{"id":28,"date":"2020-03-10T19:31:39","date_gmt":"2020-03-10T19:31:39","guid":{"rendered":"http:\/\/wielerrondeabbenbroek.nl\/?page_id=28"},"modified":"2026-07-24T08:15:01","modified_gmt":"2026-07-24T08:15:01","slug":"inschrijfformulier-koppeltijdrit-2023","status":"publish","type":"page","link":"http:\/\/wielerrondeabbenbroek.nl\/?page_id=28","title":{"rendered":"Inschrijfformulier Koppeltijdrit 2026"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"36cycling-koppeltijdrit-van-abbenbroek\"><strong>Restaurant De Beren Heenvliet koppeltijdrit<\/strong><\/h2>\n\n\n\n<p><strong>Dus wil je je team in je eigen stijl aankleden, neem dan een kijkje op www.36cycling.com. Als je in een gepersonaliseerd tijdritpak aan de start wilt verschijnen, informeer dan ook naar de speciale Abbenbroek-deal.<\/strong><\/p>\n\n\n\n<p>Het inschrijfgeld is:<br>Heren\/dames categorie 5 en 6 is \u20ac 30,00 per koppel.<br>Nieuwelingen en junioren jongens categorie 3 is \u20ac 30,00 per koppel. <br>Nieuwelingen en junioren meisjes categorie 4 is \u20ac 30,00 per koppel<br>Jongens en meisjes categorie 1 en 2 is dit \u20ac 17,50 per koppel<\/p>\n\n\n\n<p>Inschrijving uitsluitend via het inschrijfformulier van de website<br>Inschrijving is mogelijk tot en met vrijdagavond 25 september tot 20.00 uur<\/p>\n\n\n\n<p class=\"has-vivid-red-color has-text-color has-medium-font-size\"><strong>Inschrijfformulier voor Restaurant De Beren Heenvliet koppeltijdrit van Abbenbroek<\/strong><\/p>\n\n\n\n<p class=\"has-normal-font-size\"><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><form method=\"POST\" action=\"\" class=\"pt-checkout-form\" id=\"pt_checkout_form_1\" data-pt-id=\"1\" data-parsley-validate enctype=\"multipart\/form-data\" data-currency=\"EUR\"><noscript><div class=\"pt-form-alert\">Voor dit formulier is JavaScript nodig; activeer dit in de browser.<\/div><\/noscript>\n<p>    <div class=\"pt-form-group pt-form-group-1 pt-form-group-field-text\"><label for=\"pt-field-text\">Naam Deelnemer:<\/label><input type=\"text\" id=\"pt-field-text-1\" name=\"pt-field-text-1\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Naam Deelnemer\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-2 pt-form-group-field-date\"><label for=\"pt-field-date-2\">Geboortedatum Deelnemer:<\/label><input type=\"text\" id=\"pt-field-date-2\" name=\"pt-field-date-2\" class=\"pt-paytium-date\" data-pt-field-type=\"date\" data-pt-user-label=\"Geboortedatum Deelnemer\" autocomplete=\"off\"   placeholder=\"Example: 31-12-2026\" data-parsley-date data-parsley-errors-container=\"#parsley-errors-list-date-2\" \/><div id=\"parsley-errors-list-date-2\"><\/div><\/div>\n    <div class=\"pt-form-group pt-form-group-3 pt-form-group-field-radio\"><label for=\"pt-field-radio\">Geslacht Deelnemer:<\/label><div class=\"pt-radio-group\" data-pt-user-label=\"Geslacht Deelnemer\"><label title=\"Man\"><input type=\"radio\" id=\"pt-field-radio-3\" name=\"pt-field-radio-3\" class=\"pt-field pt-field-radio\" value=\"Man\" data-pt-field-type=\"radio\" data-pt-user-label=\"Geslacht Deelnemer\" data-pt-user-data=\"false\"  checked=\"checked\" ><span>Man<\/span><\/label><label title=\"Vrouw\"><input type=\"radio\" id=\"pt-field-radio-3\" name=\"pt-field-radio-3\" class=\"pt-field pt-field-radio\" value=\"Vrouw\" data-pt-field-type=\"radio\" data-pt-user-label=\"Geslacht Deelnemer\" data-pt-user-data=\"false\"   ><span>Vrouw<\/span><\/label><label title=\"Anders\"><input type=\"radio\" id=\"pt-field-radio-3\" name=\"pt-field-radio-3\" class=\"pt-field pt-field-radio\" value=\"Anders\" data-pt-field-type=\"radio\" data-pt-user-label=\"Geslacht Deelnemer\" data-pt-user-data=\"false\"   ><span>Anders<\/span><\/label><\/div><\/div>\n    <div class=\"pt-form-group pt-form-group-4 pt-form-group-field-text\"><label for=\"pt-field-text\">Straat + Huisnummer:<\/label><input type=\"text\" id=\"pt-field-text-4\" name=\"pt-field-text-4\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Straat + Huisnummer\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-5 pt-form-group-field-text\"><label for=\"pt-field-text\">Postcode:<\/label><input type=\"text\" id=\"pt-field-text-5\" name=\"pt-field-text-5\" autocomplete=\"postal-code\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Postcode\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-6 pt-form-group-field-text\"><label for=\"pt-field-text\">Woonplaats:<\/label><input type=\"text\" id=\"pt-field-text-6\" name=\"pt-field-text-6\" autocomplete=\"address-level2\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Woonplaats\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-7 pt-form-group-field-email\"><label for=\"pt-field-email\">E-mailadres:<\/label><input type=\"email\" id=\"pt-field-email-7\" name=\"pt-field-email-7\" autocomplete=\"email\" class=\"pt-field pt-field-email\" value=\"\" data-pt-field-type=\"email\" data-pt-user-label=\"E-mailadres\" data-pt-user-data=\"false\" data-pt-price=\"0\"       data-parsley-errors-container=\"#parsley-errors-list-email-7\"  \/><div id=\"parsley-errors-list-email-7\"><\/div><\/div>\n    <div class=\"pt-form-group pt-form-group-8 pt-form-group-field-text\"><label for=\"pt-field-text\">Telefoonnummer Deelnemer:<\/label><input type=\"text\" id=\"pt-field-text-8\" name=\"pt-field-text-8\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Telefoonnummer Deelnemer\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-9 pt-form-group-field-text\"><label for=\"pt-field-text\">Telefoonnummer ICE:<\/label><input type=\"text\" id=\"pt-field-text-9\" name=\"pt-field-text-9\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Telefoonnummer ICE\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n<p>    <div class=\"pt-form-group pt-form-group-10 pt-form-group-field-text\"><label for=\"pt-field-text\">Naam Gangmaker:<\/label><input type=\"text\" id=\"pt-field-text-10\" name=\"pt-field-text-10\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Naam Gangmaker\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-11 pt-form-group-field-date\"><label for=\"pt-field-date-11\">Geboortedatum Gangmaker:<\/label><input type=\"text\" id=\"pt-field-date-11\" name=\"pt-field-date-11\" class=\"pt-paytium-date\" data-pt-field-type=\"date\" data-pt-user-label=\"Geboortedatum Gangmaker\" autocomplete=\"off\"   placeholder=\"Example: 31-12-2026\" data-parsley-date data-parsley-errors-container=\"#parsley-errors-list-date-11\" \/><div id=\"parsley-errors-list-date-11\"><\/div><\/div>\n    <div class=\"pt-form-group pt-form-group-12 pt-form-group-field-radio\"><label for=\"pt-field-radio\">Geslacht Deelnemer:<\/label><div class=\"pt-radio-group\" data-pt-user-label=\"Geslacht Deelnemer\"><label title=\"Man\"><input type=\"radio\" id=\"pt-field-radio-12\" name=\"pt-field-radio-12\" class=\"pt-field pt-field-radio\" value=\"Man\" data-pt-field-type=\"radio\" data-pt-user-label=\"Geslacht Deelnemer\" data-pt-user-data=\"false\"  checked=\"checked\" ><span>Man<\/span><\/label><label title=\"Vrouw\"><input type=\"radio\" id=\"pt-field-radio-12\" name=\"pt-field-radio-12\" class=\"pt-field pt-field-radio\" value=\"Vrouw\" data-pt-field-type=\"radio\" data-pt-user-label=\"Geslacht Deelnemer\" data-pt-user-data=\"false\"   ><span>Vrouw<\/span><\/label><label title=\"Anders\"><input type=\"radio\" id=\"pt-field-radio-12\" name=\"pt-field-radio-12\" class=\"pt-field pt-field-radio\" value=\"Anders\" data-pt-field-type=\"radio\" data-pt-user-label=\"Geslacht Deelnemer\" data-pt-user-data=\"false\"   ><span>Anders<\/span><\/label><\/div><\/div>\n    <div class=\"pt-form-group pt-form-group-13 pt-form-group-field-text\"><label for=\"pt-field-text\">Adres Gangmaker:<\/label><input type=\"text\" id=\"pt-field-text-13\" name=\"pt-field-text-13\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Adres Gangmaker\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-14 pt-form-group-field-text\"><label for=\"pt-field-text\">Postcode Gangmaker:<\/label><input type=\"text\" id=\"pt-field-text-14\" name=\"pt-field-text-14\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Postcode Gangmaker\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-15 pt-form-group-field-text\"><label for=\"pt-field-text\">Woonplaats Gangmaker:<\/label><input type=\"text\" id=\"pt-field-text-15\" name=\"pt-field-text-15\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Woonplaats Gangmaker\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-16 pt-form-group-field-email\"><label for=\"pt-field-email\">E-mailadres Gangmaker:<\/label><input type=\"email\" id=\"pt-field-email-16\" name=\"pt-field-email-16\" autocomplete=\"email\" class=\"pt-field pt-field-email\" value=\"\" data-pt-field-type=\"email\" data-pt-user-label=\"E-mailadres Gangmaker\" data-pt-user-data=\"false\" data-pt-price=\"0\"       data-parsley-errors-container=\"#parsley-errors-list-email-16\"  \/><div id=\"parsley-errors-list-email-16\"><\/div><\/div>\n    <div class=\"pt-form-group pt-form-group-17 pt-form-group-field-text\"><label for=\"pt-field-text\">Telefoonnummer Gangmaker:<\/label><input type=\"text\" id=\"pt-field-text-17\" name=\"pt-field-text-17\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Telefoonnummer Gangmaker\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n    <div class=\"pt-form-group pt-form-group-18 pt-form-group-field-text\"><label for=\"pt-field-text\">Telefoonnummer ICE Gangmaker:<\/label><input type=\"text\" id=\"pt-field-text-18\" name=\"pt-field-text-18\" autocomplete=\"\" class=\"pt-field pt-field-text\" value=\"\" data-pt-field-type=\"text\" data-pt-user-label=\"Telefoonnummer ICE Gangmaker\" data-pt-user-data=\"false\" data-pt-price=\"0\"     \/><\/div>\n<p>    <div class=\"pt-form-group pt-form-group-19 pt-form-group-field-textarea\"><label for=\"pt-field-textarea\">Opmerkingen:<\/label><textarea id=\"pt-field-textarea-19\" name=\"pt-field-textarea-19\" class=\"pt-field pt-field-textarea\" value=\"\" data-pt-field-type=\"textarea\" data-pt-user-label=\"Opmerkingen\" data-pt-user-data=\"false\" data-pt-price=\"0\"     ><\/textarea><\/div>\n<div class=\"pt-form-group pt-form-group-20 pt-form-group-radio \"><label id=\"pt-cf-radio-label\">Kies je inschrijvingscategorie:<\/label><div class=\"pt-radio-group\" data-pt-user-label=\"Kies je inschrijvingscategorie\"><label title=\"30 voor Heren &amp; Dames (Geboren  2011 en eerder)\" ><input type=\"radio\" name=\"pt_items[20][amount]\" value=\"30\" data-pt-price=\"30\"  checked='checked' class=\"pt_items[20]_1 pt-cf-amount\" data-parsley-errors-container=\".pt-form-group\" ><span>\u20ac 30 voor Heren &amp; Dames (Geboren  2011 en eerder)<\/span><\/label><label title=\"17,50 voor Jongens &amp; Meisje (Geboren 2012 en later)\" ><input type=\"radio\" name=\"pt_items[20][amount]\" value=\"17.5\" data-pt-price=\"17.5\"  class=\"pt_items[20]_2 pt-cf-amount\" data-parsley-errors-container=\".pt-form-group\" ><span>\u20ac 17,50 voor Jongens &amp; Meisje (Geboren 2012 en later)<\/span><\/label><input type=\"hidden\" name=\"pt_items[20][label]\" value=\"Kies je inschrijvingscategorie\" data-pt-original-label=\"Kies je inschrijvingscategorie\"><input type=\"hidden\" name=\"pt_items[20][value]\" value=\"\"><input type=\"hidden\" name=\"pt_items[20][tax_percentage]\" value=\"21\"><input type=\"hidden\" name=\"pt_items[20][type]\" value=\"radio\"><\/div><\/div>\n    <div class=\"pt-form-group pt-form-group-21 pt-form-group-total-amount\">Totaal: <span class=\"pt-total-amount\">\u20ac -<\/span><\/div>\n<input type=\"hidden\" name=\"pt-name\" value=\"Inschrijfformulier\" \/><input type=\"hidden\" name=\"pt-description\" value=\"\" \/><input type=\"hidden\" name=\"pt-amount\" class=\"pt_amount\" value=\"\" \/><input type=\"hidden\" name=\"pt-currency\" class=\"pt_currency\" value=\"EUR\" \/><input type=\"hidden\" name=\"pt_redirect_url\" value=\"http:\/\/wielerrondeabbenbroek.nl\/?page_id=28\" \/><input type=\"hidden\" name=\"pt-form-load\" value=\"b0f6c2e38617dc1975409ab8bb385162\" \/><input type=\"hidden\" name=\"pt-form-id\" value=\"1\" \/><button class=\"pt-payment-btn paytium-button-el\"><span>Betalen<\/span><\/button><\/form>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Restaurant De Beren Heenvliet koppeltijdrit Dus wil je je team in je eigen stijl aankleden, neem dan een kijkje op www.36cycling.com. Als je in een gepersonaliseerd tijdritpak aan de start wilt verschijnen, informeer dan ook naar de speciale Abbenbroek-deal. Het inschrijfgeld is:Heren\/dames categorie 5 en 6 is \u20ac 30,00 per koppel.Nieuwelingen en junioren jongens categorie &hellip; <a href=\"http:\/\/wielerrondeabbenbroek.nl\/?page_id=28\" class=\"more-link\">Lees <span class=\"screen-reader-text\">&#8220;Inschrijfformulier Koppeltijdrit 2026&#8221;<\/span> verder<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-28","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=\/wp\/v2\/pages\/28","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=28"}],"version-history":[{"count":51,"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=\/wp\/v2\/pages\/28\/revisions"}],"predecessor-version":[{"id":1343,"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=\/wp\/v2\/pages\/28\/revisions\/1343"}],"wp:attachment":[{"href":"http:\/\/wielerrondeabbenbroek.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}