{"id":2373,"date":"2021-01-19T10:50:26","date_gmt":"2021-01-19T10:50:26","guid":{"rendered":"https:\/\/www.derijscholenconcurrent.nl\/?page_id=2373"},"modified":"2021-02-01T18:21:46","modified_gmt":"2021-02-01T18:21:46","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/www.derijscholenconcurrent.nl\/en\/registration-form\/","title":{"rendered":"Registration Form"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling header-wrapper header-wrapper-sub gradient-container-1\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:#00184e;--awb-background-image:linear-gradient(180deg, rgb(0, 24, 78) 0%,rgba(28,62,139,0.1) 100%);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last header-box\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep spacing-seperator spacing-seperator-first\" style=\"margin-left: auto;margin-right: auto;margin-top:11%;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_2_3 2_3 fusion-two-third fusion-column-first header-left-column\" style=\"--awb-bg-size:cover;width:66.666666666667%;width:calc(66.666666666667% - ( ( 4% ) * 0.66666666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-highlight fusion-animate-once fusion-highlight-underline fusion-title-size-one bigger-title\" style=\"--awb-text-color:#ffffff;--awb-highlight-color:#1e73be;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:60px;\" data-highlight=\"underline\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;font-size:1em;\"><span class=\"fusion-highlighted-text-prefix\"><\/span> <span class=\"fusion-highlighted-text-wrapper\"><span class=\"fusion-highlighted-text\">Registration Form<\/span><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 500 150\" preserveAspectRatio=\"none\"><path d=\"M8.1,146.2c0,0,240.6-55.6,479-13.8\"><\/path><\/svg><\/span> <span class=\"fusion-highlighted-text-postfix\"><\/span><\/h1><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:25px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\"><p><strong><span class=\"VIiyi\" lang=\"en\"><span class=\"JLqJ4b ChMk0b\" data-language-for-alternatives=\"en\" data-language-to-translate-into=\"nl\" data-phrase-index=\"0\">Sign up below.<\/span> <span class=\"JLqJ4b ChMk0b\" data-language-for-alternatives=\"en\" data-language-to-translate-into=\"nl\" data-phrase-index=\"1\">One of our driving instructors will contact you as soon as possible.<\/span><\/span> <\/strong><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep spacing-seperator\" style=\"margin-left: auto;margin-right: auto;margin-top:5%;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling form-sign-up gradient-container-2\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:50px;--awb-margin-bottom:50px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1362.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' style='display:none'><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/en\/wp-json\/wp\/v2\/pages\/2373#gf_6' data-formid='6' novalidate autocomplete=\"off\"><div id='gf_page_steps_6' class='gf_page_steps'><div id='gf_step_6_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Personal data<\/span><\/div><div id='gf_step_6_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Choice of training <\/span><\/div><div id='gf_step_6_3' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Payment method<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_6_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_36\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_36'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container'><input autocomplete=\"off\"  name='input_36' id='input_6_36' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_6_36'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_6_2\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_2'><span class='gform-field-label__text'>First name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_2' id='input_6_2' type='text' value='' class='medium'   tabindex='1000'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_27\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_27'><span class='gform-field-label__text'>Surname<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_27' id='input_6_27' type='text' value='' class='medium'   tabindex='1001'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_10'>\n\t\t\t<li class='gchoice gchoice_6_10_0'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_10' type='radio' value='M'  id='choice_6_10_0' tabindex='1002'   \/>\n\t\t\t\t<label for='choice_6_10_0' id='label_6_10_0' class='gform-field-label gform-field-label--type-inline'>M<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_10_1'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_10' type='radio' value='F'  id='choice_6_10_1' tabindex='1003'   \/>\n\t\t\t\t<label for='choice_6_10_1' id='label_6_10_1' class='gform-field-label gform-field-label--type-inline'>F<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_30\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half geb_datum field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_30'><span class='gform-field-label__text'>Date of birth<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input autocomplete=\"off\" \n\t\t\t\t\tplaceholder='dd\/mm\/yyyy'\n\t\t\t\t\tid='input_6_30'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_30'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\ttabindex='1004' \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_6_30' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_6_30' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_6_30' aria-label='Date of birth: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_6_12\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_6_12' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_12_1_container' >\n                                        <label for='input_6_12_1' id='input_6_12_1_label' class='gform-field-label gform-field-label--type-sub '>Street + house number<\/label>\n                                        <input autocomplete=\"off\"  type='text' name='input_12.1' id='input_6_12_1' value='' tabindex='1005'   aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_12_3_container' >\n                                    <label for='input_6_12_3' id='input_6_12_3_label' class='gform-field-label gform-field-label--type-sub '>Zip code<\/label>\n                                    <input autocomplete=\"off\"  type='text' name='input_12.3' id='input_6_12_3' value='' tabindex='1006'   aria-required='true'    \/>\n                                 <\/span><input autocomplete=\"off\"  type='hidden' class='gform_hidden' name='input_12.4' id='input_6_12_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_6_12_5_container' >\n                                    <label for='input_6_12_5' id='input_6_12_5_label' class='gform-field-label gform-field-label--type-sub '>Residence<\/label>\n                                    <input autocomplete=\"off\"  type='text' name='input_12.5' id='input_6_12_5' value='' tabindex='1007'   aria-required='true'    \/>\n                                <\/span><input autocomplete=\"off\"  type='hidden' class='gform_hidden' name='input_12.6' id='input_6_12_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_6_7\" class=\"gfield gfield--type-email gfield--input-type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_7'><span class='gform-field-label__text'>E-mailaddress<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_7' id='input_6_7' type='email' value='' class='medium' tabindex='1008'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_8\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'><span class='gform-field-label__text'>Phone number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_8' id='input_6_8' type='tel' value='' class='medium' tabindex='1009'  aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_6_24' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='1010'>Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_2' class='gform_page' data-js='page-field-id-24' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Category<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_13'>\n\t\t\t<li class='gchoice gchoice_6_13_0'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_13' type='radio' value='Car'  id='choice_6_13_0' tabindex='1011'   \/>\n\t\t\t\t<label for='choice_6_13_0' id='label_6_13_0' class='gform-field-label gform-field-label--type-inline'>Car<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_13_1'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_13' type='radio' value='Car automatic'  id='choice_6_13_1' tabindex='1012'   \/>\n\t\t\t\t<label for='choice_6_13_1' id='label_6_13_1' class='gform-field-label gform-field-label--type-inline'>Car automatic<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_13_2'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_13' type='radio' value='Scooter'  id='choice_6_13_2' tabindex='1013'   \/>\n\t\t\t\t<label for='choice_6_13_2' id='label_6_13_2' class='gform-field-label gform-field-label--type-inline'>Scooter<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_14\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Driving course car manual<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_14'><li class='gchoice gchoice_6_14_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Trial lesson'  id='choice_6_14_1' tabindex='1014'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_1' id='label_6_14_1' class='gform-field-label gform-field-label--type-inline'>Trial lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_14_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_14.2' type='checkbox'  value='1st to 10th lesson (5 block lessons)'  id='choice_6_14_2' tabindex='1015'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_2' id='label_6_14_2' class='gform-field-label gform-field-label--type-inline'>1st to 10th lesson (5 block lessons)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_14_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_14.3' type='checkbox'  value='Regular\/refresher lesson'  id='choice_6_14_3' tabindex='1016'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_3' id='label_6_14_3' class='gform-field-label gform-field-label--type-inline'>Regular\/refresher lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_14_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_14.4' type='checkbox'  value='Package 1 (6 block lessons + practical exam CBR)'  id='choice_6_14_4' tabindex='1017'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_4' id='label_6_14_4' class='gform-field-label gform-field-label--type-inline'>Package 1 (6 block lessons + practical exam CBR)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_14_5'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_14.5' type='checkbox'  value='Package 2 (12 block lessons + practical exam CBR)'  id='choice_6_14_5' tabindex='1018'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_5' id='label_6_14_5' class='gform-field-label gform-field-label--type-inline'>Package 2 (12 block lessons + practical exam CBR)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_14_6'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_14.6' type='checkbox'  value='Package 3 (15 block lessons + practical exam CBR)'  id='choice_6_14_6' tabindex='1019'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_6' id='label_6_14_6' class='gform-field-label gform-field-label--type-inline'>Package 3 (15 block lessons + practical exam CBR)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_14_7'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_14.7' type='checkbox'  value='Package 4 (20 block lessons + theory online (Dutch only) + practical exam CBR)'  id='choice_6_14_7' tabindex='1020'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_7' id='label_6_14_7' class='gform-field-label gform-field-label--type-inline'>Package 4 (20 block lessons + theory online (Dutch only) + practical exam CBR)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Driving course car manual<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_35'><li class='gchoice gchoice_6_35_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Trial lesson'  id='choice_6_35_1' tabindex='1021'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_1' id='label_6_35_1' class='gform-field-label gform-field-label--type-inline'>Trial lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_35_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.2' type='checkbox'  value='1st to 10th lesson'  id='choice_6_35_2' tabindex='1022'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_2' id='label_6_35_2' class='gform-field-label gform-field-label--type-inline'>1st to 10th lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_35_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.3' type='checkbox'  value='Regular\/refresher lesson'  id='choice_6_35_3' tabindex='1023'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_3' id='label_6_35_3' class='gform-field-label gform-field-label--type-inline'>Regular\/refresher lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_35_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.4' type='checkbox'  value='Package 12 lessons + practical exam CBR'  id='choice_6_35_4' tabindex='1024'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_4' id='label_6_35_4' class='gform-field-label gform-field-label--type-inline'>Package 12 lessons + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_35_5'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.5' type='checkbox'  value='Package 24 lessons + practical exam CBR'  id='choice_6_35_5' tabindex='1025'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_5' id='label_6_35_5' class='gform-field-label gform-field-label--type-inline'>Package 24 lessons + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_35_6'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.6' type='checkbox'  value='Package 30 lessons + practical exam CBR'  id='choice_6_35_6' tabindex='1026'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_6' id='label_6_35_6' class='gform-field-label gform-field-label--type-inline'>Package 30 lessons + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_35_7'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.7' type='checkbox'  value='Package 40 lessons + theory online (Dutch only) + practical exam CBR'  id='choice_6_35_7' tabindex='1027'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_7' id='label_6_35_7' class='gform-field-label gform-field-label--type-inline'>Package 40 lessons + theory online (Dutch only) + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Driving course car manual<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_34'><li class='gchoice gchoice_6_34_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Trial lesson'  id='choice_6_34_1' tabindex='1028'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_1' id='label_6_34_1' class='gform-field-label gform-field-label--type-inline'>Trial lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_34_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_34.2' type='checkbox'  value='1st to 10th lesson'  id='choice_6_34_2' tabindex='1029'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_2' id='label_6_34_2' class='gform-field-label gform-field-label--type-inline'>1st to 10th lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_34_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_34.3' type='checkbox'  value='Regular\/refresher lesson'  id='choice_6_34_3' tabindex='1030'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_3' id='label_6_34_3' class='gform-field-label gform-field-label--type-inline'>Regular\/refresher lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_34_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_34.4' type='checkbox'  value='Package 12 lessons + practical exam CBR'  id='choice_6_34_4' tabindex='1031'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_4' id='label_6_34_4' class='gform-field-label gform-field-label--type-inline'>Package 12 lessons + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_34_5'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_34.5' type='checkbox'  value='Package 24 lessons + practical exam CBR'  id='choice_6_34_5' tabindex='1032'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_5' id='label_6_34_5' class='gform-field-label gform-field-label--type-inline'>Package 24 lessons + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_34_6'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_34.6' type='checkbox'  value='Package 30 lessons + practical exam CBR'  id='choice_6_34_6' tabindex='1033'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_6' id='label_6_34_6' class='gform-field-label gform-field-label--type-inline'>Package 30 lessons + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_34_7'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_34.7' type='checkbox'  value='Package 40 lessons + theory online (Dutch only) + practical exam CBR'  id='choice_6_34_7' tabindex='1034'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_7' id='label_6_34_7' class='gform-field-label gform-field-label--type-inline'>Package 40 lessons + theory online (Dutch only) + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Driving course car automatic<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_31'><li class='gchoice gchoice_6_31_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_31.1' type='checkbox'  value='Trial lesson automatic'  id='choice_6_31_1' tabindex='1035'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_31_1' id='label_6_31_1' class='gform-field-label gform-field-label--type-inline'>Trial lesson automatic<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_31_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_31.2' type='checkbox'  value='Regular \/ refresher lesson automatic'  id='choice_6_31_2' tabindex='1036'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_31_2' id='label_6_31_2' class='gform-field-label gform-field-label--type-inline'>Regular \/ refresher lesson automatic<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_31_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_31.3' type='checkbox'  value='Package automatic 20 lessons + practical exam CBR'  id='choice_6_31_3' tabindex='1037'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_31_3' id='label_6_31_3' class='gform-field-label gform-field-label--type-inline'>Package automatic 20 lessons + practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Theory car<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_17'><li class='gchoice gchoice_6_17_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Theory package 1- online course'  id='choice_6_17_1' tabindex='1038'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_1' id='label_6_17_1' class='gform-field-label gform-field-label--type-inline'>Theory package 1- online course<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_17_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Theory package 2 - online course + theory exam'  id='choice_6_17_2' tabindex='1039'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_2' id='label_6_17_2' class='gform-field-label gform-field-label--type-inline'>Theory package 2 - online course + theory exam<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_17_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Theory package 3 - online course + theory exam individual'  id='choice_6_17_3' tabindex='1040'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_3' id='label_6_17_3' class='gform-field-label gform-field-label--type-inline'>Theory package 3 - online course + theory exam individual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_17_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Theory books English'  id='choice_6_17_4' tabindex='1041'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_4' id='label_6_17_4' class='gform-field-label gform-field-label--type-inline'>Theory books English<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_17_5'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_17.5' type='checkbox'  value='Theory exam'  id='choice_6_17_5' tabindex='1042'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_5' id='label_6_17_5' class='gform-field-label gform-field-label--type-inline'>Theory exam<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_17_6'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_17.6' type='checkbox'  value='Theory exam individual'  id='choice_6_17_6' tabindex='1043'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_6' id='label_6_17_6' class='gform-field-label gform-field-label--type-inline'>Theory exam individual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_17_7'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_17.7' type='checkbox'  value='Theory exam English'  id='choice_6_17_7' tabindex='1044'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_7' id='label_6_17_7' class='gform-field-label gform-field-label--type-inline'>Theory exam English<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Driving course scooter<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_33'><li class='gchoice gchoice_6_33_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Trial lesson'  id='choice_6_33_1' tabindex='1045'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_1' id='label_6_33_1' class='gform-field-label gform-field-label--type-inline'>Trial lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_33_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_33.2' type='checkbox'  value='Regular\/refresher lesson'  id='choice_6_33_2' tabindex='1046'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_2' id='label_6_33_2' class='gform-field-label gform-field-label--type-inline'>Regular\/refresher lesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_33_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_33.3' type='checkbox'  value='5 lesson beginners package including practical exam CBR'  id='choice_6_33_3' tabindex='1047'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_3' id='label_6_33_3' class='gform-field-label gform-field-label--type-inline'>5 lesson beginners package including practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_33_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_33.4' type='checkbox'  value='3 lesson package  including practical exam CBR'  id='choice_6_33_4' tabindex='1048'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_4' id='label_6_33_4' class='gform-field-label gform-field-label--type-inline'>3 lesson package  including practical exam CBR<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Theory Scooter (AM2)<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_22'><li class='gchoice gchoice_6_22_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Theory package 1- online course'  id='choice_6_22_1' tabindex='1049'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_22_1' id='label_6_22_1' class='gform-field-label gform-field-label--type-inline'>Theory package 1- online course<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_22_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Theory package 2 - online course + theory exam'  id='choice_6_22_2' tabindex='1050'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_22_2' id='label_6_22_2' class='gform-field-label gform-field-label--type-inline'>Theory package 2 - online course + theory exam<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_22_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Theory package 3 - online course + theory exam individual'  id='choice_6_22_3' tabindex='1051'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_22_3' id='label_6_22_3' class='gform-field-label gform-field-label--type-inline'>Theory package 3 - online course + theory exam individual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_22_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_22.4' type='checkbox'  value='Theory books (English)'  id='choice_6_22_4' tabindex='1052'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_22_4' id='label_6_22_4' class='gform-field-label gform-field-label--type-inline'>Theory books (English)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_22_5'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_22.5' type='checkbox'  value='Theory exam'  id='choice_6_22_5' tabindex='1053'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_22_5' id='label_6_22_5' class='gform-field-label gform-field-label--type-inline'>Theory exam<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_22_6'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_22.6' type='checkbox'  value='Theory exam individual'  id='choice_6_22_6' tabindex='1054'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_22_6' id='label_6_22_6' class='gform-field-label gform-field-label--type-inline'>Theory exam individual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_22_7'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' 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