{"id":118,"date":"2026-10-02T14:49:14","date_gmt":"2026-10-02T14:49:14","guid":{"rendered":"https:\/\/samenthuismiddelburg.nl\/?page_id=118"},"modified":"2026-10-02T20:31:27","modified_gmt":"2026-10-02T20:31:27","slug":"inschrijfformulier","status":"publish","type":"page","link":"https:\/\/samenthuismiddelburg.nl\/index.php\/inschrijfformulier\/","title":{"rendered":"Aanmeldformulier"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">Doe mee met Samen Thuis \u2013 Middelburg<\/h3>\n\n\n<style id=\"wpforms-css-vars-92-block-14d58ec1-c401-4616-b6d7-2c006ba0bb9e\">\n\t\t\t\t#wpforms-92.wpforms-block-14d58ec1-c401-4616-b6d7-2c006ba0bb9e {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-container-quiz wpforms-container-save-resume wpforms-block wpforms-block-14d58ec1-c401-4616-b6d7-2c006ba0bb9e wpforms-render-modern\" id=\"wpforms-92\"><form id=\"wpforms-form-92\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"92\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/118\" data-token=\"7fc26ee8f129c4eefc9b449180319fcf\" data-token-time=\"1791071751\"><noscript class=\"wpforms-error-noscript\">Schakel JavaScript in uw browser in om dit formulier in te vullen.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Schakel JavaScript in uw browser in om dit formulier in te vullen.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-92-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Naam <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-92-field_9\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][9][first]\" aria-errormessage=\"wpforms-92-field_9-error\" required><label for=\"wpforms-92-field_9\" class=\"wpforms-field-sublabel after\">Eerste<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-92-field_9-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][9][middle]\" aria-errormessage=\"wpforms-92-field_9-middle-error\" ><label for=\"wpforms-92-field_9-middle\" class=\"wpforms-field-sublabel after\">Midden<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-92-field_9-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][9][last]\" aria-errormessage=\"wpforms-92-field_9-last-error\" required><label for=\"wpforms-92-field_9-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-92-field_10-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-92-field_10\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-92-field_10\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][10]\" spellcheck=\"false\" aria-errormessage=\"wpforms-92-field_10-error\" required><\/div><div id=\"wpforms-92-field_11-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Adres<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-92-field_11\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][11][address1]\" aria-errormessage=\"wpforms-92-field_11-error\" ><label for=\"wpforms-92-field_11\" class=\"wpforms-field-sublabel after\">Adresregel 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-92-field_11-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][11][city]\" aria-errormessage=\"wpforms-92-field_11-city-error\" ><label for=\"wpforms-92-field_11-city\" class=\"wpforms-field-sublabel after\">Stad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-92-field_11-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][11][state]\" aria-errormessage=\"wpforms-92-field_11-state-error\" ><label for=\"wpforms-92-field_11-state\" class=\"wpforms-field-sublabel after\">Staat \/ Provincie \/ Regio<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-92-field_11-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][11][postal]\" aria-errormessage=\"wpforms-92-field_11-postal-error\" ><label for=\"wpforms-92-field_11-postal\" class=\"wpforms-field-sublabel after\">Postcode<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-92-field_11-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][11][country]\" value=\"NL\" aria-errormessage=\"wpforms-92-field_11-country-error\" ><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albani\u00eb<\/option><option value=\"DZ\" >Algerije<\/option><option value=\"AS\" >Amerikaans Samoa<\/option><option value=\"VI\" >Amerikaanse Maagdeneilanden<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua en Barbuda<\/option><option value=\"AR\" >Argentini\u00eb<\/option><option value=\"AM\" >Armeni\u00eb<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australi\u00eb<\/option><option value=\"AZ\" >Azerbeidzjan<\/option><option value=\"BS\" >Bahama&#039;s<\/option><option value=\"BH\" >Bahrein<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgi\u00eb<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BI\" >Boeroendi<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Sint Eustatius en Saba<\/option><option value=\"BA\" >Bosni\u00eb en Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazili\u00eb<\/option><option value=\"IO\" >Brits Indische Oceaanterritorium<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgarije<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"KH\" >Cambodja<\/option><option value=\"CA\" >Canada<\/option><option value=\"CF\" >Centraal Afrikaanse Republiek<\/option><option value=\"CL\" >Chili<\/option><option value=\"CN\" >China<\/option><option value=\"CC\" >Cocos (Keeling) eilanden<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoren<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic van)<\/option><option value=\"CK\" >Cook eilanden<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curacao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"DK\" >Denemarken<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominicaanse Republiek<\/option><option value=\"DE\" >Duitsland<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypte<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatoriaal-Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estland<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopi\u00eb<\/option><option value=\"FO\" >Faero\u00ebr Eilanden<\/option><option value=\"FK\" >Falkland eilanden (Malvinas)<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >Frankrijk<\/option><option value=\"GF\" >Frans-Guyana<\/option><option value=\"PF\" >Frans-Polynesi\u00eb<\/option><option value=\"TF\" >Franse Zuidelijke Gebieden<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GR\" >Griekenland<\/option><option value=\"GL\" >Groenland<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinee-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard- en MacDonald Eilanden<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hongarije<\/option><option value=\"IS\" >IJsland<\/option><option value=\"IE\" >Ierland (Republiek van)<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesi\u00eb<\/option><option value=\"IQ\" >Irak<\/option><option value=\"IR\" >Iran (Islamitische Republiek van)<\/option><option value=\"IL\" >Isra\u00ebl<\/option><option value=\"IT\" >Itali\u00eb<\/option><option value=\"CI\" >Ivoorkust<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"YE\" >Jemen<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KY\" >Kaaiman Eilanden<\/option><option value=\"CV\" >Kaap Verdi\u00eb<\/option><option value=\"CM\" >Kameroen<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazachstan<\/option><option value=\"KE\" >Kenia<\/option><option value=\"CX\" >Kersteiland<\/option><option value=\"KG\" >Kirgizi\u00eb<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"UM\" >Kleine afgelegen eilanden van de verenigde staten<\/option><option value=\"KW\" >Koeweit<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"HR\" >Kroati\u00eb<\/option><option value=\"LA\" >Lao Democratische Volksrepubliek<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Letland<\/option><option value=\"LB\" >Libanon<\/option><option value=\"LR\" >Liberi\u00eb<\/option><option value=\"LY\" >Libi\u00eb<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Litouwen<\/option><option value=\"LU\" >Luxemburg<\/option><option value=\"VG\" >Maagdeneilanden (Britse)<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagaskar<\/option><option value=\"MV\" >Maladieven<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Maleisi\u00eb<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"IM\" >Man<\/option><option value=\"MA\" >Marokko<\/option><option value=\"MH\" >Marshall Eilanden<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritani\u00eb<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federale Staten van)<\/option><option value=\"MD\" >Moldavi\u00eb<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongoli\u00eb<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibi\u00eb<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NL\"  selected='selected'>Nederland<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NC\" >Nieuw Caledoni\u00eb<\/option><option value=\"NZ\" >Nieuw Zeeland<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"KP\" >Noord Korea (Democratische Volksrepubliek)<\/option><option value=\"MK\" >Noord Macedoni\u00eb (Republiek van)<\/option><option value=\"MP\" >Noordelijke Marianen<\/option><option value=\"NO\" >Noorwegen<\/option><option value=\"NF\" >Norfolk Eiland<\/option><option value=\"UA\" >Oekra\u00efne<\/option><option value=\"UZ\" >Oezbekistan<\/option><option value=\"OM\" >Oman<\/option><option value=\"TL\" >Oost-Timor<\/option><option value=\"AT\" >Oostenrijk<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippijnen<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Polen<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"RO\" >Roemeni\u00eb<\/option><option value=\"RW\" >Roewanda<\/option><option value=\"RU\" >Rusland<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"PM\" >Saint Pierre en Miquelon<\/option><option value=\"VC\" >Saint Vincent en de Grenadines<\/option><option value=\"SB\" >Salomon Eilanden<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao tom\u00e9 en principe<\/option><option value=\"SA\" >Saudi Arabi\u00eb<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Servi\u00eb<\/option><option value=\"SC\" >Seychellen<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"LC\" >Sint Lucia<\/option><option value=\"SH\" >Sint helena, ascension en tristan da cunha<\/option><option value=\"MF\" >Sint maarten (Franse deel)<\/option><option value=\"SX\" >Sint maarten (Nederlandse deel)<\/option><option value=\"SI\" >Sloveni\u00eb<\/option><option value=\"SK\" >Slowakije<\/option><option value=\"SD\" >Soedan<\/option><option value=\"SO\" >Somali\u00eb<\/option><option value=\"ES\" >Spanje<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"KN\" >St. Kitts en Nevis<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard en Jan Mayen<\/option><option value=\"SY\" >Syri\u00eb<\/option><option value=\"TJ\" >Tadzjikistan<\/option><option value=\"TW\" >Taiwan, china<\/option><option value=\"TZ\" >Tanzania (Verenigde Republiek van)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad en Tobago<\/option><option value=\"TD\" >Tsjaad<\/option><option value=\"CZ\" >Tsjechische Republiek<\/option><option value=\"TN\" >Tunesi\u00eb<\/option><option value=\"TR\" >Turkije<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks en Caicos Eilanden<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UG\" >Uganda<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vaticaanstad<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"AE\" >Verenigde Arabische Emiraten<\/option><option value=\"VN\" >Vi\u00ebtnam<\/option><option value=\"WF\" >Wallis en Futuna<\/option><option value=\"EH\" >West Sahara<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"ZA\" >Zuid Afrika<\/option><option value=\"GS\" >Zuid Georgi\u00eb en de Zuidelijke Sandwich Eilanden<\/option><option value=\"KR\" >Zuid Korea (Republiek van)<\/option><option value=\"SS\" >Zuid-Soedan<\/option><option value=\"SE\" >Zweden<\/option><option value=\"CH\" >Zwitserland<\/option><option value=\"AX\" >\u00c5land Eilanden<\/option><\/select><label for=\"wpforms-92-field_11-country\" class=\"wpforms-field-sublabel after\">Land<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-92-field_12-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-92-field_12\">Telefoon <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-92-field_12\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][12]\" aria-label=\"Telefoon\" aria-errormessage=\"wpforms-92-field_12-error\" required><\/div><div id=\"wpforms-92-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-92-field_15\">Hoe wil je je aanmelden?<\/label><select id=\"wpforms-92-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\"><option value=\"Als belangstellende - gratis en vrijblijvend\"  class=\"choice-1 depth-1\"  >Als belangstellende &#8211; gratis en vrijblijvend<\/option><option value=\"Als lid van de vereniging - \u20ac 24,00 per huishouden p\/j\"  class=\"choice-2 depth-1\"  >Als lid van de vereniging &#8211; \u20ac 24,00 per huishouden p\/j<\/option><\/select><div id=\"wpforms-92-field_15-description\" class=\"wpforms-field-description\">Klik op het pijltje en kies of je je wilt aanmelden als belangstellende of als lid van Samen Thuis \u2013 Middelburg.<\/div><\/div><div id=\"wpforms-92-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Jouw huishouden?<\/legend><ul id=\"wpforms-92-field_14\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_14_1\" name=\"wpforms[fields][14]\" value=\"Ik woon alleen\" aria-errormessage=\"wpforms-92-field_14_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_14_1\">Ik woon alleen<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_14_2\" name=\"wpforms[fields][14]\" value=\"Wij zijn met twee personen\" aria-errormessage=\"wpforms-92-field_14_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_14_2\">Wij zijn met twee personen<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_14_3\" name=\"wpforms[fields][14]\" value=\"Gezin met kind of kinderen\" aria-errormessage=\"wpforms-92-field_14_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_14_3\">Gezin met kind of kinderen<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_14_4\" name=\"wpforms[fields][14]\" value=\"Een andere instelling\" aria-errormessage=\"wpforms-92-field_14_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_14_4\">Een andere instelling<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-92-field_19-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-92-field_19\">Met hoeveel personen zou je mogelijk willen verhuizen<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-92-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" value=\"0\" aria-errormessage=\"wpforms-92-field_19-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Geselecteerde waarde: {value}\">\n\tGeselecteerde waarde: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-92-field_20-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">Wanneer zou je mogelijk willen verhuizen?<\/legend><ul id=\"wpforms-92-field_20\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_20_1\" name=\"wpforms[fields][20]\" value=\"Zodra er een passende mogelijkheid is\" aria-errormessage=\"wpforms-92-field_20_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_20_1\">Zodra er een passende mogelijkheid is<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_20_2\" name=\"wpforms[fields][20]\" value=\"Binnen 1 tot 3 jaar\" aria-errormessage=\"wpforms-92-field_20_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_20_2\">Binnen 1 tot 3 jaar<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_20_3\" name=\"wpforms[fields][20]\" value=\"Binnen 3 tot 5 jaar\" aria-errormessage=\"wpforms-92-field_20_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_20_3\">Binnen 3 tot 5 jaar<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_20_4\" name=\"wpforms[fields][20]\" value=\"Over meer dan 5 jaar\" aria-errormessage=\"wpforms-92-field_20_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_20_4\">Over meer dan 5 jaar<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_20_5\" name=\"wpforms[fields][20]\" value=\"Dat weet ik nog niet\" aria-errormessage=\"wpforms-92-field_20_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_20_5\">Dat weet ik nog niet<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-92-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Welke woonvorm spreekt je aan?<\/legend><ul id=\"wpforms-92-field_21\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_21_1\" name=\"wpforms[fields][21][]\" value=\"Een woning huren\" aria-errormessage=\"wpforms-92-field_21_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_21_1\">Een woning huren<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_21_2\" name=\"wpforms[fields][21][]\" value=\"Een eigen woning kopen\" aria-errormessage=\"wpforms-92-field_21_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_21_2\">Een eigen woning kopen<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_21_3\" name=\"wpforms[fields][21][]\" value=\"Co\u00f6peratief wonen\" aria-errormessage=\"wpforms-92-field_21_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_21_3\">Co\u00f6peratief wonen<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_21_4\" name=\"wpforms[fields][21][]\" value=\"Een combinatie van koop- en co\u00f6peratief wonen\" aria-errormessage=\"wpforms-92-field_21_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_21_4\">Een combinatie van koop- en co\u00f6peratief wonen<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_21_5\" name=\"wpforms[fields][21][]\" value=\"Ik sta open voor verschillende mogelijkheden\" aria-errormessage=\"wpforms-92-field_21_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_21_5\">Ik sta open voor verschillende mogelijkheden<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_21_6\" name=\"wpforms[fields][21][]\" value=\"Dat weet ik nog niet\" aria-errormessage=\"wpforms-92-field_21_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_21_6\">Dat weet ik nog niet<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-92-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-92-field_1\" >willen Met je<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-92-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-92-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Wat vind jij belangrijk<\/legend><ul id=\"wpforms-92-field_22\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_1\" name=\"wpforms[fields][22][]\" value=\"Een goede woonomgeving\" aria-errormessage=\"wpforms-92-field_22_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_1\">Een goede woonomgeving<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_2\" name=\"wpforms[fields][22][]\" value=\"Betaalbaar wonen\" aria-errormessage=\"wpforms-92-field_22_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_2\">Betaalbaar wonen<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_3\" name=\"wpforms[fields][22][]\" value=\"Duurzaam en energiezuinig wonen\" aria-errormessage=\"wpforms-92-field_22_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_3\">Duurzaam en energiezuinig wonen<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_4\" name=\"wpforms[fields][22][]\" value=\"Verschillende generaties bij elkaar\" aria-errormessage=\"wpforms-92-field_22_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_4\">Verschillende generaties bij elkaar<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_5\" name=\"wpforms[fields][22][]\" value=\"Goed contact met buren\" aria-errormessage=\"wpforms-92-field_22_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_5\">Goed contact met buren<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_6\" name=\"wpforms[fields][22][]\" value=\"Naar elkaar omkijken\" aria-errormessage=\"wpforms-92-field_22_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_6\">Naar elkaar omkijken<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_7\" name=\"wpforms[fields][22][]\" value=\"Ruimte voor kinderen\" aria-errormessage=\"wpforms-92-field_22_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_7\">Ruimte voor kinderen<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_8\" name=\"wpforms[fields][22][]\" value=\"Een gezamenlijke tuin of hof\" aria-errormessage=\"wpforms-92-field_22_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_8\">Een gezamenlijke tuin of hof<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_9\" name=\"wpforms[fields][22][]\" value=\"Een ontmoetingsruimte\" aria-errormessage=\"wpforms-92-field_22_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_9\">Een ontmoetingsruimte<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_10\" name=\"wpforms[fields][22][]\" value=\"Gedeelde voorzieningen\" aria-errormessage=\"wpforms-92-field_22_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_10\">Gedeelde voorzieningen<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_22_11\" name=\"wpforms[fields][22][]\" value=\"Zorg of ondersteuning dichtbij\" aria-errormessage=\"wpforms-92-field_22_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_22_11\">Zorg of ondersteuning dichtbij<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-92-field_23-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-92-field_23\">Anders namelijk<\/label><textarea id=\"wpforms-92-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-92-field_23-error\" ><\/textarea><\/div><div id=\"wpforms-92-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">Wil je actief bijdragen<\/legend><ul id=\"wpforms-92-field_24\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-92-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Ik wil mogelijk actief meedenken of deelnemen aan een werkgroep\" aria-errormessage=\"wpforms-92-field_24_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_24_1\">Ik wil mogelijk actief meedenken of deelnemen aan een werkgroep<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-92-field_26-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"26\"><fieldset><legend class=\"wpforms-field-label\">Privacy verklaring <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-92-field_26\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_26_1\" name=\"wpforms[fields][26]\" value=\"Ik ga akkoord met de privacy verklaring\" aria-errormessage=\"wpforms-92-field_26_1-error\" aria-describedby=\"wpforms-92-field_26-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_26_1\">Ik ga akkoord met de privacy verklaring<\/label><\/li><\/ul><div id=\"wpforms-92-field_26-description\" class=\"wpforms-field-description\">We gebruiken jouw gegevens om je aanmelding te verwerken, je woonwensen te registreren en je te informeren over Samen Thuis &#8211; Middelburg en mogelijke toekomstige woonprojecten.<\/div><\/fieldset><\/div><div id=\"wpforms-92-field_27-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"27\"><fieldset><legend class=\"wpforms-field-label\">Bevestiging voor nieuwe leden<\/legend><ul id=\"wpforms-92-field_27\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-92-field_27_1\" name=\"wpforms[fields][27]\" value=\"Ik meld mij aan als lid van Samen Thuis - Middelburg voor \u20ac 24,00 per huishouden p\/j.\" aria-errormessage=\"wpforms-92-field_27_1-error\" aria-describedby=\"wpforms-92-field_27-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-92-field_27_1\">Ik meld mij aan als lid van Samen Thuis &#8211; Middelburg voor \u20ac 24,00 per huishouden p\/j.<\/label><\/li><\/ul><div id=\"wpforms-92-field_27-description\" class=\"wpforms-field-description\">Ik weet dat het lidmaatschap geen recht op of voorrang bij een woning geeft.<\/div><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-92-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: 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data-submit-text=\"Indienen\" aria-live=\"assertive\" value=\"wpforms-submit\">Indienen<\/button><img decoding=\"async\" src=\"https:\/\/samenthuismiddelburg.nl\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Aan het laden\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>Doe mee met Samen Thuis \u2013 Middelburg<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-118","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/pages\/118","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/comments?post=118"}],"version-history":[{"count":5,"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/pages\/118\/revisions"}],"predecessor-version":[{"id":181,"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/pages\/118\/revisions\/181"}],"wp:attachment":[{"href":"https:\/\/samenthuismiddelburg.nl\/index.php\/wp-json\/wp\/v2\/media?parent=118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}