AANMELDEN
Als u meer informatie over onze dienstverlening wilt aanvragen of als u zich wilt aanmelden voor een van onze activiteiten,
dan kunt u ook onderstaand formulier invullen.
{"id":"11","label":"AANMELDEN","active":"1","original_id":"1","unique_id":"wefj2","params":{"enableForMembership":"0","tpl":{"width":"100","width_measure":"%","bg_type_0":"none","bg_img_0":"","bg_color_0":"#81d742","bg_type_1":"color","bg_img_1":"","bg_color_1":"#333333","bg_type_2":"color","bg_img_2":"","bg_color_2":"#ff963a","bg_type_3":"color","bg_img_3":"","bg_color_3":"#1957a8","field_error_invalid":"","form_sent_msg":"Dit formulier is succesvol verzonden, we nemen snel contact met u op!","form_sent_msg_color":"#005ad8","hide_on_submit":"1","redirect_on_submit":"","redirect_to_submitted":"1","email_form_data_as_tbl":"1","test_email":"dccanne@home.nl","save_contacts":"1","exp_delim":";","fb_convert_base":"","field_wrapper":"<div [field_shell_classes] [field_shell_styles]>[field]<\/div>"},"fields":[{"bs_class_id":"12","name":"Informatie","label":"IK WIL INFORMATIE OVER:","value":"","value_preset":"","html":"selectbox","mandatory":"1","label_delim":"","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"1","label":"Intakegesprek"},{"name":"2","label":"Rijvaardigheidsonderzoek"},{"name":"3","label":"Functiegeschiktheidsonderzoek"},{"name":"4","label":"Verkeersangst"},{"name":"5","label":"Rijangst"},{"name":"6","label":"Fobiebegeleiding"},{"name":"7","label":"Verkeersbegeleiding senioren"},{"name":"8","label":"Faalangst Rijbewijs-leerling"},{"name":"9","label":"Faalangst instructeur"},{"name":"10","label":"Traumabegeleiding"},{"name":"11","label":"Chauffeurshulp 24\/7"},{"name":"12","label":"Ongevalexpertise"},{"name":"13","label":"Coaching \/ Counselling"},{"name":"14","label":"Specialistische rijbegeleidingen"},{"name":"15","label":"Mediation"},{"name":"16","label":"Workshops"}]},{"bs_class_id":"12","name":"Aanhef","label":"Aanhef:","value":"","value_preset":"","html":"selectbox","mandatory":"1","label_delim":"","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"Dhr.","label":"Dhr."},{"name":"Mevr.","label":"Mevr."}]},{"bs_class_id":"6","name":"first_name","label":"","placeholder":"Voornaam:","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"last_name","label":"","placeholder":"Achternaam:","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Adres","label":"","placeholder":"Adres: Indien dit relevant is voor je verzoeksaanvraag.","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Postcode","label":"","placeholder":"Postcode: Indien dit relevant is voor je verzoeksaanvraag.","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"woonplaats","label":"","placeholder":"Woonplaats: Indien dit relevant is voor je verzoeksaanvraag.","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"telefoon","label":"","placeholder":"Telefoonnummer: Wil je dat wij telefonisch contact met je opnemen, voer dan hier je telefoonnr. in","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Email","label":"","placeholder":"Email-adres: Wil je dat wij per mail contact met je opnemen, voer dan hier je email adres in","value":"","value_preset":"","html":"email","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"message","label":"","placeholder":"OPMERKINGEN:","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Gegevens","label":"Met het verzenden van mijn gegevens geef ik toestemming om mijn gegevens te verwerken en ik heb in de privacyverklaring* gelezen wat RANED TRAUMA- &amp; HERSTEL-BEGELEIDINGS-INSTITUUT wel en niet met mijn gegevens doet.","value":"","value_preset":"","html":"checkbox","def_checked":"0","mandatory":"1","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Recap","label":"","html":"recaptcha","terms":"","recap-theme":"light","recap-type":"audio","recap-size":"normal"},{"bs_class_id":"6","name":"send","label":"VERSTUUR","html":"submit","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"reset","label":"Reset","html":"reset","add_classes":"","add_styles":"","add_attr":""}],"opts_attrs":{"bg_number":"4"}},"img_preview":"base-contact.jpg","views":"1353","unique_views":"1035","actions":"233","sort_order":"1","is_pro":"0","ab_id":"0","date_created":"2016-05-03 15:01:03","img_preview_url":"https:\/\/www.raned.nl\/wp-content\/plugins\/contact-form-by-supsystic\/assets\/forms\/img\/preview\/base-contact.jpg","view_id":"11_129533","view_html_id":"cspFormShell_11_129533","connect_hash":"1cce72ad6ee2058ffad6e5128dcea1ae"}
RANED TRAUMA- & HERSTEL-BEGELEIDINGS-INSTITUUT!
“VERANTWOORD OP WEG NAAR HERSTEL…”