{"id":2279,"date":"2023-10-15T16:04:41","date_gmt":"2023-10-15T14:04:41","guid":{"rendered":"https:\/\/www.bossche100.nl\/?page_id=2279"},"modified":"2025-10-23T22:10:06","modified_gmt":"2025-10-23T20:10:06","slug":"testpagina-inschrijving-2025","status":"publish","type":"page","link":"https:\/\/www.bossche100.nl\/?page_id=2279","title":{"rendered":"Inschrijving 37e Bossche 100 &#8211; 23 op 24 januari 2026"},"content":{"rendered":"<div class=\"wrap pdb-signup pdb-instance-2\" >\n\n    <form method=\"post\" enctype=\"multipart\/form-data\"  autocomplete=\"off\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2279\" ><input name=\"action\" type=\"hidden\" value=\"signup\" \/>\n\n<input name=\"subsource\" type=\"hidden\" value=\"participants-database\" \/>\n\n<input name=\"shortcode_page\" type=\"hidden\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2279\" \/>\n\n<input name=\"thanks_page\" type=\"hidden\" value=\"https:\/\/www.bossche100.nl\/?page_id=1451\" \/>\n\n<input name=\"instance_index\" type=\"hidden\" value=\"2\" \/>\n\n<input name=\"pdb_data_keys\" type=\"hidden\" value=\"23.1.20.2.24.30.31.32.3.7.4.6.10.8.9.36.21.27.29.22\" \/>\n\n<input name=\"session_hash\" type=\"hidden\" value=\"23b79db4af\" \/>\n\n    <table class=\"form-table pdb-signup\">\n\n      \n      <tbody class=\"field-group field-group-main\">\n        \n                \n        \n        <tr class=\"dropdown afstand-input-group\">\n\n          <th for=\"pdb-afstand-2\">Afstand<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"afstand\" id=\"pdb-afstand-2\" class=\"required-field\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"100 km\">100 km<\/option>\n<option value=\"110 km\">110 km<\/option>\n<\/select>\n\n                        <span class=\"helptext\">Correct invullen i.v.m. vermelding op diploma.<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line first_name-input-group\">\n\n          <th for=\"pdb-first_name-2\">Voornaam<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"first_name\" id=\"pdb-first_name-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        <span class=\"helptext\">Correct invullen i.v.m. vermelding op diploma.<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line tussenvoegsel-input-group\">\n\n          <th for=\"pdb-tussenvoegsel-2\">tussenvoegsel<\/th>\n\n          <td>\n\n            <input name=\"tussenvoegsel\" id=\"pdb-tussenvoegsel-2\" class=\" regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line last_name-input-group\">\n\n          <th for=\"pdb-last_name-2\">Achternaam<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"last_name\" id=\"pdb-last_name-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        <span class=\"helptext\">Correct invullen i.v.m. vermelding op diploma.<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown geslacht-input-group\">\n\n          <th for=\"pdb-geslacht-2\">Man\/vrouw<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"geslacht\" id=\"pdb-geslacht-2\" class=\"required-field\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"man\">man<\/option>\n<option value=\"vrouw\">vrouw<\/option>\n<\/select>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown geb_dag-input-group\">\n\n          <th for=\"pdb-geb_dag-2\">Geboortedag<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"geb_dag\" id=\"pdb-geb_dag-2\" class=\"required-field\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"1\">1<\/option>\n<option value=\"2\">2<\/option>\n<option value=\"3\">3<\/option>\n<option value=\"4\">4<\/option>\n<option value=\"5\">5<\/option>\n<option value=\"6\">6<\/option>\n<option value=\"7\">7<\/option>\n<option value=\"8\">8<\/option>\n<option value=\"9\">9<\/option>\n<option value=\"10\">10<\/option>\n<option value=\"11\">11<\/option>\n<option value=\"12\">12<\/option>\n<option value=\"13\">13<\/option>\n<option value=\"14\">14<\/option>\n<option value=\"15\">15<\/option>\n<option value=\"16\">16<\/option>\n<option value=\"17\">17<\/option>\n<option value=\"18\">18<\/option>\n<option value=\"19\">19<\/option>\n<option value=\"20\">20<\/option>\n<option value=\"21\">21<\/option>\n<option value=\"22\">22<\/option>\n<option value=\"23\">23<\/option>\n<option value=\"24\">24<\/option>\n<option value=\"25\">25<\/option>\n<option value=\"26\">26<\/option>\n<option value=\"27\">27<\/option>\n<option value=\"28\">28<\/option>\n<option value=\"29\">29<\/option>\n<option value=\"30\">30<\/option>\n<option value=\"31\">31<\/option>\n<\/select>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown geb_mnd-input-group\">\n\n          <th for=\"pdb-geb_mnd-2\">Geboortemaand<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"geb_mnd\" id=\"pdb-geb_mnd-2\" class=\"required-field\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"januari\">januari<\/option>\n<option value=\"februari\">februari<\/option>\n<option value=\"maart\">maart<\/option>\n<option value=\"april\">april<\/option>\n<option value=\"mei\">mei<\/option>\n<option value=\"juni\">juni<\/option>\n<option value=\"juli\">juli<\/option>\n<option value=\"augustus\">augustus<\/option>\n<option value=\"september\">september<\/option>\n<option value=\"oktober\">oktober<\/option>\n<option value=\"november\">november<\/option>\n<option value=\"december\">december<\/option>\n<\/select>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown geb_jaar-input-group\">\n\n          <th for=\"pdb-geb_jaar-2\">Geboortejaar<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"geb_jaar\" id=\"pdb-geb_jaar-2\" class=\"required-field\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"2005\">2005<\/option>\n<option value=\"2004\">2004<\/option>\n<option value=\"2003\">2003<\/option>\n<option value=\"2002\">2002<\/option>\n<option value=\"2001\">2001<\/option>\n<option value=\"2000\">2000<\/option>\n<option value=\"1999\">1999<\/option>\n<option value=\"1998\">1998<\/option>\n<option value=\"1997\">1997<\/option>\n<option value=\"1996\">1996<\/option>\n<option value=\"1995\">1995<\/option>\n<option value=\"1994\">1994<\/option>\n<option value=\"1993\">1993<\/option>\n<option value=\"1992\">1992<\/option>\n<option value=\"1991\">1991<\/option>\n<option value=\"1990\">1990<\/option>\n<option value=\"1989\">1989<\/option>\n<option value=\"1988\">1988<\/option>\n<option value=\"1987\">1987<\/option>\n<option value=\"1986\">1986<\/option>\n<option value=\"1985\">1985<\/option>\n<option value=\"1984\">1984<\/option>\n<option value=\"1983\">1983<\/option>\n<option value=\"1982\">1982<\/option>\n<option value=\"1981\">1981<\/option>\n<option value=\"1980\">1980<\/option>\n<option value=\"1979\">1979<\/option>\n<option value=\"1978\">1978<\/option>\n<option value=\"1977\">1977<\/option>\n<option value=\"1976\">1976<\/option>\n<option value=\"1975\">1975<\/option>\n<option value=\"1974\">1974<\/option>\n<option value=\"1973\">1973<\/option>\n<option value=\"1972\">1972<\/option>\n<option value=\"1971\">1971<\/option>\n<option value=\"1970\">1970<\/option>\n<option value=\"1969\">1969<\/option>\n<option value=\"1968\">1968<\/option>\n<option value=\"1967\">1967<\/option>\n<option value=\"1966\">1966<\/option>\n<option value=\"1965\">1965<\/option>\n<option value=\"1964\">1964<\/option>\n<option value=\"1963\">1963<\/option>\n<option value=\"1962\">1962<\/option>\n<option value=\"1961\">1961<\/option>\n<option value=\"1960\">1960<\/option>\n<option value=\"1959\">1959<\/option>\n<option value=\"1958\">1958<\/option>\n<option value=\"1957\">1957<\/option>\n<option value=\"1956\">1956<\/option>\n<option value=\"1955\">1955<\/option>\n<option value=\"1954\">1954<\/option>\n<option value=\"1953\">1953<\/option>\n<option value=\"1952\">1952<\/option>\n<option value=\"1951\">1951<\/option>\n<option value=\"1950\">1950<\/option>\n<option value=\"1949\">1949<\/option>\n<option value=\"1948\">1948<\/option>\n<option value=\"1947\">1947<\/option>\n<option value=\"1946\">1946<\/option>\n<option value=\"1945\">1945<\/option>\n<option value=\"1944\">1944<\/option>\n<option value=\"1943\">1943<\/option>\n<option value=\"1942\">1942<\/option>\n<option value=\"1941\">1941<\/option>\n<option value=\"1940\">1940<\/option>\n<option value=\"1939\">1939<\/option>\n<option value=\"1938\">1938<\/option>\n<option value=\"1937\">1937<\/option>\n<option value=\"1936\">1936<\/option>\n<option value=\"1935\">1935<\/option>\n<option value=\"1934\">1934<\/option>\n<option value=\"1933\">1933<\/option>\n<option value=\"1932\">1932<\/option>\n<option value=\"1931\">1931<\/option>\n<option value=\"1930\">1930<\/option>\n<option value=\"1929\">1929<\/option>\n<\/select>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line address-input-group\">\n\n          <th for=\"pdb-address-2\">Adres<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"address\" id=\"pdb-address-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line zip-input-group\">\n\n          <th for=\"pdb-zip-2\">Postcode<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"zip\" id=\"pdb-zip-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line city-input-group\">\n\n          <th for=\"pdb-city-2\">Woonplaats<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"city\" id=\"pdb-city-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown country-input-group\">\n\n          <th for=\"pdb-country-2\">Land<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"country\" id=\"pdb-country-2\" class=\"required-field\">\n<option value=\"\"><\/option>\n<option value=\"NL\" selected=\"selected\">NL<\/option>\n<option value=\"B\">B<\/option>\n<option value=\"D\">D<\/option>\n<option value=\"L\">L<\/option>\n<option value=\"anders\">anders<\/option>\n<\/select>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line mailing_list-input-group\">\n\n          <th for=\"pdb-mailing_list-2\">Telefoon mobiel<\/th>\n\n          <td>\n\n            <input name=\"mailing_list\" id=\"pdb-mailing_list-2\" class=\" regular-text\" type=\"text\" value=\"\" \/>\n\n                        <span class=\"helptext\">(bereikbaarheid tijdens de tocht, vergeet de landencode niet!)<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line phone-input-group\">\n\n          <th for=\"pdb-phone-2\">Telefoon thuisfront<\/th>\n\n          <td>\n\n            <input name=\"phone\" id=\"pdb-phone-2\" class=\" regular-text\" type=\"text\" value=\"\" \/>\n\n                        <span class=\"helptext\">(bereikbaarheid thuisfront)<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line email-input-group\">\n\n          <th for=\"pdb-email-2\">E-mailadres<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"email\" id=\"pdb-email-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        <span class=\"helptext\">Hier wordt het bevestigingsbericht naar toe gestuurd. Controleer het e-mailadres goed!<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line speciale_dieetwensen-input-group\">\n\n          <th for=\"pdb-speciale_dieetwensen-2\">Vegetarische rookworst?<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"speciale_dieetwensen\" id=\"pdb-speciale_dieetwensen-2\" class=\"required-field regular-text\" type=\"text\" value=\"Nee\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown gpxfile-input-group\">\n\n          <th for=\"pdb-gpxfile-2\">GPX-file route<\/th>\n\n          <td>\n\n            <select name=\"gpxfile\" id=\"pdb-gpxfile-2\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"Ik ontvang graag de gpx-file voor mijn gps.\">Ik ontvang graag de gpx-file voor mijn gps.<\/option>\n<option value=\"Neen; ik heb geen gps.\">Neen; ik heb geen gps.<\/option>\n<\/select>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown gelezen-input-group\">\n\n          <th for=\"pdb-gelezen-2\">Reglement gelezen:<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"gelezen\" id=\"pdb-gelezen-2\" class=\"required-field\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"Ik heb het reglement gelezen en ga hiermee akkoord!\">Ik heb het reglement gelezen en ga hiermee akkoord!<\/option>\n<option value=\"Ik ga er NIET mee akkoord en loop dus dan ook niet mee!\">Ik ga er NIET mee akkoord en loop dus dan ook niet mee!<\/option>\n<\/select>\n\n                        <span class=\"helptext\">In het reglement staan belangrijke zaken m.b.t. de tocht. Zie \"Algemeen\" -&gt; \"Reglement\".<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown foto_openbaar-input-group\">\n\n          <th for=\"pdb-foto_openbaar-2\">Bezwaar foto's op website<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <select name=\"foto_openbaar\" id=\"pdb-foto_openbaar-2\" class=\"required-field\">\n<option value=\"\" selected=\"selected\">&nbsp;<\/option>\n<option value=\"Ik heb geen bezwaar tegen publicatie van gemaakte foto&#039;s.\">Ik heb geen bezwaar tegen publicatie van gemaakte foto's.<\/option>\n<option value=\"Ik heb bezwaar tegen publicatie.\">Ik heb bezwaar tegen publicatie.<\/option>\n<\/select>\n\n                        <span class=\"helptext\">Er worden tijdens de tocht diverse foto's gemaakt, die op de website en\/of Facebook kunnen worden geplaatst!<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"captcha beveiliging-input-group\">\n\n          <th for=\"pdb-beveiliging-2\">Beveiliging<span class=\"reqd\">*<\/span><\/th>\n\n          <td>\n\n            <input name=\"beveiliging[]\" type=\"hidden\" value=\"%7B%22type%22%3A%22math%22%2C%22nonce%22%3A%22%7B%2ASnZ%22%2C%22info%22%3A%7B%22a%22%3A5%2C%22o%22%3A%22%26minus%3B%22%2C%22b%22%3A4%7D%7D\" \/>\n\n<span class=\"math-captcha\">5 <span class=\"pdb-operator\">&minus;<\/span> 4 <span class=\"pdb-operator\">=<\/span> ?<\/span><input name=\"beveiliging[]\" type=\"text\" value=\"\" \/>\n\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n                \n        <\/tbody>\n\n            \n        <tbody class=\"field-group field-group-submit\">\n      \n        <tr>\n          <td class=\"submit-buttons\">\n            \n           <input name=\"submit_button\" class=\"button-primary pdb-submit\" type=\"submit\" value=\"Verstuur je inschrijving\" \/>\n            \n          <\/td>\n          <td class=\"submit-buttons\">\n            \n                      \n          <\/td>\n        <\/tr>\n        \n      <\/tbody>\n      \n    <\/table>\n    \n  <\/form>  \n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2279","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=\/wp\/v2\/pages\/2279"}],"collection":[{"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2279"}],"version-history":[{"count":6,"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=\/wp\/v2\/pages\/2279\/revisions"}],"predecessor-version":[{"id":2449,"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=\/wp\/v2\/pages\/2279\/revisions\/2449"}],"wp:attachment":[{"href":"https:\/\/www.bossche100.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}