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Volledige naam

Email*

Telefoonnummer*

Hoe heet de aanstaande mama?*

Wanneer is de aanstaande mama ongeveer uitgerekend?*

Hoeveel deelnemers verwacht je?*

Is de locatie al bekend? Zo ja, in welke stad?

Zijn er rituelen of tradities die je graag in de ceremonie zou willen terugzien?*

Kun je me vertellen wat jullie hopen te ervaren tijdens de ceremonie?*

Welke zwangerschapskwaaltjes zijn er momenteel en hoe kunnen we daar tijdens de ceremonie rekening mee houden?*

Verzenden

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Kort je antwoorden en probeer het opnieuw."); } else { _show_error("13", "Sorry, je inzending is mislukt. Probeer het opnieuw."); } submitButton.disabled = false; submitButton.classList.remove('processing'); } } head.appendChild(script); }; (function() { if (window.location.search.search("excludeform") !== -1) return false; var getCookie = function(name) { var match = document.cookie.match(new RegExp('(^|; )' + name + '=([^;]+)')); return match ? match[2] : null; } var setCookie = function(name, value) { var now = new Date(); var time = now.getTime(); var expireTime = time + 1000 * 60 * 60 * 24 * 365; now.setTime(expireTime); document.cookie = name + '=' + value + '; expires=' + now + ';path=/; Secure; SameSite=Lax;'; } var addEvent = function(element, event, func) { if (element.addEventListener) { element.addEventListener(event, func); } else { var oldFunc = element['on' + event]; element['on' + event] = function() { oldFunc.apply(this, arguments); func.apply(this, arguments); }; } } var _removed = false; var form_to_submit = document.getElementById('_form_13_'); var allInputs = form_to_submit.querySelectorAll('input, select, textarea'), tooltips = [], submitted = false; var getUrlParam = function(name) { if (name.toLowerCase() !== 'email') { var params = new URLSearchParams(window.location.search); return params.get(name) || false; } // email is a special case because a plus is valid in the email address var qString = window.location.search; if (!qString) { return false; } var parameters = qString.substr(1).split('&'); for (var i = 0; i < parameters.length; i++) { var parameter = parameters[i].split('='); if (parameter[0].toLowerCase() === 'email') { return parameter[1] === undefined ? true : decodeURIComponent(parameter[1]); } } return false; }; var acctDateFormat = "%d-%m-%Y"; var getNormalizedDate = function(date, acctFormat) { var decodedDate = decodeURIComponent(date); if (acctFormat && acctFormat.match(/(%d|%e).*%m/gi) !== null) { return decodedDate.replace(/(\d{2}).*(\d{2}).*(\d{4})/g, '$3-$2-$1'); } else if (Date.parse(decodedDate)) { var dateObj = new Date(decodedDate); var year = dateObj.getFullYear(); var month = dateObj.getMonth() + 1; var day = dateObj.getDate(); return `${year}-${month < 10 ? `0${month}` : month}-${day < 10 ? `0${day}` : day}`; } return false; }; var getNormalizedTime = function(time) { var hour, minutes; var decodedTime = decodeURIComponent(time); var timeParts = Array.from(decodedTime.matchAll(/(\d{1,2}):(\d{1,2})\W*([AaPp][Mm])?/gm))[0]; if (timeParts[3]) { // 12 hour format var isPM = timeParts[3].toLowerCase() === 'pm'; if (isPM) { hour = parseInt(timeParts[1]) === 12 ? '12' : `${parseInt(timeParts[1]) + 12}`; } else { hour = parseInt(timeParts[1]) === 12 ? '0' : timeParts[1]; } } else { // 24 hour format hour = timeParts[1]; } var normalizedHour = parseInt(hour) < 10 ? `0${parseInt(hour)}` : hour; var minutes = timeParts[2]; return `${normalizedHour}:${minutes}`; }; for (var i = 0; i < allInputs.length; i++) { var regexStr = "field\\[(\\d+)\\]"; var results = new RegExp(regexStr).exec(allInputs[i].name); if (results != undefined) { allInputs[i].dataset.name = allInputs[i].name.match(/\[time\]$/) ? `${window.cfields[results[1]]}_time` : window.cfields[results[1]]; } else { allInputs[i].dataset.name = allInputs[i].name; } var fieldVal = getUrlParam(allInputs[i].dataset.name); if (fieldVal) { if (allInputs[i].dataset.autofill === "false") { continue; } if (allInputs[i].type == "radio" || allInputs[i].type == "checkbox") { if (allInputs[i].value == fieldVal) { allInputs[i].checked = true; } } else if (allInputs[i].type == "date") { allInputs[i].value = getNormalizedDate(fieldVal, acctDateFormat); } else if (allInputs[i].type == "time") { allInputs[i].value = getNormalizedTime(fieldVal); } else { allInputs[i].value = fieldVal; } } } var remove_tooltips = function() { for (var i = 0; i < tooltips.length; i++) { tooltips[i].tip.parentNode.removeChild(tooltips[i].tip); } tooltips = []; }; var remove_tooltip = function(elem) { for (var i = 0; i < tooltips.length; i++) { if (tooltips[i].elem === elem) { tooltips[i].tip.parentNode.removeChild(tooltips[i].tip); tooltips.splice(i, 1); return; } } }; var create_tooltip = function(elem, text) { var tooltip = document.createElement('div'), arrow = document.createElement('div'), inner = document.createElement('div'), new_tooltip = {}; if (elem.type != 'radio' && elem.type != 'checkbox') { tooltip.className = '_error'; arrow.className = '_error-arrow'; inner.className = '_error-inner'; inner.innerHTML = text; tooltip.appendChild(arrow); tooltip.appendChild(inner); elem.parentNode.appendChild(tooltip); } else { tooltip.className = '_error-inner _no_arrow'; tooltip.innerHTML = text; elem.parentNode.insertBefore(tooltip, elem); new_tooltip.no_arrow = true; } new_tooltip.tip = tooltip; new_tooltip.elem = elem; tooltips.push(new_tooltip); return new_tooltip; }; var resize_tooltip = function(tooltip) { var rect = tooltip.elem.getBoundingClientRect(); var doc = document.documentElement, scrollPosition = rect.top - ((window.pageYOffset || doc.scrollTop) - (doc.clientTop || 0)); if (scrollPosition < 40) { tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _below'; } else { tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _above'; } }; var resize_tooltips = function() { if (_removed) return; for (var i = 0; i < tooltips.length; i++) { if (!tooltips[i].no_arrow) resize_tooltip(tooltips[i]); } }; var validate_field = function(elem, remove) { var tooltip = null, value = elem.value, no_error = true; remove ? remove_tooltip(elem) : false; if (elem.type != 'checkbox') elem.className = elem.className.replace(/ ?_has_error ?/g, ''); if (elem.getAttribute('required') !== null) { if (elem.type == 'radio' || (elem.type == 'checkbox' && /any/.test(elem.className))) { var elems = form_to_submit.elements[elem.name]; if (!(elems instanceof NodeList || elems instanceof HTMLCollection) || elems.length <= 1) { no_error = elem.checked; } else { no_error = false; for (var i = 0; i < elems.length; i++) { if (elems[i].checked) no_error = true; } } if (!no_error) { tooltip = create_tooltip(elem, "Maak a.u.b. een keuze"); } } else if (elem.type =='checkbox') { var elems = form_to_submit.elements[elem.name], found = false, err = []; no_error = true; for (var i = 0; i < elems.length; i++) { if (elems[i].getAttribute('required') === null) continue; if (!found && elems[i] !== elem) return true; found = true; elems[i].className = elems[i].className.replace(/ ?_has_error ?/g, ''); if (!elems[i].checked) { no_error = false; elems[i].className = elems[i].className + ' _has_error'; err.push("Afvinken van %s is vereist".replace("%s", elems[i].value)); } } if (!no_error) { tooltip = create_tooltip(elem, err.join('
')); } } else if (elem.tagName == 'SELECT') { var selected = true; if (elem.multiple) { selected = false; for (var i = 0; i < elem.options.length; i++) { if (elem.options[i].selected) { selected = true; break; } } } else { for (var i = 0; i < elem.options.length; i++) { if (elem.options[i].selected && (!elem.options[i].value || (elem.options[i].value.match(/\n/g))) ) { selected = false; } } } if (!selected) { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "Maak a.u.b. een keuze"); } } else if (value === undefined || value === null || value === '') { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "Dit veld is verplicht."); } } if (no_error && (elem.id == 'field[]' || elem.id == 'ca[11][v]')) { if (elem.className.includes('phone-input-error')) { elem.className = elem.className + ' _has_error'; no_error = false; } } if (no_error && elem.name == 'email') { if (!value.match(/^[\+_a-z0-9-'&=]+(\.[\+_a-z0-9-']+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,})$/i)) { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "Voer een geldig e-mailadres in."); } } if (no_error && /date_field/.test(elem.className)) { if (!value.match(/^\d\d\d\d-\d\d-\d\d$/)) { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "Voer een geldige datum in."); } } tooltip ? resize_tooltip(tooltip) : false; return no_error; }; var needs_validate = function(el) { if(el.getAttribute('required') !== null){ return true } if(el.name === 'email' && el.value !== ""){ return true } if((el.id == 'field[]' || el.id == 'ca[11][v]') && el.className.includes('phone-input-error')){ return true } return false }; var validate_form = function(e) { var err = form_to_submit.querySelector('._form_error'), no_error = true; if (!submitted) { submitted = true; for (var i = 0, len = allInputs.length; i < len; i++) { var input = allInputs[i]; if (needs_validate(input)) { if (input.type == 'tel') { addEvent(input, 'blur', function() { this.value = this.value.trim(); validate_field(this, true); }); } if (input.type == 'text' || input.type == 'number' || input.type == 'time') { addEvent(input, 'blur', function() { this.value = this.value.trim(); validate_field(this, true); }); addEvent(input, 'input', function() { validate_field(this, true); }); } else if (input.type == 'radio' || input.type == 'checkbox') { (function(el) { var radios = form_to_submit.elements[el.name]; for (var i = 0; i < radios.length; i++) { addEvent(radios[i], 'click', function() { validate_field(el, true); }); } })(input); } else if (input.tagName == 'SELECT') { addEvent(input, 'change', function() { validate_field(this, true); }); } else if (input.type == 'textarea'){ addEvent(input, 'input', function() { validate_field(this, true); }); } } } } remove_tooltips(); for (var i = 0, len = allInputs.length; i 31 && (charCode 57) && charCode !== 8) { e.preventDefault(); } }); }; var showPhoneInputError = function(inputId) { var errorMessage = document.getElementById("error-msg-" + inputId); var input = document.getElementById(inputId); errorMessage.classList.add("phone-error"); errorMessage.classList.remove("phone-error-hidden"); input.classList.add("phone-input-error"); }; var _form_serialize = function(form){if(!form||form.nodeName!=="FORM"){return }var i,j,q=[];for(i=0;i<form.elements.length;i++){if(form.elements[i].name===""){continue}switch(form.elements[i].nodeName){case"INPUT":switch(form.elements[i].type){case"tel":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].previousSibling.querySelector('div.iti__selected-dial-code').innerText)+encodeURIComponent(" ")+encodeURIComponent(form.elements[i].value));break;case"text":case"number":case"date":case"time":case"hidden":case"password":case"button":case"reset":case"submit":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value));break;case"checkbox":case"radio":if(form.elements[i].checked){q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value))}break;case"file":break}break;case"TEXTAREA":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value));break;case"SELECT":switch(form.elements[i].type){case"select-one":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value));break;case"select-multiple":for(j=0;j { formData.append(key, value); }); const response = await fetch('https://reizendeziel.activehosted.com/proc.php?jsonp=true', { headers: { "Accept": "application/json" }, body: formData, method: "POST" }); return response.json(); } if (formSupportsPost) { submitForm().then((data) => { eval(data.js); }); } else { _load_script('https://reizendeziel.activehosted.com/proc.php?' + serialized + '&jsonp=true', null, true); } } return false; }; addEvent(form_to_submit, 'submit', form_submit); })();