volledige html van de pagina... ik heb stukje opmaak eruit gehaald ivm aantal characters
<?php
function ValidateEmail($email)
{
$pattern = '/^([0-9a-z]([-.\w]*[0-9a-z])*@(([0-9a-z])+([-\w]*[0-9a-z])*\.)+[a-z]{2,6})$/i';
return preg_match($pattern, $email);
}
function ReplaceVariables($code)
{
foreach ($_POST as $key => $value)
{
if (is_array($value))
{
$value = implode(",", $value);
}
$name = "$" . $key;
$code = str_replace($name, $value, $code);
}
$code = str_replace('$ipaddress', $_SERVER['REMOTE_ADDR'], $code);
return $code;
}
if ($_SERVER['REQUEST_METHOD'] == 'POST' && isset($_POST['formid']) && $_POST['formid'] == 'kdo')
{
$mailto = '
inschrijving@konijnenko.nl';
$mailfrom = isset($_POST['email']) ? $_POST['email'] : $mailto;
ini_set('sendmail_from', $mailfrom);
$mailcc = '
info@konijnenko.nl';
$subject = 'KDO';
$message = 'KDO';
$success_url = './succes.php';
$error_url = './jammer.php';
$csvFile = "./formdata.csv";
$autoresponder_from = 'Udo Roseboom';
$autoresponder_to = isset($_POST['email']) ? $_POST['email'] : $mailfrom;
$autoresponder_subject = 'Inschrijving';
$autoresponder_message = 'Uw inschrijving is ontvangen. We zullen deze z.s.m verwerken.
Mvg,
U. Roseboom';
$eol = "\n";
$error = '';
$internalfields = array ("submit", "reset", "send", "filesize", "formid", "captcha", "recaptcha_challenge_field", "recaptcha_response_field", "g-recaptcha-response", "h-captcha-response");
$logdata = '';
$upload_folder = "forms KDO";
$upload_folder = "http://" . $_SERVER['HTTP_HOST'] . dirname($_SERVER['SCRIPT_NAME'])."/".$upload_folder;
$boundary = md5(uniqid(time()));
$header = 'From: '.$mailfrom.$eol;
$header .= 'Reply-To: '.$mailfrom.$eol;
$header .= 'Cc: '.$mailcc.$eol;
$header .= 'MIME-Version: 1.0'.$eol;
$header .= 'Content-Type: multipart/mixed; boundary="'.$boundary.'"'.$eol;
$header .= 'X-Mailer: PHP v'.phpversion().$eol;
try
{
if (!ValidateEmail($mailfrom))
{
$error .= "The specified email address (" . $mailfrom . ") is invalid!\n<br>";
throw new Exception($error);
}
$prefix = rand(111111, 999999);
$file_count = 0;
foreach ($_FILES as $key => $value)
{
if (is_array($_FILES[$key]['name']))
{
$count = count($_FILES[$key]['name']);
for ($file = 0; $file < $count; $file++)
{
if ($_FILES[$key]['name'][$file] != "" and file_exists($_FILES[$key]['tmp_name'][$file]) and $_FILES[$key]['size'][$file] > 0)
{
$upload_DstName[$file_count] = $prefix . "_" . str_replace(" ", "_", $_FILES[$key]['name'][$file]);
$upload_SrcName[$file_count] = $_FILES[$key]['name'][$file];
$upload_Size[$file_count] = $_FILES[$key]['size'][$file];
$upload_Temp[$file_count] = $_FILES[$key]['tmp_name'][$file];
$upload_URL[$file_count] = "$upload_folder/$upload_DstName[$file_count]";
$upload_FieldName[$file_count] = $key;
$file_count++;
}
}
}
else
if ($_FILES[$key]['name'] != "" and file_exists($_FILES[$key]['tmp_name']) and $_FILES[$key]['size'] > 0)
{
$upload_DstName[$file_count] = $prefix . "_" . str_replace(" ", "_", $_FILES[$key]['name']);
$upload_SrcName[$file_count] = $_FILES[$key]['name'];
$upload_Size[$file_count] = $_FILES[$key]['size'];
$upload_Temp[$file_count] = $_FILES[$key]['tmp_name'];
$upload_URL[$file_count] = "$upload_folder/$upload_DstName[$file_count]";
$upload_FieldName[$file_count] = $key;
$file_count++;
}
}
$uploadfolder = basename($upload_folder);
for ($i = 0; $i < $file_count; $i++)
{
$uploadFile = $uploadfolder . "/" . $upload_DstName[$i];
if (!is_dir($uploadfolder) || !is_writable($uploadfolder))
{
$error = 'Upload directory is not writable, or does not exist.';
throw new Exception($error);
}
move_uploaded_file($upload_Temp[$i] , $uploadFile);
$name = "$" . $upload_FieldName[$i];
$message = str_replace($name, $upload_URL[$i], $message);
$autoresponder_message = str_replace($name, $upload_URL[$i], $autoresponder_message);
}
$message .= $eol;
$message .= "IP Address : ";
$message .= $_SERVER['REMOTE_ADDR'];
$message .= $eol;
foreach ($_POST as $key => $value)
{
if (!in_array(strtolower($key), $internalfields))
{
$logdata .= ',';
if (is_array($value))
{
$message .= ucwords(str_replace("_", " ", $key)) . " : " . implode(",", $value) . $eol;
$logdata .= implode("|", $value);
}
else
{
$message .= ucwords(str_replace("_", " ", $key)) . " : " . $value . $eol;
$value = str_replace(",", " ", $value);
$logdata .= $value;
}
}
}
for ($i = 0; $i < $file_count; $i++)
{
$logdata .= ',';
$logdata .= $upload_URL[$i];
}
$logdata = str_replace("\r", "", $logdata);
$logdata = str_replace("\n", " ", $logdata);
$logdata .= "\r\n";
$handle = fopen($csvFile, 'a') or die("can't open file");
$logtime = date("Y-m-d H:i:s,");
fwrite($handle, $logtime);
fwrite($handle, $_SERVER['REMOTE_ADDR']);
fwrite($handle, $logdata);
fclose($handle);
if ($file_count > 0)
{
$message .= "\nThe following files have been uploaded:\n";
for ($i = 0; $i < $file_count; $i++)
{
$message .= $upload_SrcName[$i] . ": " . $upload_URL[$i] . "\n";
}
}
$body = 'This is a multi-part message in MIME format.'.$eol.$eol;
$body .= '--'.$boundary.$eol;
$body .= 'Content-Type: text/plain; charset=UTF-8'.$eol;
$body .= 'Content-Transfer-Encoding: 8bit'.$eol;
$body .= $eol.stripslashes($message).$eol;
$body .= '--'.$boundary.'--'.$eol;
if ($mailto != '')
{
mail("{$mailto} <{$mailto}>", $subject, $body, $header, '-f'.$mailfrom);
}
if (!ValidateEmail($autoresponder_from))
{
$error .= "The specified autoresponder email address (" . $autoresponder_from . ") is invalid!\n<br>";
throw new Exception($error);
}
$autoresponder_header = 'From: '.$autoresponder_from.$eol;
$autoresponder_header .= 'Reply-To: '.$autoresponder_from.$eol;
$autoresponder_header .= 'MIME-Version: 1.0'.$eol;
$autoresponder_header .= 'Content-Type: text/plain; charset=UTF-8'.$eol;
$autoresponder_header .= 'Content-Transfer-Encoding: 8bit'.$eol;
$autoresponder_header .= 'X-Mailer: PHP v'.phpversion().$eol;
mail("{$autoresponder_to} <{$autoresponder_to}>", $autoresponder_subject, $autoresponder_message, $autoresponder_header, '-f'.$autoresponder_to);
$successcode = file_get_contents($success_url);
$successcode = ReplaceVariables($successcode);
echo $successcode;
}
catch (Exception $e)
{
$errorcode = file_get_contents($error_url);
$replace = "##error##";
$errorcode = str_replace($replace, $e->getMessage(), $errorcode);
echo $errorcode;
}
exit;
}
?>
<!doctype html>
<html lang="nl">
<head>
<meta charset="iso-8859-1">
<title>Untitled Page</title>
<meta name="description" content="Konijn & Ko 5 dagen per week geopend van 0700-1900 uur">
<meta name="keywords" content="bso, vso, kdo, buitenschoolse opvang, kinderdag opvang, voorschoolse opvang, kinderen, kids, konijn en ko, konijn en co, konijn & ko, Konijn & co, konijn, mammoet, lochem, hoeflingweg, dieren, vissen, cavia, opvang, konijn, uitstapjes,stint,peuterspeelzaal">
<meta name="author" content="Udo Roseboom">
<meta name="categories" content="scholen, buitenschoolse opvang">
<link href="favicon.ico" rel="shortcut icon" type="image/x-icon">
<link href="cupertino/jquery-ui.min.css" rel="stylesheet">
<link href="wb.validation.css" rel="stylesheet">
<link href="nieuwe_layout_december_2021_04.css" rel="stylesheet">
<link href="Inschrijven_KDO.css" rel="stylesheet">
<script src="jquery-3.6.0.min.js"></script>
<script src="wb.validation.min.js"></script>
<script src="jquery-ui.min.js"></script>
<script src="jquery.ui.datepicker-nl.js"></script>
<script>
function submitKDO()
{
var regexp;
var oudervoorlettersbox = document.getElementById('oudervoorlettersbox');
if (!(oudervoorlettersbox.disabled || oudervoorlettersbox.style.display === 'none' || oudervoorlettersbox.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f0-9-]*$/;
if (!regexp.test(oudervoorlettersbox.value))
{
alert("Please enter only letter, digit and whitespace characters in the \"Voorletters\" field.");
oudervoorlettersbox.focus();
return false;
}
if (oudervoorlettersbox.value == "")
{
alert("Please enter a value for the \"Voorletters\" field.");
oudervoorlettersbox.focus();
return false;
}
}
var oudervoornaambox = document.getElementById('oudervoornaambox');
if (!(oudervoornaambox.disabled || oudervoornaambox.style.display === 'none' || oudervoornaambox.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f]*$/;
if (!regexp.test(oudervoornaambox.value))
{
alert("Please enter only letter and whitespace characters in the \"Voornaam\" field.");
oudervoornaambox.focus();
return false;
}
if (oudervoornaambox.value == "")
{
alert("Please enter a value for the \"Voornaam\" field.");
oudervoornaambox.focus();
return false;
}
}
var ouderStraathuisnummerbox = document.getElementById('ouderStraathuisnummerbox');
if (!(ouderStraathuisnummerbox.disabled || ouderStraathuisnummerbox.style.display === 'none' || ouderStraathuisnummerbox.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f]*$/;
if (ouderStraathuisnummerbox.value.length != 0 && !regexp.test(ouderStraathuisnummerbox.value))
{
alert("verplicht veld");
ouderStraathuisnummerbox.focus();
return false;
}
}
var Huisnummer = document.getElementById('Huisnummer');
if (!(Huisnummer.disabled || Huisnummer.style.display === 'none' || Huisnummer.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f]*$/;
if (Huisnummer.value.length != 0 && !regexp.test(Huisnummer.value))
{
alert("verplicht veld");
Huisnummer.focus();
return false;
}
}
var Woonplaats = document.getElementById('Woonplaats');
if (!(Woonplaats.disabled || Woonplaats.style.display === 'none' || Woonplaats.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f0-9-]*$/;
if (!regexp.test(Woonplaats.value))
{
alert("Please enter only letter, digit and whitespace characters in the \"Woonplaats\" field.");
Woonplaats.focus();
return false;
}
if (Woonplaats.value == "")
{
alert("Please enter a value for the \"Woonplaats\" field.");
Woonplaats.focus();
return false;
}
}
var Ten_Name_Van = document.getElementById('Ten_Name_Van');
if (!(Ten_Name_Van.disabled || Ten_Name_Van.style.display === 'none' || Ten_Name_Van.style.visibility === 'hidden'))
{
if (Ten_Name_Van.value.length < 0)
{
alert("Please enter at least 0 characters in the \"Ten name van\" field.");
Ten_Name_Van.focus();
return false;
}
if (Ten_Name_Van.value.length > 0)
{
alert("Please enter at most 0 characters in the \"Ten name van\" field.");
Ten_Name_Van.focus();
return false;
}
}
var kindvoorletters = document.getElementById('kindvoorletters');
if (!(kindvoorletters.disabled || kindvoorletters.style.display === 'none' || kindvoorletters.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f-,_]*$/;
if (!regexp.test(kindvoorletters.value))
{
alert("Please enter only letter, whitespace and \"-,_\" characters in the \"KindVoorletters\" field.");
kindvoorletters.focus();
return false;
}
if (kindvoorletters.value == "")
{
alert("Please enter a value for the \"KindVoorletters\" field.");
kindvoorletters.focus();
return false;
}
}
var kindvoornaam = document.getElementById('kindvoornaam');
if (!(kindvoornaam.disabled || kindvoornaam.style.display === 'none' || kindvoornaam.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f0-9--,_]*$/;
if (!regexp.test(kindvoornaam.value))
{
alert("Please enter only letter, digit, whitespace and \"-,_\" characters in the \"KindVoornaam\" field.");
kindvoornaam.focus();
return false;
}
if (kindvoornaam.value == "")
{
alert("Please enter a value for the \"KindVoornaam\" field.");
kindvoornaam.focus();
return false;
}
}
var kindachternaam = document.getElementById('kindachternaam');
if (!(kindachternaam.disabled || kindachternaam.style.display === 'none' || kindachternaam.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f]*$/;
if (!regexp.test(kindachternaam.value))
{
alert("Please enter only letter and whitespace characters in the \"KindAchternaam\" field.");
kindachternaam.focus();
return false;
}
if (kindachternaam.value == "")
{
alert("Please enter a value for the \"KindAchternaam\" field.");
kindachternaam.focus();
return false;
}
}
var In_geval_van_nood = document.getElementById('In_geval_van_nood');
if (!(In_geval_van_nood.disabled || In_geval_van_nood.style.display === 'none' || In_geval_van_nood.style.visibility === 'hidden'))
{
regexp = /^[-+]?\d*\.?\d*$/;
if (In_geval_van_nood.value.length != 0 && !regexp.test(In_geval_van_nood.value))
{
alert("Please enter only digit characters in the \"Noodnummer\" field.");
In_geval_van_nood.focus();
return false;
}
}
var Noodnummer = document.getElementById('Noodnummer');
if (!(Noodnummer.disabled || Noodnummer.style.display === 'none' || Noodnummer.style.visibility === 'hidden'))
{
regexp = /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f]*$/;
if (Noodnummer.value.length != 0 && !regexp.test(Noodnummer.value))
{
alert("Please enter only letter and whitespace characters in the \"In geval van nood naam\" field.");
Noodnummer.focus();
return false;
}
}
return true;
}
</script>
<script src="wwb17.min.js"></script>
<script>
$(document).ready(function()
{
$("#KDO").submit(function(event)
{
var isValid = $.validate.form(this);
return isValid;
});
LoadValue('ouderkeuzemenugeslacht', 'local', 2);
LoadValue('oudervoorlettersbox', 'local', 0);
LoadValue('oudervoornaambox', 'local', 0);
LoadValue('ouderachternaambox', 'local', 0);
LoadValue('oudergeboortedatumouder', 'local', 0);
LoadValue('ouderStraathuisnummerbox', 'local', 0);
LoadValue('Huisnummer', 'local', 0);
LoadValue('Postcode', 'local', 0);
LoadValue('Woonplaats', 'local', 0);
LoadValue('Email', 'local', 0);
LoadValue('burgelijkstaat', 'local', 2);
LoadValue('ouderbsn', 'local', 0);
LoadValue('Bankrekening', 'local', 0);
LoadValue('Ten_Name_Van', 'local', 0);
LoadValue('Telefoon_thuis', 'local', 0);
LoadValue('kindvoorletters', 'local', 0);
LoadValue('kindvoornaam', 'local', 0);
LoadValue('kindachternaam', 'local', 0);
LoadValue('kinggeboortedatum', 'local', 0);
LoadValue('kindgeslacht', 'local', 2);
LoadValue('kindBSN', 'local', 0);
LoadValue('In_geval_van_nood', 'local', 0);
LoadValue('Noodnummer', 'local', 0);
LoadValue('huisarts', 'local', 2);
LoadValue('Plaatsingsdatum', 'local', 0);
LoadValue('Editbox3', 'local', 0);
LoadValue('Editbox6', 'local', 0);
LoadValue('Editbox8', 'local', 0);
LoadValue('Editbox9', 'local', 0);
LoadValue('OPMERKINGEN', 'local', 0);
LoadValue('Editbox7', 'local', 0);
$("#KDO").submit(function(event)
{
StoreValue('ouderkeuzemenugeslacht', 'local', 2);
StoreValue('oudervoorlettersbox', 'local', 0);
StoreValue('oudervoornaambox', 'local', 0);
StoreValue('ouderachternaambox', 'local', 0);
StoreValue('oudergeboortedatumouder', 'local', 0);
StoreValue('ouderStraathuisnummerbox', 'local', 0);
StoreValue('Huisnummer', 'local', 0);
StoreValue('Postcode', 'local', 0);
StoreValue('Woonplaats', 'local', 0);
StoreValue('Email', 'local', 0);
StoreValue('burgelijkstaat', 'local', 2);
StoreValue('ouderbsn', 'local', 0);
StoreValue('Bankrekening', 'local', 0);
StoreValue('Ten_Name_Van', 'local', 0);
StoreValue('Telefoon_thuis', 'local', 0);
StoreValue('kindvoorletters', 'local', 0);
StoreValue('kindvoornaam', 'local', 0);
StoreValue('kindachternaam', 'local', 0);
StoreValue('kinggeboortedatum', 'local', 0);
StoreValue('kindgeslacht', 'local', 2);
StoreValue('kindBSN', 'local', 0);
StoreValue('In_geval_van_nood', 'local', 0);
StoreValue('Noodnummer', 'local', 0);
StoreValue('huisarts', 'local', 2);
StoreValue('Plaatsingsdatum', 'local', 0);
StoreValue('Editbox3', 'local', 0);
StoreValue('Editbox6', 'local', 0);
StoreValue('Editbox8', 'local', 0);
StoreValue('Editbox9', 'local', 0);
StoreValue('OPMERKINGEN', 'local', 0);
StoreValue('Editbox7', 'local', 0);
return true;
});
$("#ouderkeuzemenugeslacht").validate(
{
required: true,
type: 'select',
disallowfirstchoice: true,
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'none',
error_text: 'keuze maken'
});
$("#oudergeboortedatumouder").datepicker(
{
dateFormat: 'dd/mm/yy',
changeMonth: true,
changeYear: true,
showButtonPanel: false,
showAnim: 'show'
});
$("#oudergeboortedatumouder").datepicker("option", $.datepicker.regional['nl']);
$("#Postcode").validate(
{
required: true,
type: 'text',
length_min: '6',
length_max: '6',
match_id: 'Woonplaats',
match_text: 'Values must be identical',
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: false,
font_family: 'Arial',
font_size: '13px',
position: 'topleft',
offsetx: 0,
offsety: 0,
effect: 'none',
error_text: 'Geen geldige postcode 4 cijfers 2 letters'
});
$("#Email").validate(
{
required: true,
type: 'email',
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'slide',
error_text: 'geen geldig email adres'
});
$("#burgelijkstaat").validate(
{
required: true,
type: 'select',
disallowfirstchoice: true,
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'none',
error_text: 'keuze maken'
});
$("#ouderbsn").validate(
{
required: true,
type: 'number',
expr_min: '<=',
expr_max: '',
value_min: '999999999',
value_max: '',
length_min: '7',
length_max: '9',
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'none',
error_text: 'geen geldig BSN'
});
$("#Bankrekening").validate(
{
required: true,
type: 'custom',
param: /^[A-Za-zÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ0-9-]*$/,
length_min: '15',
length_max: '18',
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'none',
error_text: 'geen geldig Iban (zonder spaties)'
});
$("#Telefoon_thuis").validate(
{
required: false,
type: 'text',
length_min: '9',
length_max: '10',
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'fade',
error_text: 'Alleen cijfers invullen'
});
$("#kinggeboortedatum").datepicker(
{
dateFormat: 'dd/mm/yy',
changeMonth: true,
changeYear: true,
showButtonPanel: false,
showAnim: 'show'
});
$("#kinggeboortedatum").datepicker("option", $.datepicker.regional['nl']);
$("#kindgeslacht").validate(
{
required: true,
type: 'select',
disallowfirstchoice: true,
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'slide',
error_text: 'keuze maken'
});
$("#kindBSN").validate(
{
required: true,
type: 'number',
expr_min: '<=',
expr_max: '',
value_min: '999999999',
value_max: '',
length_min: '7',
length_max: '9',
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'none',
error_text: 'geen geldig BSN'
});
$("#huisarts").validate(
{
required: true,
type: 'select',
disallowfirstchoice: true,
color_text: '#000000',
color_hint: '#00FF00',
color_error: '#FF0000',
color_border: '#808080',
nohint: true,
font_family: 'Arial',
font_size: '13px',
position: 'centerright',
offsetx: 0,
offsety: 0,
bubble_class: 'tooltip',
effect: 'none',
error_text: 'keuze maken'
});
$("#Plaatsingsdatum").datepicker(
{
dateFormat: 'dd/mm/yy',
changeMonth: true,
changeYear: true,
showButtonPanel: false,
showAnim: 'show'
});
$("#Plaatsingsdatum").datepicker("setDate", "new Date()");
$("#Plaatsingsdatum").datepicker("option", $.datepicker.regional['nl']);
$("#print_form").button();
});
</script>
</head>
<body>
<div id="wb_KDO" style="position:absolute;left:277px;top:55px;width:711px;height:1309px;z-index:34;">
<form name="KDO" method="post" action="<?php echo basename(__FILE__); ?>" enctype="multipart/form-data" accept-charset="UTF-8" target="_blank" id="KDO" onsubmit="if(!submitKDO()) return false;mailto:
info@konijnenko.nl;return false;">
<input type="hidden" name="formid" value="kdo">
<select name="Geslacht" size="1" id="ouderkeuzemenugeslacht" style="position:absolute;left:256px;top:57px;width:151px;height:24px;z-index:0;" tabindex="1" autocomplete="off" title="Geslacht">
<option value="">Onbekend</option>
<option value="man">Man</option>
<option value="vrouw">Vrouw</option>
</select>
<input type="text" id="oudervoorlettersbox" style="position:absolute;left:255px;top:89px;width:146px;height:18px;z-index:1;" name="Voorletters" value="" tabindex="2" autocomplete="off" spellcheck="false" title="Voorletters">
<input type="text" id="oudervoornaambox" style="position:absolute;left:255px;top:118px;width:146px;height:18px;z-index:2;" name="Voornaam" value="" tabindex="3" autocomplete="off" spellcheck="false" title="Voornaam bv Karel">
<input type="text" id="ouderachternaambox" style="position:absolute;left:255px;top:147px;width:360px;height:18px;z-index:3;" name="Achternaam" value="" maxlength="20" tabindex="4" autocomplete="off" spellcheck="false" title="Achternaam">
<input type="text" id="oudergeboortedatumouder" style="position:absolute;left:255px;top:176px;width:146px;height:18px;z-index:4;" name="geboortedatum ouders" value="01/01/1980" tabindex="5" spellcheck="false">
<input type="text" id="ouderStraathuisnummerbox" style="position:absolute;left:255px;top:205px;width:293px;height:18px;z-index:5;" name="Straat" value="" maxlength="20" tabindex="6" autocomplete="off" spellcheck="false" title="Straat ">
<input type="text" id="Huisnummer" style="position:absolute;left:563px;top:205px;width:52px;height:18px;z-index:6;" name="Huisnummer" value="" maxlength="20" tabindex="7" autocomplete="off" spellcheck="false" title="Huisnummer">
<input type="text" id="Postcode" style="position:absolute;left:255px;top:236px;width:111px;height:18px;z-index:7;" name="Postcode" value="" tabindex="8" autocomplete="off" spellcheck="false" title="Postcode" placeholder="bv. 1234ab">
<input type="text" id="Woonplaats" style="position:absolute;left:406px;top:236px;width:207px;height:18px;z-index:8;" name="Woonplaats" value="" maxlength="15" tabindex="9" autocomplete="off" spellcheck="false" title="Postcode/woonplaats">
<input type="email" id="Email" style="position:absolute;left:255px;top:266px;width:360px;height:18px;z-index:9;" name="Email" value="" tabindex="10" autocomplete="off" spellcheck="false" title="email">
<select name="burgelijkestaat" size="1" id="burgelijkstaat" style="position:absolute;left:255px;top:296px;width:152px;height:24px;z-index:10;" tabindex="20" autocomplete="off" title="Burgelijkestaat">
<option value="">Onbekend</option>
<option value="alleenstaand">Alleenstaand</option>
<option value="gehuwd">Gehuwd</option>
<option value="gescheiden">Gescheiden</option>
<option value="weduwe">Weduwe/Weduwnaar</option>
<option value="samenwonend">Samenwonend</option>
<option value="partnerschap">Geregistreerd partnerschap</option>
<option value="notaris">Geregistreerd notariele akte</option>
<option value="co ouders">Co-ouderschap</option>
</select>
<input type="text" id="ouderbsn" style="position:absolute;left:255px;top:325px;width:146px;height:18px;z-index:11;" name="BSN ouder" value="" maxlength="9" tabindex="21" autocomplete="off" spellcheck="false" title="BSN">
<input type="text" id="Bankrekening" style="position:absolute;left:254px;top:355px;width:146px;height:18px;z-index:12;" name="Iban" value="" maxlength="18" tabindex="22" autocomplete="off" spellcheck="false" title="Iban">
<input type="text" id="Ten_Name_Van" style="position:absolute;left:255px;top:385px;width:360px;height:18px;z-index:13;" name="Ten name van" value="" maxlength="18" tabindex="23" autocomplete="off" spellcheck="false" title="Ten name van">
<input type="text" id="Telefoon_thuis" style="position:absolute;left:255px;top:414px;width:146px;height:18px;z-index:14;" name="Telefoon nummer" value="" maxlength="10" tabindex="24" autocomplete="off" spellcheck="false" title="Telefoon thuis">
<input type="text" id="kindvoorletters" style="position:absolute;left:256px;top:467px;width:146px;height:18px;z-index:15;" name="KindVoorletters" value="" tabindex="30" autocomplete="off" spellcheck="false" title="Voorletters">
<input type="text" id="kindvoornaam" style="position:absolute;left:256px;top:498px;width:146px;height:18px;z-index:16;" name="KindVoornaam" value="" tabindex="31" autocomplete="off" spellcheck="false" title="Voornaam">
<input type="text" id="kindachternaam" style="position:absolute;left:256px;top:530px;width:357px;height:18px;z-index:17;" name="KindAchternaam" value="" maxlength="20" tabindex="32" autocomplete="off" spellcheck="false" title="Achternaam">
<input type="text" id="kinggeboortedatum" style="position:absolute;left:256px;top:560px;width:146px;height:18px;z-index:18;" name="geboortedatum kind" value="01-01-2014" tabindex="33" spellcheck="false">
<select name="Geslacht kind" size="1" id="kindgeslacht" style="position:absolute;left:256px;top:591px;width:151px;height:24px;z-index:19;" tabindex="34" autocomplete="off" title="Geslacht">
<option value="">Onbekend</option>
<option value="jongen">Jongen</option>
<option value="meisje">Meisje</option>
</select>
<input type="number" id="kindBSN" style="position:absolute;left:256px;top:621px;width:146px;height:18px;z-index:20;" name="BSN kind" value="" maxlength="9" tabindex="35" autocomplete="off" spellcheck="false" title="BSN">
<input type="text" id="In_geval_van_nood" style="position:absolute;left:422px;top:651px;width:145px;height:18px;z-index:21;" name="Noodnummer" value="Nummer" maxlength="40" tabindex="40" autocomplete="off" spellcheck="false" title="noodnummer">
<input type="text" id="Noodnummer" style="position:absolute;left:255px;top:651px;width:145px;height:18px;z-index:22;" name="In geval van nood naam" value="Naam" maxlength="10" tabindex="41" autocomplete="off" spellcheck="false" title="noodnaam">
<select name="Huisarts" size="1" id="huisarts" style="position:absolute;left:255px;top:682px;width:152px;height:24px;z-index:23;" tabindex="42" autocomplete="off" title="Huisarts">
<option value="">Onbekend</option>
<option value="albers vorden">Albers en Tanis</option>
<option value="vries lochem">de Vries (lochem)</option>
<option value="vries diepenheim">de Vries (diepenheim)</option>
<option value="Meijer">Meijer</option>
<option value="Vos">Vos</option>
<option value="wijnheijmer">Wijnheijmer</option>
<option>de Jong</option>
<option value="Huijstee">Huijstee</option>
<option value="dalfsen">van Dalfsen</option>
<option value="hoogendoorn">Hoogendoorn</option>
<option value="schuffelen">van Schuffelen</option>
<option value="sportel">Sportel</option>
<option value="radstake">Radstake</option>
<option value="kok">Kok</option>
<option value="longh">de Longh</option>
<option value="Izci">Izci</option>
<option>Roelofsen en Peterse</option>
</select>
<input type="text" id="Plaatsingsdatum" style="position:absolute;left:255px;top:716px;width:146px;height:18px;z-index:24;" name="Plaatsingsdatum" value="07/10/2016" tabindex="43" spellcheck="false">
<input type="text" id="Editbox3" style="position:absolute;left:255px;top:798px;width:360px;height:18px;z-index:25;" name="4 uur tot 1245" value="Dag(en) invullen aub" tabindex="46" autocomplete="off" spellcheck="false">
<input type="text" id="Editbox6" style="position:absolute;left:255px;top:831px;width:360px;height:18px;z-index:26;" name="6 uur tot 1300" value="Dag(en) invullen aub" tabindex="49" autocomplete="off" spellcheck="false">
<input type="text" id="Editbox8" style="position:absolute;left:255px;top:897px;width:360px;height:18px;z-index:27;" name="8 uur tot 1500" value="Dag(en) invullen aub" tabindex="51" autocomplete="off" spellcheck="false">
<input type="text" id="Editbox9" style="position:absolute;left:255px;top:930px;width:360px;height:18px;z-index:28;" name="10 uur tot 1800" value="Dag(en) invullen aub" tabindex="52" autocomplete="off" spellcheck="false">
<textarea name="OPMERKINGEN" id="OPMERKINGEN" style="position:absolute;left:256px;top:985px;width:362px;height:188px;z-index:29;" rows="12" cols="43" tabindex="60" autocomplete="off" spellcheck="false" title="opmerkingen">
Opmerkingen/aanvullende informatie voor konijn & ko
bv. allergie/medicatie</textarea>
<input type="submit" id="Verzenden" name="" value="Verzenden" style="position:absolute;left:326px;top:1202px;width:96px;height:25px;z-index:30;" tabindex="90">
<div id="wb_Koptext_3-4_jarigen" style="position:absolute;left:168px;top:20px;width:386px;height:24px;z-index:31;">
<span style="color:#000000;font-family:'Arial Black';font-size:17px;"><strong>INSCHRIJFFORMULIER PEUTEROPVANG</strong></span></div>
<table style="position:absolute;left:68px;top:802px;width:188px;height:154px;z-index:32;" id="uren">
<tr>
<td class="cell0"><span style="color:#000000;"> 4 uur van</span></td>
<td class="cell1"><span style="color:#000000;"> 8.30-12.30</span></td>
</tr>
<tr>
<td class="cell0"><span style="color:#000000;"> 6 uur van</span></td>
<td class="cell1"><span style="color:#000000;"> 7.00-13.00</span></td>
</tr>
<tr>
<td class="cell0"><span style="color:#000000;"> 7 uur van</span></td>
<td class="cell1"><span style="color:#000000;"> 8.00-15.00</span></td>
</tr>
<tr>
<td class="cell0"><span style="color:#000000;"> 8 uur van</span></td>
<td class="cell1"><span style="color:#000000;"> 7.00-15.00</span></td>
</tr>
<tr>
<td class="cell2"><span style="color:#000000;">10 uur van</span></td>
<td class="cell3"><span style="color:#000000;">8.00-18.00</span></td>
</tr>
</table>
<input type="text" id="Editbox7" style="position:absolute;left:255px;top:864px;width:356px;height:18px;z-index:33;" name="7 uur tot 1500" value="Dag(en) invullen aub" tabindex="50" autocomplete="off" spellcheck="false">
</form>
</div>
<button type="button" id="print_form" onclick="window.print();return false;" name="print" value="Print Formulier" style="position:absolute;left:70px;top:270px;width:102px;height:33px;z-index:35;" tabindex="91">Print Formulier</button>
<div id="wb_Textregistratie" style="position:absolute;left:53px;top:335px;width:157px;height:126px;z-index:36;">
<span style="color:#000000;font-family:'Palatino Linotype';font-size:13px;"><strong><em>Registratienummer LRK<br><br>Kinderdagverblijf <br>(Peuters): 173574853<br></em></strong></span><span style="color:#FFFFFF;font-family:'Palatino Linotype';font-size:13px;"><strong><em><br></em></strong></span></div>
<div id="wb_Text_inschrijving_formulier" style="position:absolute;left:295px;top:85px;width:212px;height:1272px;z-index:37;">
<div style="position:absolute;left:0px;top:0px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:15px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><strong>Oudergegevens:</strong></span></div>
<div style="position:absolute;left:0px;top:30px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Geslacht:</span></div>
<div style="position:absolute;left:0px;top:45px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:60px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Voorletter(s):</span></div>
<div style="position:absolute;left:0px;top:74px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:89px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Voornaam:</span></div>
<div style="position:absolute;left:0px;top:104px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:119px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Achternaam: </span></div>
<div style="position:absolute;left:0px;top:134px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:149px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Geboortedatum:</span></div>
<div style="position:absolute;left:0px;top:164px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:179px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Straat en huisnummer:</span></div>
<div style="position:absolute;left:0px;top:194px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:209px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Postcode en Woonplaats:</span></div>
<div style="position:absolute;left:0px;top:223px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:238px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Email:</span></div>
<div style="position:absolute;left:0px;top:253px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:268px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Burgelijke staat:</span></div>
<div style="position:absolute;left:0px;top:283px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:298px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Burgerservice nr.:</span></div>
<div style="position:absolute;left:0px;top:313px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:328px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Bankrekening IBAN:</span></div>
<div style="position:absolute;left:0px;top:343px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:358px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Ten Name Van:</span></div>
<div style="position:absolute;left:0px;top:372px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:387px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Telefoon nummer:</span></div>
<div style="position:absolute;left:0px;top:402px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:417px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><strong><br></strong></span></div>
<div style="position:absolute;left:0px;top:432px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><strong>Kindgegevens:</strong></span></div>
<div style="position:absolute;left:0px;top:447px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Voorletters:</span></div>
<div style="position:absolute;left:0px;top:462px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:477px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Voornaam:</span></div>
<div style="position:absolute;left:0px;top:492px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:506px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Achternaam:</span></div>
<div style="position:absolute;left:0px;top:521px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:536px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Geboortedatum:</span></div>
<div style="position:absolute;left:0px;top:551px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:566px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Geslacht:</span></div>
<div style="position:absolute;left:0px;top:581px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:596px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Burgerservicenummer:</span></div>
<div style="position:absolute;left:0px;top:611px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:626px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">In geval van nood naam en tel.nr.:</span></div>
<div style="position:absolute;left:0px;top:641px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:655px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Huisarts:</span></div>
<div style="position:absolute;left:0px;top:670px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:685px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">Plaatsingsdatum</span></div>
<div style="position:absolute;left:0px;top:700px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:715px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;">:</span></div>
<div style="position:absolute;left:0px;top:730px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<div style="position:absolute;left:0px;top:745px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><strong><br></strong></span></div>
<div style="position:absolute;left:0px;top:760px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><strong>Dag(en): </strong></span></div>
<div style="position:absolute;left:0px;top:775px;width:212px;height:16px;"><span style="color:#000000;font-family:Arial;font-size:13px;"><br></span></div>
<picture id="wb_Picture1" style="position:absolute;left:53px;top:38px;width:132px;height:174px;z-index:38">
<img src="images/konijnlogometspiegelbeeld.PNG" loading="lazy" id="Picture1" alt="" title="logo" width="132" height="174">
</picture>
</body>
</html>