{"id":5235,"date":"2024-09-23T18:52:15","date_gmt":"2024-09-23T18:52:15","guid":{"rendered":"https:\/\/unvaccinator.com\/?page_id=5235"},"modified":"2024-09-24T15:58:52","modified_gmt":"2024-09-24T15:58:52","slug":"form","status":"publish","type":"page","link":"https:\/\/unvaccinator.com\/index.php\/form\/","title":{"rendered":"Form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload\" style=\"--link_hover_color: var(--awb-color5);--link_color: var(--awb-color5);--awb-border-color:var(--awb-color1);--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:9vw;--awb-padding-bottom:0px;--awb-padding-top-small:70px;--awb-padding-right-small:40px;--awb-padding-bottom-small:70px;--awb-padding-left-small:40px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-bottom-medium:80px;--awb-margin-bottom-small:60px;--awb-background-color:hsla(var(--awb-color5-h),var(--awb-color5-s),calc(var(--awb-color5-l) + 30%),var(--awb-color5-a));--awb-background-image:linear-gradient(152deg, var(--awb-color8) 0%,hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc( var(--awb-color8-a) - 85% )) 70%);;--awb-background-image-small:linear-gradient(152deg, var(--awb-color8) 0%,hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc( var(--awb-color8-a) - 85% )) 70%);;--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-bg=\"https:\/\/unvaccinator.com\/wp-content\/uploads\/2021\/11\/banner-12.jpg\" data-fusion-responsive-bg=\"1\" data-bg-small=\"https:\/\/unvaccinator.com\/wp-content\/uploads\/2023\/05\/hero-mobile.jpg\" data-bg-gradient=\"linear-gradient(152deg, var(--awb-color8) 0%,hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc( var(--awb-color8-a) - 85% )) 70%)\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:70px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h2 style=\"text-align: center;\"><span class=\"fusion-button-text\">Sign up and get a login<\/span><\/h2>\n<\/div><style id=\"wpforms-css-vars-5232\">\n\t\t\t\t#wpforms-5232 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-5232\"><form id=\"wpforms-form-5232\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"5232\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/5235\" data-token=\"342b301bdd12c61c74c8a6d0e0feefc1\" data-token-time=\"1776340904\"><noscript class=\"wpforms-error-noscript\">Schakel JavaScript in je browser in om dit formulier in te vullen.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Schakel JavaScript in je browser in om dit formulier in te vullen.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-5232-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <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-one-half\"><input type=\"text\" id=\"wpforms-5232-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-5232-field_1-error\" required><label for=\"wpforms-5232-field_1\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5232-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-5232-field_1-last-error\" required><label for=\"wpforms-5232-field_1-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-5232-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-5232-field_2\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-5232-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-5232-field_2-error\" required><\/div>\t\t<div id=\"wpforms-5232-field_4-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"4\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-5232-field_4\" >Message Name E-mail<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-5232-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-5232-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-5232-field_3\">Message<\/label><textarea id=\"wpforms-5232-field_3\" class=\"wpforms-field-large\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-5232-field_3-error\" ><\/textarea><\/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-5232-field_4-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-5232-field_4-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-5232-field_4-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"5232\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/pages\/5235\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-5232\" class=\"wpforms-submit\" data-alt-text=\"Bezig met verzenden...\" data-submit-text=\"Vraag login en paswoord\" aria-live=\"assertive\" value=\"wpforms-submit\">Vraag login en paswoord<\/button><img decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%2726%27%20height%3D%2726%27%20viewBox%3D%270%200%2026%2026%27%3E%3Crect%20width%3D%2726%27%20height%3D%2726%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/unvaccinator.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"lazyload wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Aan het laden\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t<\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-5235","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/pages\/5235","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/comments?post=5235"}],"version-history":[{"count":3,"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/pages\/5235\/revisions"}],"predecessor-version":[{"id":5257,"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/pages\/5235\/revisions\/5257"}],"wp:attachment":[{"href":"https:\/\/unvaccinator.com\/index.php\/wp-json\/wp\/v2\/media?parent=5235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}