Caicos eilanden<\/option><option  value=\"Tuvalu\" data-code=\"TV\">Tuvalu<\/option><option  value=\"Uganda\" data-code=\"UG\">Uganda<\/option><option  value=\"Uruguay\" data-code=\"UY\">Uruguay<\/option><option  value=\"Vanuatu\" data-code=\"VU\">Vanuatu<\/option><option  value=\"Vaticaanstad\">Vaticaanstad<\/option><option  value=\"Venezuela\" data-code=\"VE\">Venezuela<\/option><option  value=\"Ver. Arabische Emiraten\">Ver. Arabische Emiraten<\/option><option  value=\"Verenigde Staten\">Verenigde Staten<\/option><option  value=\"Vietnam\" data-code=\"VN\">Vietnam<\/option><option  value=\"Wallis en Futuna\">Wallis en Futuna<\/option><option  value=\"Westelijke Sahara\">Westelijke Sahara<\/option><option  value=\"Wit-Rusland\">Wit-Rusland<\/option><option  value=\"Yemen\" data-code=\"YE\">Yemen<\/option><option  value=\"Zambia\" data-code=\"ZM\">Zambia<\/option><option  value=\"Zimbabwe\" data-code=\"ZW\">Zimbabwe<\/option><option  value=\"Zuid Afrika\">Zuid Afrika<\/option><option  value=\"Zuid Korea\">Zuid Korea<\/option><option  value=\"Zuid Sudan\">Zuid Sudan<\/option><option  value=\"Zuid-Georgi\u00eb en de Zuidelijke Sandwich Eilanden\">Zuid-Georgi\u00eb en de Zuidelijke Sandwich Eilanden<\/option><option  value=\"Zweden\">Zweden<\/option><option  value=\"Zwitzerland\">Zwitzerland<\/option>\t\t<\/select>\n\tLand\n<\/fieldset>\n\tGeheim adres\n\t\t\t\t\t\t<label  for=\"field_o9yj6-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[110][]\" id=\"field_o9yj6-0\" value=\"Nee\"  data-invmsg=\"Geheim adres is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_o9yj6-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[110][]\" id=\"field_o9yj6-1\" value=\"Ja\"  data-invmsg=\"Geheim adres is ongeldig\"   \/> Ja<\/label>\n\t<label for=\"field_xrdc9\" id=\"field_xrdc9_label\">Telefoon thuis\n\t<\/label>\n\t<input type=\"tel\" id=\"field_xrdc9\" name=\"item_meta[111]\" value=\"\"  data-invmsg=\"Telefoon thuis is ongeldig\" aria-invalid=\"false\" pattern=\"((+d{1,3}(-|.| )?(?d)?(-| |.)?d{1,5})|((?d{2,6})?))(-|.| )?(d{3,4})(-|.| )?(d{4})(( x| ext)d{1,5}){0,1}$\"  \/>\n\tGeheim\n\t\t\t\t\t\t<label  for=\"field_4rjp4-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[112][]\" id=\"field_4rjp4-0\" value=\"Nee\"  data-invmsg=\"Geheim is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_4rjp4-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[112][]\" id=\"field_4rjp4-1\" value=\"Ja\"  data-invmsg=\"Geheim is ongeldig\"   \/> Ja<\/label>\n<h1>Personalia verzorger 2<\/h1>\n\n\t<label for=\"field_psl07\" id=\"field_psl07_label\">Achternaam\n\t<\/label>\n\t<input type=\"text\" id=\"field_psl07\" name=\"item_meta[114]\" value=\"\"  data-invmsg=\"Achternaam is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_mufn1\" id=\"field_mufn1_label\">Roepnaam\n\t<\/label>\n\t<input type=\"text\" id=\"field_mufn1\" name=\"item_meta[116]\" value=\"\"  data-invmsg=\"Roepnaam is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_mgj64\" id=\"field_mgj64_label\">Voorletters\n\t<\/label>\n\t<input type=\"text\" id=\"field_mgj64\" name=\"item_meta[117]\" value=\"\"  data-invmsg=\"Voorletters is ongeldig\" aria-invalid=\"false\"   \/>\n\tAanhef\n\t\t\t\t\t\t<label  for=\"field_6j5by-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[118][]\" id=\"field_6j5by-0\" value=\"Mevrouw\"  data-invmsg=\"Aanhef is ongeldig\"   \/> Mevrouw<\/label>\n\t\t\t\t\t<label  for=\"field_6j5by-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[118][]\" id=\"field_6j5by-1\" value=\"Heer\"  data-invmsg=\"Aanhef is ongeldig\"   \/> Heer<\/label>\n\t<label for=\"field_qme0i\" id=\"field_qme0i_label\">Geboortedatum\n\t<\/label>\n\t<input type=\"text\" id=\"field_qme0i\" name=\"item_meta[119]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Geboortedatum is ongeldig\" aria-invalid=\"false\"  \/>\n\t<label for=\"field_xksow\" id=\"field_xksow_label\">Geboorteland\n\t<\/label>\n\t<input type=\"text\" id=\"field_xksow\" name=\"item_meta[120]\" value=\"\"  data-invmsg=\"Geboorteland is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_tqd6n\" id=\"field_tqd6n_label\">Telefoon mobiel\n\t<\/label>\n\t<input type=\"tel\" id=\"field_tqd6n\" name=\"item_meta[121]\" value=\"\"  data-invmsg=\"Telefoon mobiel is ongeldig\" aria-invalid=\"false\" pattern=\"((+d{1,3}(-|.| )?(?d)?(-| |.)?d{1,5})|((?d{2,6})?))(-|.| )?(d{3,4})(-|.| )?(d{4})(( x| ext)d{1,5}){0,1}$\"  \/>\n\tGeheim\n\t\t\t\t\t\t<label  for=\"field_petyg-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[122][]\" id=\"field_petyg-0\" value=\"nee\"  data-invmsg=\"Geheim is ongeldig\"   \/> nee<\/label>\n\t\t\t\t\t<label  for=\"field_petyg-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[122][]\" id=\"field_petyg-1\" value=\"ja\"  data-invmsg=\"Geheim is ongeldig\"   \/> ja<\/label>\n\t<label for=\"field_p0ter\" id=\"field_p0ter_label\">E-mail\n\t<\/label>\n\t<input type=\"email\" id=\"field_p0ter\" name=\"item_meta[123]\" value=\"\"  autocomplete=\"email\"  data-invmsg=\"E-mail is ongeldig\" aria-invalid=\"false\"  \/>\n\t<label for=\"field_g1a49\" id=\"field_g1a49_label\">Relatie tot het kind\n\t<\/label>\n\t<input type=\"text\" id=\"field_g1a49\" name=\"item_meta[124]\" value=\"\"  data-invmsg=\"Relatie tot het kind is ongeldig\" aria-invalid=\"false\"   \/>\n\tWettelijke verzorger\n\t\t\t\t\t\t<label  for=\"field_vhdx8-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[125][]\" id=\"field_vhdx8-0\" value=\"Nee\"  data-invmsg=\"Wettelijke verzorger is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_vhdx8-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[125][]\" id=\"field_vhdx8-1\" value=\"Ja\"  data-invmsg=\"Wettelijke verzorger is ongeldig\"   \/> Ja<\/label>\n\t<label for=\"field_s92vt\" id=\"field_s92vt_label\">Burgerlijke staat\n\t<\/label>\n\t\t\t<select name=\"item_meta[126]\" id=\"field_s92vt\"  data-frmval=\"ongehuwd\" data-invmsg=\"Burgerlijke staat is ongeldig\" aria-invalid=\"false\">\n\t\t<option  value=\"ongehuwd\" selected='selected'>ongehuwd<\/option><option  value=\"Gehuwd\">Gehuwd<\/option><option  value=\"Gescheiden\">Gescheiden<\/option><option  value=\"Weduwe\/weduwnaar\">Weduwe\/weduwnaar<\/option><option  value=\"Geregistreerd partnerschap\">Geregistreerd partnerschap<\/option>\t<\/select>\n\t<label for=\"field_z1pp4\" id=\"field_z1pp4_label\">Beroep\n\t<\/label>\n\t<input type=\"text\" id=\"field_z1pp4\" name=\"item_meta[127]\" value=\"\"  data-invmsg=\"Beroep is ongeldig\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_z1pp4\" \/>\n\tIn verband met ons Maakonderwijs vinden we het leuk om te weten wat u doet.\n\tAdres indien dit afwijkend is van de leerling\n\t<fieldset aria-labelledby=\"field_jygiw_label\">\n<legend>\n\tAdres indien dit afwijkend is van de leerling<\/legend>\n\t<label for=\"field_jygiw_line1\">\n\t\tAdres indien dit afwijkend is van de leerling\t<\/label>\n\t\t<input type=\"text\" id=\"field_jygiw_line1\" value=\"\" name=\"item_meta[128][line1]\"  placeholder=\"straatnaam\" data-placeholder=\"straatnaam\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<label for=\"field_jygiw_line2\">\n\t\tAdres indien dit afwijkend is van de leerling\t<\/label>\n\t\t<input type=\"text\" id=\"field_jygiw_line2\" value=\"\" name=\"item_meta[128][line2]\"  placeholder=\"huisnummer\" data-placeholder=\"huisnummer\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<label for=\"field_jygiw_city\">\n\t\tStad\t<\/label>\n\t\t<input type=\"text\" id=\"field_jygiw_city\" value=\"\" name=\"item_meta[128][city]\"  placeholder=\"stad\" data-placeholder=\"stad\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\tStad\n\t<label for=\"field_jygiw_state\">\n\t\tStaat\/Provincie\t<\/label>\n\t\t<input type=\"text\" id=\"field_jygiw_state\" value=\"\" name=\"item_meta[128][state]\"  placeholder=\"provincie\" data-placeholder=\"provincie\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\tStaat\/Provincie\n\t<label for=\"field_jygiw_zip\">\n\t\tZip\/Postcode\t<\/label>\n\t\t<input type=\"text\" id=\"field_jygiw_zip\" value=\"\" name=\"item_meta[128][zip]\"  placeholder=\"postcode\" data-placeholder=\"postcode\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\tZip\/Postcode\n\t<label for=\"field_jygiw_country\">\n\t\tLand\t<\/label>\n\t\t\t<select name=\"item_meta[128][country]\" id=\"field_jygiw_country\"  placeholder=\"land\" data-placeholder=\"land\" data-invmsg=\"Adres indien dit afwijkend is van de leerling is ongeldig\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\tland\t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\" data-code=\"AF\">Afghanistan<\/option><option  value=\"Aland eilanden\">Aland eilanden<\/option><option  value=\"Albani\u00eb\">Albani\u00eb<\/option><option  value=\"Algerije\">Algerije<\/option><option  value=\"Amerikaans Samoa\">Amerikaans Samoa<\/option><option  value=\"Andorra\" data-code=\"AD\">Andorra<\/option><option  value=\"Angola\" data-code=\"AO\">Angola<\/option><option  value=\"Anguilla\" data-code=\"AI\">Anguilla<\/option><option  value=\"Antarctica\" data-code=\"AQ\">Antarctica<\/option><option  value=\"Antigua en Barbuda\">Antigua en Barbuda<\/option><option  value=\"Argentini\u00eb\">Argentini\u00eb<\/option><option  value=\"Armeni\u00eb\">Armeni\u00eb<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australi\u00eb\">Australi\u00eb<\/option><option  value=\"Azerbaijan\" data-code=\"AZ\">Azerbaijan<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bahrein\">Bahrein<\/option><option  value=\"Bangladesh\" data-code=\"BD\">Bangladesh<\/option><option  value=\"Barbados\" data-code=\"BB\">Barbados<\/option><option  value=\"Belgi\u00eb\">Belgi\u00eb<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Benin\" data-code=\"BJ\">Benin<\/option><option  value=\"Bermuda\" data-code=\"BM\">Bermuda<\/option><option  value=\"Boetan\">Boetan<\/option><option  value=\"Bolivia\" data-code=\"BO\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius en Saba\">Bonaire, Sint Eustatius en Saba<\/option><option  value=\"Bosni\u00eb en Herzegovina\">Bosni\u00eb en Herzegovina<\/option><option  value=\"Botswana\" data-code=\"BW\">Botswana<\/option><option  value=\"Bouvet Island\" data-code=\"BV\">Bouvet Island<\/option><option  value=\"Brazili\u00eb\">Brazili\u00eb<\/option><option  value=\"Brits Indische Oceaanterritorium\">Brits Indische Oceaanterritorium<\/option><option  value=\"Brunei\" data-code=\"BN\">Brunei<\/option><option  value=\"Bulgarije\">Bulgarije<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"Cambodja\">Cambodja<\/option><option  value=\"Canada\" data-code=\"CA\">Canada<\/option><option  value=\"Centraal Afrikaanse Republiek\">Centraal Afrikaanse Republiek<\/option><option  value=\"Chili\">Chili<\/option><option  value=\"China\" data-code=\"CN\">China<\/option><option  value=\"Cocos (Keeling) eilanden\">Cocos (Keeling) eilanden<\/option><option  value=\"Colombia\" data-code=\"CO\">Colombia<\/option><option  value=\"Comoren\">Comoren<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook eilanden\">Cook eilanden<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Cuba\" data-code=\"CU\">Cuba<\/option><option  value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option><option  value=\"Cyprus\" data-code=\"CY\">Cyprus<\/option><option  value=\"Denemarken\">Denemarken<\/option><option  value=\"Djibouti\" data-code=\"DJ\">Djibouti<\/option><option  value=\"Dominica\" data-code=\"DM\">Dominica<\/option><option  value=\"Dominicaanse Republiek\">Dominicaanse Republiek<\/option><option  value=\"Duitsland\">Duitsland<\/option><option  value=\"Ecuador\" data-code=\"EC\">Ecuador<\/option><option  value=\"Egypte\">Egypte<\/option><option  value=\"El Salvador\" data-code=\"SV\">El Salvador<\/option><option  value=\"Engeland\">Engeland<\/option><option  value=\"Equatoriaal Guinea\">Equatoriaal Guinea<\/option><option  value=\"Eritrea\" data-code=\"ER\">Eritrea<\/option><option  value=\"Estland\">Estland<\/option><option  value=\"Ethiopi\u00eb\">Ethiopi\u00eb<\/option><option  value=\"Faero\u00ebr Eilanden\">Faero\u00ebr Eilanden<\/option><option  value=\"Falkland eilanden (Malvinas)\">Falkland eilanden (Malvinas)<\/option><option  value=\"Fiji\" data-code=\"FJ\">Fiji<\/option><option  value=\"Filippijnen\">Filippijnen<\/option><option  value=\"Finland\" data-code=\"FI\">Finland<\/option><option  value=\"Frankrijk\">Frankrijk<\/option><option  value=\"Frans Guyana\">Frans Guyana<\/option><option  value=\"Frans Polynesi\u00eb\">Frans Polynesi\u00eb<\/option><option  value=\"Franse Zuidelijke Gebieden\">Franse Zuidelijke Gebieden<\/option><option  value=\"Gabon\" data-code=\"GA\">Gabon<\/option><option  value=\"Gambia\" data-code=\"GM\">Gambia<\/option><option  value=\"Georgia\" data-code=\"GE\">Georgia<\/option><option  value=\"Ghana\" data-code=\"GH\">Ghana<\/option><option  value=\"Gibraltar\" data-code=\"GI\">Gibraltar<\/option><option  value=\"Grenada\" data-code=\"GD\">Grenada<\/option><option  value=\"Griekenland\">Griekenland<\/option><option  value=\"Groenland\">Groenland<\/option><option  value=\"Guadeloupe\" data-code=\"GP\">Guadeloupe<\/option><option  value=\"Guam\" data-code=\"GU\">Guam<\/option><option  value=\"Guatemala\" data-code=\"GT\">Guatemala<\/option><option  value=\"Guernsey\" data-code=\"GG\">Guernsey<\/option><option  value=\"Guinea\" data-code=\"GN\">Guinea<\/option><option  value=\"Guinee-Bissau\">Guinee-Bissau<\/option><option  value=\"Guyana\" data-code=\"GY\">Guyana<\/option><option  value=\"Haiti\" data-code=\"HT\">Haiti<\/option><option  value=\"Heard eiland en McDonald eilanden\">Heard eiland en McDonald eilanden<\/option><option  value=\"Holy See\">Holy See<\/option><option  value=\"Honduras\" data-code=\"HN\">Honduras<\/option><option  value=\"Hong Kong\" data-code=\"HK\">Hong Kong<\/option><option  value=\"Hongarije\">Hongarije<\/option><option  value=\"IJsland\">IJsland<\/option><option  value=\"Ierland\">Ierland<\/option><option  value=\"India\" data-code=\"IN\">India<\/option><option  value=\"Indonesi\u00eb\">Indonesi\u00eb<\/option><option  value=\"Irak\">Irak<\/option><option  value=\"Iran\" data-code=\"IR\">Iran<\/option><option  value=\"Isle of Man\" data-code=\"IM\">Isle of Man<\/option><option  value=\"Isra\u00ebl\">Isra\u00ebl<\/option><option  value=\"Itali\u00eb\">Itali\u00eb<\/option><option  value=\"Ivoorkust\">Ivoorkust<\/option><option  value=\"Jamaica\" data-code=\"JM\">Jamaica<\/option><option  value=\"Japan\" data-code=\"JP\">Japan<\/option><option  value=\"Jersey\" data-code=\"JE\">Jersey<\/option><option  value=\"Jordani\u00eb\">Jordani\u00eb<\/option><option  value=\"Kaaiman Eilanden\">Kaaiman Eilanden<\/option><option  value=\"Kaap Verdi\u00eb\">Kaap Verdi\u00eb<\/option><option  value=\"Kameroen\">Kameroen<\/option><option  value=\"Kazachstan\">Kazachstan<\/option><option  value=\"Kenya\" data-code=\"KE\">Kenya<\/option><option  value=\"Kersteiland\">Kersteiland<\/option><option  value=\"Kirgizi\u00eb\">Kirgizi\u00eb<\/option><option  value=\"Kiribati\" data-code=\"KI\">Kiribati<\/option><option  value=\"Kleine afgelegen eilanden van de Verenigde Staten\">Kleine afgelegen eilanden van de Verenigde Staten<\/option><option  value=\"Koeweit\">Koeweit<\/option><option  value=\"Kosovo\" data-code=\"XK\">Kosovo<\/option><option  value=\"Kroati\u00eb\">Kroati\u00eb<\/option><option  value=\"Laos\" data-code=\"LA\">Laos<\/option><option  value=\"Lesotho\" data-code=\"LS\">Lesotho<\/option><option  value=\"Letland\">Letland<\/option><option  value=\"Libanon\">Libanon<\/option><option  value=\"Liberia\" data-code=\"LR\">Liberia<\/option><option  value=\"Libi\u00eb\">Libi\u00eb<\/option><option  value=\"Liechtenstein\" data-code=\"LI\">Liechtenstein<\/option><option  value=\"Litouwen\">Litouwen<\/option><option  value=\"Luxemburg\">Luxemburg<\/option><option  value=\"Maagden Eilanden, Brits\">Maagden Eilanden, Brits<\/option><option  value=\"Maagden Eilanden, U.S.\">Maagden Eilanden, U.S.<\/option><option  value=\"Macao\" data-code=\"MO\">Macao<\/option><option  value=\"Macedoni\u00eb\">Macedoni\u00eb<\/option><option  value=\"Madagascar\" data-code=\"MG\">Madagascar<\/option><option  value=\"Malawi\" data-code=\"MW\">Malawi<\/option><option  value=\"Malediven\">Malediven<\/option><option  value=\"Maleisi\u00eb\">Maleisi\u00eb<\/option><option  value=\"Mali\" data-code=\"ML\">Mali<\/option><option  value=\"Malta\" data-code=\"MT\">Malta<\/option><option  value=\"Marokko\">Marokko<\/option><option  value=\"Marshall Eilanden\">Marshall Eilanden<\/option><option  value=\"Martinique\" data-code=\"MQ\">Martinique<\/option><option  value=\"Mauritani\u00eb\">Mauritani\u00eb<\/option><option  value=\"Mauritius\" data-code=\"MU\">Mauritius<\/option><option  value=\"Mayotte\" data-code=\"YT\">Mayotte<\/option><option  value=\"Mexico\" data-code=\"MX\">Mexico<\/option><option  value=\"Micronesi\u00eb\">Micronesi\u00eb<\/option><option  value=\"Moldavi\u00eb\">Moldavi\u00eb<\/option><option  value=\"Monaco\" data-code=\"MC\">Monaco<\/option><option  value=\"Mongoli\u00eb\">Mongoli\u00eb<\/option><option  value=\"Montenegro\" data-code=\"ME\">Montenegro<\/option><option  value=\"Montserrat\" data-code=\"MS\">Montserrat<\/option><option  value=\"Mozambique\" data-code=\"MZ\">Mozambique<\/option><option  value=\"Myanmar\" data-code=\"MM\">Myanmar<\/option><option  value=\"Namibi\u00eb\">Namibi\u00eb<\/option><option  value=\"Nauru\" data-code=\"NR\">Nauru<\/option><option  value=\"Nederland\">Nederland<\/option><option  value=\"Nepal\" data-code=\"NP\">Nepal<\/option><option  value=\"New Caledonia\" data-code=\"NC\">New Caledonia<\/option><option  value=\"Nicaragua\" data-code=\"NI\">Nicaragua<\/option><option  value=\"Nieuw Zeeland\">Nieuw Zeeland<\/option><option  value=\"Niger\" data-code=\"NE\">Niger<\/option><option  value=\"Nigeria\" data-code=\"NG\">Nigeria<\/option><option  value=\"Niue\" data-code=\"NU\">Niue<\/option><option  value=\"Noord Korea\">Noord Korea<\/option><option  value=\"Noordelijke Marianen\">Noordelijke Marianen<\/option><option  value=\"Norfolk Island\" data-code=\"NF\">Norfolk Island<\/option><option  value=\"Norwegen\">Norwegen<\/option><option  value=\"Oekra\u00efne\">Oekra\u00efne<\/option><option  value=\"Oezbekistan\">Oezbekistan<\/option><option  value=\"Oman\" data-code=\"OM\">Oman<\/option><option  value=\"Oost Timor\">Oost Timor<\/option><option  value=\"Oost-Timor\">Oost-Timor<\/option><option  value=\"Oostenrijk\">Oostenrijk<\/option><option  value=\"Pakistan\" data-code=\"PK\">Pakistan<\/option><option  value=\"Palau\" data-code=\"PW\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panama\" data-code=\"PA\">Panama<\/option><option  value=\"Papoea Nieuw Guinea\">Papoea Nieuw Guinea<\/option><option  value=\"Paraguay\" data-code=\"PY\">Paraguay<\/option><option  value=\"Peru\" data-code=\"PE\">Peru<\/option><option  value=\"Pitcairn\" data-code=\"PN\">Pitcairn<\/option><option  value=\"Polen\">Polen<\/option><option  value=\"Portugal\" data-code=\"PT\">Portugal<\/option><option  value=\"Puerto Rico\" data-code=\"PR\">Puerto Rico<\/option><option  value=\"Qatar\" data-code=\"QA\">Qatar<\/option><option  value=\"Romeni\u00eb\">Romeni\u00eb<\/option><option  value=\"Rusland\">Rusland<\/option><option  value=\"Rwanda\" data-code=\"RW\">Rwanda<\/option><option  value=\"R\u00e9unie\">R\u00e9unie<\/option><option  value=\"Saint Kitts en Nevis\">Saint Kitts en Nevis<\/option><option  value=\"Saint Lucia\" data-code=\"LC\">Saint Lucia<\/option><option  value=\"Saint Pierre en Miquelon\">Saint Pierre en Miquelon<\/option><option  value=\"Saint Vincent en de Grenadines\">Saint Vincent en de Grenadines<\/option><option  value=\"Samoa\" data-code=\"WS\">Samoa<\/option><option  value=\"San Marino\" data-code=\"SM\">San Marino<\/option><option  value=\"Sao Tome en Principe\">Sao Tome en Principe<\/option><option  value=\"Saudi Arabi\u00eb\">Saudi Arabi\u00eb<\/option><option  value=\"Senegal\" data-code=\"SN\">Senegal<\/option><option  value=\"Servi\u00eb\">Servi\u00eb<\/option><option  value=\"Seychellen\">Seychellen<\/option><option  value=\"Sierra Leone\" data-code=\"SL\">Sierra Leone<\/option><option  value=\"Singapore\" data-code=\"SG\">Singapore<\/option><option  value=\"Sint Bartholomeus\">Sint Bartholomeus<\/option><option  value=\"Sint Helena, Ascension en Tristan da Cunha\">Sint Helena, Ascension en Tristan da Cunha<\/option><option  value=\"Sint Maarten (Franse deel)\">Sint Maarten (Franse deel)<\/option><option  value=\"Sint Maarten (Nederlandse deel)\">Sint Maarten (Nederlandse deel)<\/option><option  value=\"Sloveni\u00eb\">Sloveni\u00eb<\/option><option  value=\"Slowakije\">Slowakije<\/option><option  value=\"Soedan\">Soedan<\/option><option  value=\"Solomon Eilanden\">Solomon Eilanden<\/option><option  value=\"Somali\u00eb\">Somali\u00eb<\/option><option  value=\"Spanje\">Spanje<\/option><option  value=\"Sri Lanka\" data-code=\"LK\">Sri Lanka<\/option><option  value=\"Suriname\" data-code=\"SR\">Suriname<\/option><option  value=\"Svalbard en Jan Mayen\">Svalbard en Jan Mayen<\/option><option  value=\"Swaziland\" data-code=\"SZ\">Swaziland<\/option><option  value=\"Syri\u00eb\">Syri\u00eb<\/option><option  value=\"Tadzjikistan\">Tadzjikistan<\/option><option  value=\"Taiwan\" data-code=\"TW\">Taiwan<\/option><option  value=\"Tanzania\" data-code=\"TZ\">Tanzania<\/option><option  value=\"Thailand\" data-code=\"TH\">Thailand<\/option><option  value=\"Togo\" data-code=\"TG\">Togo<\/option><option  value=\"Tokelau\" data-code=\"TK\">Tokelau<\/option><option  value=\"Tonga\" data-code=\"TO\">Tonga<\/option><option  value=\"Trinidad en Tobago\">Trinidad en Tobago<\/option><option  value=\"Tsjaad\">Tsjaad<\/option><option  value=\"Tsjechi\u00eb\">Tsjechi\u00eb<\/option><option  value=\"Tunesi\u00eb\">Tunesi\u00eb<\/option><option  value=\"Turkije\">Turkije<\/option><option  value=\"Turkmenistan\" data-code=\"TM\">Turkmenistan<\/option><option  value=\"Turks en Caicos eilanden\">Turks en Caicos eilanden<\/option><option  value=\"Tuvalu\" data-code=\"TV\">Tuvalu<\/option><option  value=\"Uganda\" data-code=\"UG\">Uganda<\/option><option  value=\"Uruguay\" data-code=\"UY\">Uruguay<\/option><option  value=\"Vanuatu\" data-code=\"VU\">Vanuatu<\/option><option  value=\"Vaticaanstad\">Vaticaanstad<\/option><option  value=\"Venezuela\" data-code=\"VE\">Venezuela<\/option><option  value=\"Ver. Arabische Emiraten\">Ver. Arabische Emiraten<\/option><option  value=\"Verenigde Staten\">Verenigde Staten<\/option><option  value=\"Vietnam\" data-code=\"VN\">Vietnam<\/option><option  value=\"Wallis en Futuna\">Wallis en Futuna<\/option><option  value=\"Westelijke Sahara\">Westelijke Sahara<\/option><option  value=\"Wit-Rusland\">Wit-Rusland<\/option><option  value=\"Yemen\" data-code=\"YE\">Yemen<\/option><option  value=\"Zambia\" data-code=\"ZM\">Zambia<\/option><option  value=\"Zimbabwe\" data-code=\"ZW\">Zimbabwe<\/option><option  value=\"Zuid Afrika\">Zuid Afrika<\/option><option  value=\"Zuid Korea\">Zuid Korea<\/option><option  value=\"Zuid Sudan\">Zuid Sudan<\/option><option  value=\"Zuid-Georgi\u00eb en de Zuidelijke Sandwich Eilanden\">Zuid-Georgi\u00eb en de Zuidelijke Sandwich Eilanden<\/option><option  value=\"Zweden\">Zweden<\/option><option  value=\"Zwitzerland\">Zwitzerland<\/option>\t\t<\/select>\n\tLand\n<\/fieldset>\n\tGeheim adres\n\t\t\t\t\t\t<label  for=\"field_l0dc6-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[129][]\" id=\"field_l0dc6-0\" value=\"Nee\"  data-invmsg=\"Geheim adres is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_l0dc6-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[129][]\" id=\"field_l0dc6-1\" value=\"Ja\"  data-invmsg=\"Geheim adres is ongeldig\"   \/> Ja<\/label>\n\t<label for=\"field_b0144\" id=\"field_b0144_label\">Telefoon thuis\n\t<\/label>\n\t<input type=\"tel\" id=\"field_b0144\" name=\"item_meta[130]\" value=\"\"  data-invmsg=\"Telefoon thuis is ongeldig\" aria-invalid=\"false\" pattern=\"((+d{1,3}(-|.| )?(?d)?(-| |.)?d{1,5})|((?d{2,6})?))(-|.| )?(d{3,4})(-|.| )?(d{4})(( x| ext)d{1,5}){0,1}$\"  \/>\n\tGeheim\n\t\t\t\t\t\t<label  for=\"field_1kgt1-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[131][]\" id=\"field_1kgt1-0\" value=\"Nee\"  data-invmsg=\"Geheim is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_1kgt1-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[131][]\" id=\"field_1kgt1-1\" value=\"Ja\"  data-invmsg=\"Geheim is ongeldig\"   \/> Ja<\/label>\n\t<label for=\"field_f6z1l\" id=\"field_f6z1l_label\">Aanvullende opmerkingen\n\t<\/label>\n\t<textarea name=\"item_meta[132]\" id=\"field_f6z1l\" rows=\"5\"  data-invmsg=\"Aanvullende opmerkingen is ongeldig\" aria-invalid=\"false\"><\/textarea>\n<h3>Verklaring<\/h3>\n<p>De gegevens van dit formulier zullen vertrouwelijk worden behandeld. Elke verzorger met wettelijk gezag heeft recht op inzage van administratieve gegevens en correctie van onjuiste gegevens van het kind.<\/p>\n<h1>Personalia Leerling<\/h1>\n\t<label for=\"field_xziol\" id=\"field_xziol_label\">Achternaam\n\t<\/label>\n\t<input type=\"text\" id=\"field_xziol\" name=\"item_meta[136]\" value=\"\"  data-invmsg=\"Achternaam is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_y5q47\" id=\"field_y5q47_label\">Voorna(a)m(en)\n\t<\/label>\n\t<input type=\"text\" id=\"field_y5q47\" name=\"item_meta[137]\" value=\"\"  data-invmsg=\"Voorna(a)m(en) is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_c0c0s\" id=\"field_c0c0s_label\">Roepnaam\n\t<\/label>\n\t<input type=\"text\" id=\"field_c0c0s\" name=\"item_meta[138]\" value=\"\"  data-invmsg=\"Roepnaam is ongeldig\" aria-invalid=\"false\"   \/>\n\tGeslacht\n\t\t\t\t\t\t<label  for=\"field_vrde6-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[139][]\" id=\"field_vrde6-0\" value=\"Meisje\"  data-invmsg=\"Geslacht is ongeldig\"   \/> Meisje<\/label>\n\t\t\t\t\t<label  for=\"field_vrde6-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[139][]\" id=\"field_vrde6-1\" value=\"Jongen\"  data-invmsg=\"Geslacht is ongeldig\"   \/> Jongen<\/label>\n\t<label for=\"field_3vjba\" id=\"field_3vjba_label\">Geboortedatum\n\t<\/label>\n\t<input type=\"text\" id=\"field_3vjba\" name=\"item_meta[140]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Geboortedatum is ongeldig\" aria-invalid=\"false\"  \/>\n\t<label for=\"field_3vmma\" id=\"field_3vmma_label\">Geboorteplaats\n\t<\/label>\n\t<input type=\"text\" id=\"field_3vmma\" name=\"item_meta[141]\" value=\"\"  data-invmsg=\"Geboorteplaats is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_ex6lo\" id=\"field_ex6lo_label\">BSN\n\t<\/label>\n\t<input type=\"text\" id=\"field_ex6lo\" name=\"item_meta[142]\" value=\"\"  data-invmsg=\"BSN is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_mqvqw\" id=\"field_mqvqw_label\">Land van herkomst (anders dan Nederland)\n\t<\/label>\n\t<input type=\"text\" id=\"field_mqvqw\" name=\"item_meta[143]\" value=\"\"  data-invmsg=\"Land van herkomst (anders dan Nederland) is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_52rd6\" id=\"field_52rd6_label\">Datum in Nederland\n\t<\/label>\n\t<input type=\"text\" id=\"field_52rd6\" name=\"item_meta[144]\" value=\"\"  data-invmsg=\"Datum in Nederland is ongeldig\" aria-invalid=\"false\"   \/>\n\tof \n\t\t\t\t\t\t<label  for=\"field_zrq4m-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[145][]\" id=\"field_zrq4m-0\" value=\"n.v.t.\"  data-invmsg=\"of  is ongeldig\"   \/> n.v.t.<\/label>\n\t<label for=\"field_ztyws\" id=\"field_ztyws_label\">Eerste Nationaliteit\n\t<\/label>\n\t<input type=\"text\" id=\"field_ztyws\" name=\"item_meta[146]\" value=\"\"  data-invmsg=\"Eerste Nationaliteit is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_sugfx\" id=\"field_sugfx_label\">Tweede Nationaliteit\n\t<\/label>\n\t<input type=\"text\" id=\"field_sugfx\" name=\"item_meta[147]\" value=\"\"  data-invmsg=\"Tweede Nationaliteit is ongeldig\" aria-invalid=\"false\"   \/>\n\tof \n\t\t\t\t\t\t<label  for=\"field_s717b-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[148][]\" id=\"field_s717b-0\" value=\"n.v.t.\"  data-invmsg=\"of  is ongeldig\"   \/> n.v.t.<\/label>\n\tAdres\n\t<fieldset aria-labelledby=\"field_y47l6_label\">\n<legend>\n\tAdres<\/legend>\n\t<label for=\"field_y47l6_line1\">\n\t\tAdres\t<\/label>\n\t\t<input type=\"text\" id=\"field_y47l6_line1\" value=\"\" name=\"item_meta[150][line1]\"  placeholder=\"straatnaam\" data-placeholder=\"straatnaam\" data-invmsg=\"Adres is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<label for=\"field_y47l6_line2\">\n\t\tAdres\t<\/label>\n\t\t<input type=\"text\" id=\"field_y47l6_line2\" value=\"\" name=\"item_meta[150][line2]\"  placeholder=\"huisnummer\" data-placeholder=\"huisnummer\" data-invmsg=\"Adres is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<label for=\"field_y47l6_city\">\n\t\tStad\t<\/label>\n\t\t<input type=\"text\" id=\"field_y47l6_city\" value=\"\" name=\"item_meta[150][city]\"  placeholder=\"stad\" data-placeholder=\"stad\" data-invmsg=\"Adres is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\tStad\n\t<label for=\"field_y47l6_state\">\n\t\tStaat\/Provincie\t<\/label>\n\t\t<input type=\"text\" id=\"field_y47l6_state\" value=\"\" name=\"item_meta[150][state]\"  placeholder=\"provincie\" data-placeholder=\"provincie\" data-invmsg=\"Adres is ongeldig\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\tStaat\/Provincie\n\t<label for=\"field_y47l6_zip\">\n\t\tZip\/Postcode\t<\/label>\n\t\t<input type=\"text\" id=\"field_y47l6_zip\" value=\"\" name=\"item_meta[150][zip]\"  placeholder=\"postcode\" data-placeholder=\"postcode\" data-invmsg=\"Adres is ongeldig\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\tZip\/Postcode\n\t<label for=\"field_y47l6_country\">\n\t\tLand\t<\/label>\n\t\t\t<select name=\"item_meta[150][country]\" id=\"field_y47l6_country\"  placeholder=\"land\" data-placeholder=\"land\" data-invmsg=\"Adres is ongeldig\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\tland\t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\" data-code=\"AF\">Afghanistan<\/option><option  value=\"Aland eilanden\">Aland eilanden<\/option><option  value=\"Albani\u00eb\">Albani\u00eb<\/option><option  value=\"Algerije\">Algerije<\/option><option  value=\"Amerikaans Samoa\">Amerikaans Samoa<\/option><option  value=\"Andorra\" data-code=\"AD\">Andorra<\/option><option  value=\"Angola\" data-code=\"AO\">Angola<\/option><option  value=\"Anguilla\" data-code=\"AI\">Anguilla<\/option><option  value=\"Antarctica\" data-code=\"AQ\">Antarctica<\/option><option  value=\"Antigua en Barbuda\">Antigua en Barbuda<\/option><option  value=\"Argentini\u00eb\">Argentini\u00eb<\/option><option  value=\"Armeni\u00eb\">Armeni\u00eb<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australi\u00eb\">Australi\u00eb<\/option><option  value=\"Azerbaijan\" data-code=\"AZ\">Azerbaijan<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bahrein\">Bahrein<\/option><option  value=\"Bangladesh\" data-code=\"BD\">Bangladesh<\/option><option  value=\"Barbados\" data-code=\"BB\">Barbados<\/option><option  value=\"Belgi\u00eb\">Belgi\u00eb<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Benin\" data-code=\"BJ\">Benin<\/option><option  value=\"Bermuda\" data-code=\"BM\">Bermuda<\/option><option  value=\"Boetan\">Boetan<\/option><option  value=\"Bolivia\" data-code=\"BO\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius en Saba\">Bonaire, Sint Eustatius en Saba<\/option><option  value=\"Bosni\u00eb en Herzegovina\">Bosni\u00eb en Herzegovina<\/option><option  value=\"Botswana\" data-code=\"BW\">Botswana<\/option><option  value=\"Bouvet Island\" data-code=\"BV\">Bouvet Island<\/option><option  value=\"Brazili\u00eb\">Brazili\u00eb<\/option><option  value=\"Brits Indische Oceaanterritorium\">Brits Indische Oceaanterritorium<\/option><option  value=\"Brunei\" data-code=\"BN\">Brunei<\/option><option  value=\"Bulgarije\">Bulgarije<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"Cambodja\">Cambodja<\/option><option  value=\"Canada\" data-code=\"CA\">Canada<\/option><option  value=\"Centraal Afrikaanse Republiek\">Centraal Afrikaanse Republiek<\/option><option  value=\"Chili\">Chili<\/option><option  value=\"China\" data-code=\"CN\">China<\/option><option  value=\"Cocos (Keeling) eilanden\">Cocos (Keeling) eilanden<\/option><option  value=\"Colombia\" data-code=\"CO\">Colombia<\/option><option  value=\"Comoren\">Comoren<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook eilanden\">Cook eilanden<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Cuba\" data-code=\"CU\">Cuba<\/option><option  value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option><option  value=\"Cyprus\" data-code=\"CY\">Cyprus<\/option><option  value=\"Denemarken\">Denemarken<\/option><option  value=\"Djibouti\" data-code=\"DJ\">Djibouti<\/option><option  value=\"Dominica\" data-code=\"DM\">Dominica<\/option><option  value=\"Dominicaanse Republiek\">Dominicaanse Republiek<\/option><option  value=\"Duitsland\">Duitsland<\/option><option  value=\"Ecuador\" data-code=\"EC\">Ecuador<\/option><option  value=\"Egypte\">Egypte<\/option><option  value=\"El Salvador\" data-code=\"SV\">El Salvador<\/option><option  value=\"Engeland\">Engeland<\/option><option  value=\"Equatoriaal Guinea\">Equatoriaal Guinea<\/option><option  value=\"Eritrea\" data-code=\"ER\">Eritrea<\/option><option  value=\"Estland\">Estland<\/option><option  value=\"Ethiopi\u00eb\">Ethiopi\u00eb<\/option><option  value=\"Faero\u00ebr Eilanden\">Faero\u00ebr Eilanden<\/option><option  value=\"Falkland eilanden (Malvinas)\">Falkland eilanden (Malvinas)<\/option><option  value=\"Fiji\" data-code=\"FJ\">Fiji<\/option><option  value=\"Filippijnen\">Filippijnen<\/option><option  value=\"Finland\" data-code=\"FI\">Finland<\/option><option  value=\"Frankrijk\">Frankrijk<\/option><option  value=\"Frans Guyana\">Frans Guyana<\/option><option  value=\"Frans Polynesi\u00eb\">Frans Polynesi\u00eb<\/option><option  value=\"Franse Zuidelijke Gebieden\">Franse Zuidelijke Gebieden<\/option><option  value=\"Gabon\" data-code=\"GA\">Gabon<\/option><option  value=\"Gambia\" data-code=\"GM\">Gambia<\/option><option  value=\"Georgia\" data-code=\"GE\">Georgia<\/option><option  value=\"Ghana\" data-code=\"GH\">Ghana<\/option><option  value=\"Gibraltar\" data-code=\"GI\">Gibraltar<\/option><option  value=\"Grenada\" data-code=\"GD\">Grenada<\/option><option  value=\"Griekenland\">Griekenland<\/option><option  value=\"Groenland\">Groenland<\/option><option  value=\"Guadeloupe\" data-code=\"GP\">Guadeloupe<\/option><option  value=\"Guam\" data-code=\"GU\">Guam<\/option><option  value=\"Guatemala\" data-code=\"GT\">Guatemala<\/option><option  value=\"Guernsey\" data-code=\"GG\">Guernsey<\/option><option  value=\"Guinea\" data-code=\"GN\">Guinea<\/option><option  value=\"Guinee-Bissau\">Guinee-Bissau<\/option><option  value=\"Guyana\" data-code=\"GY\">Guyana<\/option><option  value=\"Haiti\" data-code=\"HT\">Haiti<\/option><option  value=\"Heard eiland en McDonald eilanden\">Heard eiland en McDonald eilanden<\/option><option  value=\"Holy See\">Holy See<\/option><option  value=\"Honduras\" data-code=\"HN\">Honduras<\/option><option  value=\"Hong Kong\" data-code=\"HK\">Hong Kong<\/option><option  value=\"Hongarije\">Hongarije<\/option><option  value=\"IJsland\">IJsland<\/option><option  value=\"Ierland\">Ierland<\/option><option  value=\"India\" data-code=\"IN\">India<\/option><option  value=\"Indonesi\u00eb\">Indonesi\u00eb<\/option><option  value=\"Irak\">Irak<\/option><option  value=\"Iran\" data-code=\"IR\">Iran<\/option><option  value=\"Isle of Man\" data-code=\"IM\">Isle of Man<\/option><option  value=\"Isra\u00ebl\">Isra\u00ebl<\/option><option  value=\"Itali\u00eb\">Itali\u00eb<\/option><option  value=\"Ivoorkust\">Ivoorkust<\/option><option  value=\"Jamaica\" data-code=\"JM\">Jamaica<\/option><option  value=\"Japan\" data-code=\"JP\">Japan<\/option><option  value=\"Jersey\" data-code=\"JE\">Jersey<\/option><option  value=\"Jordani\u00eb\">Jordani\u00eb<\/option><option  value=\"Kaaiman Eilanden\">Kaaiman Eilanden<\/option><option  value=\"Kaap Verdi\u00eb\">Kaap Verdi\u00eb<\/option><option  value=\"Kameroen\">Kameroen<\/option><option  value=\"Kazachstan\">Kazachstan<\/option><option  value=\"Kenya\" data-code=\"KE\">Kenya<\/option><option  value=\"Kersteiland\">Kersteiland<\/option><option  value=\"Kirgizi\u00eb\">Kirgizi\u00eb<\/option><option  value=\"Kiribati\" data-code=\"KI\">Kiribati<\/option><option  value=\"Kleine afgelegen eilanden van de Verenigde Staten\">Kleine afgelegen eilanden van de Verenigde Staten<\/option><option  value=\"Koeweit\">Koeweit<\/option><option  value=\"Kosovo\" data-code=\"XK\">Kosovo<\/option><option  value=\"Kroati\u00eb\">Kroati\u00eb<\/option><option  value=\"Laos\" data-code=\"LA\">Laos<\/option><option  value=\"Lesotho\" data-code=\"LS\">Lesotho<\/option><option  value=\"Letland\">Letland<\/option><option  value=\"Libanon\">Libanon<\/option><option  value=\"Liberia\" data-code=\"LR\">Liberia<\/option><option  value=\"Libi\u00eb\">Libi\u00eb<\/option><option  value=\"Liechtenstein\" data-code=\"LI\">Liechtenstein<\/option><option  value=\"Litouwen\">Litouwen<\/option><option  value=\"Luxemburg\">Luxemburg<\/option><option  value=\"Maagden Eilanden, Brits\">Maagden Eilanden, Brits<\/option><option  value=\"Maagden Eilanden, U.S.\">Maagden Eilanden, U.S.<\/option><option  value=\"Macao\" data-code=\"MO\">Macao<\/option><option  value=\"Macedoni\u00eb\">Macedoni\u00eb<\/option><option  value=\"Madagascar\" data-code=\"MG\">Madagascar<\/option><option  value=\"Malawi\" data-code=\"MW\">Malawi<\/option><option  value=\"Malediven\">Malediven<\/option><option  value=\"Maleisi\u00eb\">Maleisi\u00eb<\/option><option  value=\"Mali\" data-code=\"ML\">Mali<\/option><option  value=\"Malta\" data-code=\"MT\">Malta<\/option><option  value=\"Marokko\">Marokko<\/option><option  value=\"Marshall Eilanden\">Marshall Eilanden<\/option><option  value=\"Martinique\" data-code=\"MQ\">Martinique<\/option><option  value=\"Mauritani\u00eb\">Mauritani\u00eb<\/option><option  value=\"Mauritius\" data-code=\"MU\">Mauritius<\/option><option  value=\"Mayotte\" data-code=\"YT\">Mayotte<\/option><option  value=\"Mexico\" data-code=\"MX\">Mexico<\/option><option  value=\"Micronesi\u00eb\">Micronesi\u00eb<\/option><option  value=\"Moldavi\u00eb\">Moldavi\u00eb<\/option><option  value=\"Monaco\" data-code=\"MC\">Monaco<\/option><option  value=\"Mongoli\u00eb\">Mongoli\u00eb<\/option><option  value=\"Montenegro\" data-code=\"ME\">Montenegro<\/option><option  value=\"Montserrat\" data-code=\"MS\">Montserrat<\/option><option  value=\"Mozambique\" data-code=\"MZ\">Mozambique<\/option><option  value=\"Myanmar\" data-code=\"MM\">Myanmar<\/option><option  value=\"Namibi\u00eb\">Namibi\u00eb<\/option><option  value=\"Nauru\" data-code=\"NR\">Nauru<\/option><option  value=\"Nederland\">Nederland<\/option><option  value=\"Nepal\" data-code=\"NP\">Nepal<\/option><option  value=\"New Caledonia\" data-code=\"NC\">New Caledonia<\/option><option  value=\"Nicaragua\" data-code=\"NI\">Nicaragua<\/option><option  value=\"Nieuw Zeeland\">Nieuw Zeeland<\/option><option  value=\"Niger\" data-code=\"NE\">Niger<\/option><option  value=\"Nigeria\" data-code=\"NG\">Nigeria<\/option><option  value=\"Niue\" data-code=\"NU\">Niue<\/option><option  value=\"Noord Korea\">Noord Korea<\/option><option  value=\"Noordelijke Marianen\">Noordelijke Marianen<\/option><option  value=\"Norfolk Island\" data-code=\"NF\">Norfolk Island<\/option><option  value=\"Norwegen\">Norwegen<\/option><option  value=\"Oekra\u00efne\">Oekra\u00efne<\/option><option  value=\"Oezbekistan\">Oezbekistan<\/option><option  value=\"Oman\" data-code=\"OM\">Oman<\/option><option  value=\"Oost Timor\">Oost Timor<\/option><option  value=\"Oost-Timor\">Oost-Timor<\/option><option  value=\"Oostenrijk\">Oostenrijk<\/option><option  value=\"Pakistan\" data-code=\"PK\">Pakistan<\/option><option  value=\"Palau\" data-code=\"PW\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panama\" data-code=\"PA\">Panama<\/option><option  value=\"Papoea Nieuw Guinea\">Papoea Nieuw Guinea<\/option><option  value=\"Paraguay\" data-code=\"PY\">Paraguay<\/option><option  value=\"Peru\" data-code=\"PE\">Peru<\/option><option  value=\"Pitcairn\" data-code=\"PN\">Pitcairn<\/option><option  value=\"Polen\">Polen<\/option><option  value=\"Portugal\" data-code=\"PT\">Portugal<\/option><option  value=\"Puerto Rico\" data-code=\"PR\">Puerto Rico<\/option><option  value=\"Qatar\" data-code=\"QA\">Qatar<\/option><option  value=\"Romeni\u00eb\">Romeni\u00eb<\/option><option  value=\"Rusland\">Rusland<\/option><option  value=\"Rwanda\" data-code=\"RW\">Rwanda<\/option><option  value=\"R\u00e9unie\">R\u00e9unie<\/option><option  value=\"Saint Kitts en Nevis\">Saint Kitts en Nevis<\/option><option  value=\"Saint Lucia\" data-code=\"LC\">Saint Lucia<\/option><option  value=\"Saint Pierre en Miquelon\">Saint Pierre en Miquelon<\/option><option  value=\"Saint Vincent en de Grenadines\">Saint Vincent en de Grenadines<\/option><option  value=\"Samoa\" data-code=\"WS\">Samoa<\/option><option  value=\"San Marino\" data-code=\"SM\">San Marino<\/option><option  value=\"Sao Tome en Principe\">Sao Tome en Principe<\/option><option  value=\"Saudi Arabi\u00eb\">Saudi Arabi\u00eb<\/option><option  value=\"Senegal\" data-code=\"SN\">Senegal<\/option><option  value=\"Servi\u00eb\">Servi\u00eb<\/option><option  value=\"Seychellen\">Seychellen<\/option><option  value=\"Sierra Leone\" data-code=\"SL\">Sierra Leone<\/option><option  value=\"Singapore\" data-code=\"SG\">Singapore<\/option><option  value=\"Sint Bartholomeus\">Sint Bartholomeus<\/option><option  value=\"Sint Helena, Ascension en Tristan da Cunha\">Sint Helena, Ascension en Tristan da Cunha<\/option><option  value=\"Sint Maarten (Franse deel)\">Sint Maarten (Franse deel)<\/option><option  value=\"Sint Maarten (Nederlandse deel)\">Sint Maarten (Nederlandse deel)<\/option><option  value=\"Sloveni\u00eb\">Sloveni\u00eb<\/option><option  value=\"Slowakije\">Slowakije<\/option><option  value=\"Soedan\">Soedan<\/option><option  value=\"Solomon Eilanden\">Solomon Eilanden<\/option><option  value=\"Somali\u00eb\">Somali\u00eb<\/option><option  value=\"Spanje\">Spanje<\/option><option  value=\"Sri Lanka\" data-code=\"LK\">Sri Lanka<\/option><option  value=\"Suriname\" data-code=\"SR\">Suriname<\/option><option  value=\"Svalbard en Jan Mayen\">Svalbard en Jan Mayen<\/option><option  value=\"Swaziland\" data-code=\"SZ\">Swaziland<\/option><option  value=\"Syri\u00eb\">Syri\u00eb<\/option><option  value=\"Tadzjikistan\">Tadzjikistan<\/option><option  value=\"Taiwan\" data-code=\"TW\">Taiwan<\/option><option  value=\"Tanzania\" data-code=\"TZ\">Tanzania<\/option><option  value=\"Thailand\" data-code=\"TH\">Thailand<\/option><option  value=\"Togo\" data-code=\"TG\">Togo<\/option><option  value=\"Tokelau\" data-code=\"TK\">Tokelau<\/option><option  value=\"Tonga\" data-code=\"TO\">Tonga<\/option><option  value=\"Trinidad en Tobago\">Trinidad en Tobago<\/option><option  value=\"Tsjaad\">Tsjaad<\/option><option  value=\"Tsjechi\u00eb\">Tsjechi\u00eb<\/option><option  value=\"Tunesi\u00eb\">Tunesi\u00eb<\/option><option  value=\"Turkije\">Turkije<\/option><option  value=\"Turkmenistan\" data-code=\"TM\">Turkmenistan<\/option><option  value=\"Turks en Caicos eilanden\">Turks en Caicos eilanden<\/option><option  value=\"Tuvalu\" data-code=\"TV\">Tuvalu<\/option><option  value=\"Uganda\" data-code=\"UG\">Uganda<\/option><option  value=\"Uruguay\" data-code=\"UY\">Uruguay<\/option><option  value=\"Vanuatu\" data-code=\"VU\">Vanuatu<\/option><option  value=\"Vaticaanstad\">Vaticaanstad<\/option><option  value=\"Venezuela\" data-code=\"VE\">Venezuela<\/option><option  value=\"Ver. Arabische Emiraten\">Ver. Arabische Emiraten<\/option><option  value=\"Verenigde Staten\">Verenigde Staten<\/option><option  value=\"Vietnam\" data-code=\"VN\">Vietnam<\/option><option  value=\"Wallis en Futuna\">Wallis en Futuna<\/option><option  value=\"Westelijke Sahara\">Westelijke Sahara<\/option><option  value=\"Wit-Rusland\">Wit-Rusland<\/option><option  value=\"Yemen\" data-code=\"YE\">Yemen<\/option><option  value=\"Zambia\" data-code=\"ZM\">Zambia<\/option><option  value=\"Zimbabwe\" data-code=\"ZW\">Zimbabwe<\/option><option  value=\"Zuid Afrika\">Zuid Afrika<\/option><option  value=\"Zuid Korea\">Zuid Korea<\/option><option  value=\"Zuid Sudan\">Zuid Sudan<\/option><option  value=\"Zuid-Georgi\u00eb en de Zuidelijke Sandwich Eilanden\">Zuid-Georgi\u00eb en de Zuidelijke Sandwich Eilanden<\/option><option  value=\"Zweden\">Zweden<\/option><option  value=\"Zwitzerland\">Zwitzerland<\/option>\t\t<\/select>\n\tLand\n<\/fieldset>\n\tGeheim adres\n\t\t\t\t\t\t<label  for=\"field_lkguq-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[149][]\" id=\"field_lkguq-0\" value=\"Nee\"  data-invmsg=\"Geheim adres is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_lkguq-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[149][]\" id=\"field_lkguq-1\" value=\"Ja\"  data-invmsg=\"Geheim adres is ongeldig\"   \/> Ja<\/label>\n\t<label for=\"field_t8u4r\" id=\"field_t8u4r_label\">Telefoon thuis\n\t<\/label>\n\t<input type=\"tel\" id=\"field_t8u4r\" name=\"item_meta[152]\" value=\"\"  data-invmsg=\"Telefoon thuis is ongeldig\" aria-invalid=\"false\" pattern=\"((+d{1,3}(-|.| )?(?d)?(-| |.)?d{1,5})|((?d{2,6})?))(-|.| )?(d{3,4})(-|.| )?(d{4})(( x| ext)d{1,5}){0,1}$\"  \/>\n\tGeheim\n\t\t\t\t\t\t<label  for=\"field_1ni6e-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[151][]\" id=\"field_1ni6e-0\" value=\"Nee\"  data-invmsg=\"Geheim is ongeldig\"   \/> Nee<\/label>\n\t\t\t\t\t<label  for=\"field_1ni6e-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[151][]\" id=\"field_1ni6e-1\" value=\"Ja\"  data-invmsg=\"Geheim is ongeldig\"   \/> Ja<\/label>\n<h1>Gegevens vorig onderwijs<\/h1>\n\tDeelgenomen aan peuterwerk\n\t\t\t\t\t\t<label  for=\"field_aqyb9-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[155][]\" id=\"field_aqyb9-0\" value=\"Ja\"  data-invmsg=\"Deelgenomen aan peuterwerk is ongeldig\"   \/> Ja<\/label>\n\t\t\t\t\t<label  for=\"field_aqyb9-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[155][]\" id=\"field_aqyb9-1\" value=\"Nee\"  data-invmsg=\"Deelgenomen aan peuterwerk is ongeldig\"   \/> Nee<\/label>\n\t<label for=\"field_of80k\" id=\"field_of80k_label\">Zo ja, naam:\n\t<\/label>\n\t<input type=\"text\" id=\"field_of80k\" name=\"item_meta[156]\" value=\"\"  data-invmsg=\"Zo ja, naam: is ongeldig\" aria-invalid=\"false\"   \/>\n\tDeelgenomen aan kinderopvang\n\t\t\t\t\t\t<label  for=\"field_pfvmr-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[157][]\" id=\"field_pfvmr-0\" value=\"Ja\"  data-invmsg=\"Deelgenomen aan kinderopvang is ongeldig\"   \/> Ja<\/label>\n\t\t\t\t\t<label  for=\"field_pfvmr-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[157][]\" id=\"field_pfvmr-1\" value=\"Nee\"  data-invmsg=\"Deelgenomen aan kinderopvang is ongeldig\"   \/> Nee<\/label>\n\t<label for=\"field_g0xnf\" id=\"field_g0xnf_label\">Zo ja, naam:\n\t<\/label>\n\t<input type=\"text\" id=\"field_g0xnf\" name=\"item_meta[158]\" value=\"\"  data-invmsg=\"Zo ja, naam: is ongeldig\" aria-invalid=\"false\"   \/>\n\tVVE indicatie\n\t\t\t\t\t\t<label  for=\"field_iypza-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[159][]\" id=\"field_iypza-0\" value=\"Ja\"  data-invmsg=\"VVE indicatie is ongeldig\"   \/> Ja<\/label>\n\t\t\t\t\t<label  for=\"field_iypza-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[159][]\" id=\"field_iypza-1\" value=\"Nee\"  data-invmsg=\"VVE indicatie is ongeldig\"   \/> Nee<\/label>\n\t<label for=\"field_e78vv\" id=\"field_e78vv_label\">Zo ja, naam VVE programma:\n\t<\/label>\n\t<input type=\"text\" id=\"field_e78vv\" name=\"item_meta[160]\" value=\"\"  data-invmsg=\"Zo ja, naam VVE programma: is ongeldig\" aria-invalid=\"false\"   \/>\n\t<label for=\"field_13w49\" id=\"field_13w49_label\">Zo ja, VVE duur (in maanden)\n\t<\/label>\n\t<input type=\"text\" id=\"field_13w49\" name=\"item_meta[161]\" value=\"\"  data-invmsg=\"Zo ja, VVE duur (in maanden) is ongeldig\" aria-invalid=\"false\"   \/>\n<h1>Ik wil mijn kind aanmelden voor<\/h1>\n\tKinderopvang\n\t\t\t\t\t\t<label  for=\"field_voqeo-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[163][]\" id=\"field_voqeo-0\" value=\"Dagopvang 0 - 4 jaar\"  data-invmsg=\"Kinderopvang is ongeldig\"   \/> Dagopvang 0 &#8211; 4 jaar<\/label>\n\t\t\t\t\t<label  for=\"field_voqeo-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[163][]\" id=\"field_voqeo-1\" value=\"Naschoolse opvang\"  data-invmsg=\"Kinderopvang is ongeldig\"   \/> Naschoolse opvang<\/label>\n\t\t\t\t\t<label  for=\"field_voqeo-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[163][]\" id=\"field_voqeo-2\" value=\"Voorschoolse opvang\"  data-invmsg=\"Kinderopvang is ongeldig\"   \/> Voorschoolse opvang<\/label>\n\t\t\t\t\t<label  for=\"field_voqeo-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[163][]\" id=\"field_voqeo-3\" value=\"Vakantie opvang\"  data-invmsg=\"Kinderopvang is ongeldig\"   \/> Vakantie opvang<\/label>\n\t\t\t\t\t<label  for=\"field_voqeo-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[163][]\" id=\"field_voqeo-4\" value=\"Incidentele opvang\"  data-invmsg=\"Kinderopvang is ongeldig\"   \/> Incidentele opvang<\/label>\n\t\t\t\t\t<label  for=\"field_voqeo-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[163][]\" id=\"field_voqeo-5\" value=\"Peuterarrangement 2 tot 4 jaar (mogelijk onder Wet Kinderopvang, subsidie gemeente vanaf 2,5 jaar beschikbaar)\"  data-invmsg=\"Kinderopvang is ongeldig\"   \/> Peuterarrangement 2 tot 4 jaar (mogelijk onder Wet Kinderopvang, subsidie gemeente vanaf 2,5 jaar beschikbaar)<\/label>\n\t<label for=\"field_fdvip\" id=\"field_fdvip_label\">Gewenste startdatum\n\t<\/label>\n\t<input type=\"text\" id=\"field_fdvip\" name=\"item_meta[164]\" value=\"\"  data-invmsg=\"Gewenste startdatum is ongeldig\" aria-invalid=\"false\"   \/>\nLittle People neemt zo spoedig mogelijk contact met u op om de details van deze aanmelding in te vullen (tijden etc.)\n\tBasisschool BR!CKS\n\t\t\t\t\t\t<label  for=\"field_uwdy3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[166][]\" id=\"field_uwdy3-0\" value=\"ja\"  data-invmsg=\"Basisschool BR!CKS is ongeldig\"   \/> ja<\/label>\n\t\t\t\t\t<label  for=\"field_uwdy3-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[166][]\" id=\"field_uwdy3-1\" value=\"nee\"  data-invmsg=\"Basisschool BR!CKS is ongeldig\"   \/> nee<\/label>\n<button type=\"submit\"   formnovalidate=\"formnovalidate\">Verzenden<\/button>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<label for=\"field_jld9s\">\n\t\t\t\tIndien je een mens bent, laat dit veld leeg:.\t\t\t<\/label>\n\t\t\t<input id=\"field_jld9s\" type=\"text\" name=\"item_meta[167]\" value=\"\"  \/>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"8Y2AzgEiwEseUSUtoWLZj5upV6M7aX8\/fjOfyx0j9r1eXW2WlJpXQnptJB6LFhKs\" \/>\n\n<\/form>\n\n","protected":false},"excerpt":{"rendered":"<p>BR!CKS Anmeldeformular BR!CKS Anmeldeformular Wenn von einer anderen Schule kommend: Name der Herkunftsschule Ort der Herkunftsschule Besucht Unterricht seit (TT-MM-JJ) Familie Ein-Eltern-Familie Zwei-Eltern-Familie Wechselmodell Vormund Umgangsregelung Religionszugeh\u00f6rigkeit Religionszugeh\u00f6rigkeit *Nicht verpflichtend. Da dies Einfluss auf Ihr Kind haben kann, sch\u00e4tzen wir es, wenn Sie dies m\u00f6chten\u2026<\/p>","protected":false},"author":604,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13969","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aanmeldfomulier BR!CKS - Kinderopvang Little People<\/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:\/\/www.kinderopvanglittlepeople.nl\/de\/aanmeldfomulier-brcks\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aanmeldfomulier BR!CKS - Kinderopvang Little People\" \/>\n<meta property=\"og:description\" content=\"BR!CKS aanmeldformulier BR!CKS aanmeldformulier &nbsp; Indien afkomstig van een andere school: &nbsp; Naam school van herkomst Plaats school van herkomst Volgt onderwijs sinds (dd-mm-jj) &nbsp; Gezin &nbsp; \u00e9\u00e9n-ouder gezin Twee-ouder gezin Co-ouderschap Voogd Omgangsregeling GeloofsovertuigingGeloofsovertuiging *Niet verplicht. 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