{"id":266,"date":"2026-07-31T13:53:12","date_gmt":"2026-07-31T11:53:12","guid":{"rendered":"https:\/\/new.rallyvanzuidlimburg.be\/?post_type=sureforms_form&#038;p=266"},"modified":"2026-08-07T12:26:45","modified_gmt":"2026-08-07T10:26:45","slug":"inschrijving-rally-van-zuid-limburg-2026","status":"publish","type":"sureforms_form","link":"https:\/\/www.rallyvanzuidlimburg.be\/fr\/form\/inschrijving-rally-van-zuid-limburg-2026\/","title":{"rendered":"Inschrijving Rally van Zuid-Limburg 2026"},"content":{"rendered":"<div data-block-id=\"ad4dbd77\" class=\"wp-block-uagb-advanced-heading uagb-block uagb-block-ad4dbd77 266\" >\n\t\t\t\t\t<h2 class=\"uagb-heading-text\">Pilote &amp; Copilote<\/h2>\t\t\t\t<\/div>\n\t\t\t\n\n\t\t\t<div data-block-id=\"46f1f5fb\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-46f1f5fb-block  srfm-block-width-50 srfm-slug-pnaam 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-46f1f5fb-lbl-TmFhbSBQaWxvb3Q\" for=\"srfm-input-46f1f5fb-lbl-TmFhbSBQaWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNom Pilote\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-46f1f5fb-lbl-TmFhbSBQaWxvb3Q-pnaam\" id=\"srfm-input-46f1f5fb-lbl-TmFhbSBQaWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-46f1f5fb'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-46f1f5fb\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"047efd09\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-047efd09-block  srfm-block-width-50 srfm-slug-cnaam 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-047efd09-lbl-TmFhbSBDb3BpbG9vdA\" for=\"srfm-input-047efd09-lbl-TmFhbSBDb3BpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNom copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-047efd09-lbl-TmFhbSBDb3BpbG9vdA-cnaam\" id=\"srfm-input-047efd09-lbl-TmFhbSBDb3BpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-047efd09'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-047efd09\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"7338c5c2\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-7338c5c2-block  srfm-block-width-50 srfm-slug-pvoornaam 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-7338c5c2-lbl-Vm9vcm5hYW0gUGlsb290\" for=\"srfm-input-7338c5c2-lbl-Vm9vcm5hYW0gUGlsb290\" class=\"srfm-block-label\">\n\t\t\t\t\t\tPr\u00e9nom Pilote\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-7338c5c2-lbl-Vm9vcm5hYW0gUGlsb290-pvoornaam\" id=\"srfm-input-7338c5c2-lbl-Vm9vcm5hYW0gUGlsb290\"\n\t\t\t\t\taria-describedby='srfm-error-7338c5c2'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-7338c5c2\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"260b643a\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-260b643a-block  srfm-block-width-50 srfm-slug-cvoornaam 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-260b643a-lbl-Vm9vcm5hYW0gQ29waWxvb3Q\" for=\"srfm-input-260b643a-lbl-Vm9vcm5hYW0gQ29waWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tPr\u00e9nom Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-260b643a-lbl-Vm9vcm5hYW0gQ29waWxvb3Q-cvoornaam\" id=\"srfm-input-260b643a-lbl-Vm9vcm5hYW0gQ29waWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-260b643a'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-260b643a\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"383e6ab8\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-383e6ab8-block  srfm-block-width-50 srfm-slug-pgeboortedatum 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-383e6ab8-lbl-R2Vib29ydGVkYXR1bSBQaWxvb3Q\" for=\"srfm-input-383e6ab8-lbl-R2Vib29ydGVkYXR1bSBQaWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tDate de naissance Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-383e6ab8-lbl-R2Vib29ydGVkYXR1bSBQaWxvb3Q-pgeboortedatum\" id=\"srfm-input-383e6ab8-lbl-R2Vib29ydGVkYXR1bSBQaWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-383e6ab8'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-383e6ab8\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"65aeff3c\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-65aeff3c-block  srfm-block-width-50 srfm-slug-cgeboortedatum 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-65aeff3c-lbl-R2Vib29ydGVkYXR1bSBDb3BpbG9vdA\" for=\"srfm-input-65aeff3c-lbl-R2Vib29ydGVkYXR1bSBDb3BpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tDate de naissance Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-65aeff3c-lbl-R2Vib29ydGVkYXR1bSBDb3BpbG9vdA-cgeboortedatum\" id=\"srfm-input-65aeff3c-lbl-R2Vib29ydGVkYXR1bSBDb3BpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-65aeff3c'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-65aeff3c\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"bdf32199\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-bdf32199-block  srfm-block-width-50 srfm-slug-pnationaliteit 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-bdf32199-lbl-TmF0aW9uYWxpdGVpdCBQaWxvb3Q\" for=\"srfm-input-bdf32199-lbl-TmF0aW9uYWxpdGVpdCBQaWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNationalit\u00e9 Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-bdf32199-lbl-TmF0aW9uYWxpdGVpdCBQaWxvb3Q-pnationaliteit\" id=\"srfm-input-bdf32199-lbl-TmF0aW9uYWxpdGVpdCBQaWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-bdf32199'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-bdf32199\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"10e2632b\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-10e2632b-block  srfm-block-width-50 srfm-slug-cnationaliteit 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-10e2632b-lbl-TmF0aW9uYWxpdGVpdCBDb3BpbG9vdA\" for=\"srfm-input-10e2632b-lbl-TmF0aW9uYWxpdGVpdCBDb3BpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNationalit\u00e9 Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-10e2632b-lbl-TmF0aW9uYWxpdGVpdCBDb3BpbG9vdA-cnationaliteit\" id=\"srfm-input-10e2632b-lbl-TmF0aW9uYWxpdGVpdCBDb3BpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-10e2632b'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-10e2632b\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"f2b4155c\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-f2b4155c-block  srfm-block-width-50 srfm-slug-padres1 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-f2b4155c-lbl-U3RyYWF0ICsgTnIgUGlsb290\" for=\"srfm-input-f2b4155c-lbl-U3RyYWF0ICsgTnIgUGlsb290\" class=\"srfm-block-label\">\n\t\t\t\t\t\tRue + N\u00b0 Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-f2b4155c-lbl-U3RyYWF0ICsgTnIgUGlsb290-padres1\" id=\"srfm-input-f2b4155c-lbl-U3RyYWF0ICsgTnIgUGlsb290\"\n\t\t\t\t\taria-describedby='srfm-error-f2b4155c'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-f2b4155c\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"21a4b859\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-21a4b859-block  srfm-block-width-50 srfm-slug-cadres1 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-21a4b859-lbl-U3RyYWF0ICsgTnIgQ29waWxvb3Q\" for=\"srfm-input-21a4b859-lbl-U3RyYWF0ICsgTnIgQ29waWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tRue + N\u00b0 Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-21a4b859-lbl-U3RyYWF0ICsgTnIgQ29waWxvb3Q-cadres1\" id=\"srfm-input-21a4b859-lbl-U3RyYWF0ICsgTnIgQ29waWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-21a4b859'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-21a4b859\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"8f9ffa0e\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-8f9ffa0e-block  srfm-block-width-50 srfm-slug-padres2 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-8f9ffa0e-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBQaWxvb3Q\" for=\"srfm-input-8f9ffa0e-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBQaWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tCode postal + Commune Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-8f9ffa0e-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBQaWxvb3Q-padres2\" id=\"srfm-input-8f9ffa0e-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBQaWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-8f9ffa0e'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-8f9ffa0e\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"82610014\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-82610014-block  srfm-block-width-50 srfm-slug-cadres2 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-82610014-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBDb3BpbG9vdA\" for=\"srfm-input-82610014-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBDb3BpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tCode postal + Commune Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-82610014-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBDb3BpbG9vdA-cadres2\" id=\"srfm-input-82610014-lbl-UG9zdGNvZGUgKyBHZW1lZW50ZSBDb3BpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-82610014'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-82610014\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"c6cf4ddb\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-c6cf4ddb-block  srfm-block-width-50 srfm-slug-pidentiteitskaart 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-c6cf4ddb-lbl-SWRlbnRpdGVpdHNrYWFydCBQaWxvb3Q\" for=\"srfm-input-c6cf4ddb-lbl-SWRlbnRpdGVpdHNrYWFydCBQaWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tCarte d'identit\u00e9 Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-c6cf4ddb-lbl-SWRlbnRpdGVpdHNrYWFydCBQaWxvb3Q-pidentiteitskaart\" id=\"srfm-input-c6cf4ddb-lbl-SWRlbnRpdGVpdHNrYWFydCBQaWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-c6cf4ddb'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-c6cf4ddb\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"bac15caf\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-bac15caf-block  srfm-block-width-50 srfm-slug-cidentiteitskaart 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-bac15caf-lbl-SWRlbnRpdGVpdHNrYWFydCBDb3BpbG9vdA\" for=\"srfm-input-bac15caf-lbl-SWRlbnRpdGVpdHNrYWFydCBDb3BpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tCarte d'identit\u00e9 Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-bac15caf-lbl-SWRlbnRpdGVpdHNrYWFydCBDb3BpbG9vdA-cidentiteitskaart\" id=\"srfm-input-bac15caf-lbl-SWRlbnRpdGVpdHNrYWFydCBDb3BpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-bac15caf'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-bac15caf\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"8d260431\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-8d260431-block  srfm-block-width-50 srfm-slug-ptelgsm 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-8d260431-lbl-R1NNIFBpbG9vdA\" for=\"srfm-input-8d260431-lbl-R1NNIFBpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tGSM Pilote\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-8d260431-lbl-R1NNIFBpbG9vdA-ptelgsm\" id=\"srfm-input-8d260431-lbl-R1NNIFBpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-8d260431'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-8d260431\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"e8c85cc9\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-e8c85cc9-block  srfm-block-width-50 srfm-slug-ctelgsm 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-e8c85cc9-lbl-R1NNIENvcGlsb290\" for=\"srfm-input-e8c85cc9-lbl-R1NNIENvcGlsb290\" class=\"srfm-block-label\">\n\t\t\t\t\t\tGSM Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-e8c85cc9-lbl-R1NNIENvcGlsb290-ctelgsm\" id=\"srfm-input-e8c85cc9-lbl-R1NNIENvcGlsb290\"\n\t\t\t\t\taria-describedby='srfm-error-e8c85cc9'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-e8c85cc9\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"70317410\" class=\"srfm-block-single srfm-block srfm-email-block srf-email-70317410-block  srfm-block-width-50 srfm-slug-pemail 266 srfm-email-block-wrap\">\n\t\t\t\t<div class=\"srfm-email-block srf-email-70317410-block\">\n\t\t\t\t\t\t\t\t\t\t<label id=\"srfm-label-70317410-lbl-RW1haWwgUGlsb290\" for=\"srfm-email-70317410-lbl-RW1haWwgUGlsb290\" class=\"srfm-block-label\">\n\t\t\t\t\t\tEmail Pilote\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t\t\t<input class=\"srfm-input-common srfm-input-email\" type=\"email\" name=\"srfm-email-70317410-lbl-RW1haWwgUGlsb290-pemail\" id=\"srfm-email-70317410-lbl-RW1haWwgUGlsb290\"\n\t\t\t\t\t\taria-describedby='srfm-error-70317410'\t\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" value=\"\"   \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-70317410\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"afbb4d6e\" class=\"srfm-block-single srfm-block srfm-email-block srf-email-afbb4d6e-block  srfm-block-width-50 srfm-slug-cemail 266 srfm-email-block-wrap\">\n\t\t\t\t<div class=\"srfm-email-block srf-email-afbb4d6e-block\">\n\t\t\t\t\t\t\t\t\t\t<label id=\"srfm-label-afbb4d6e-lbl-RW1haWwgQ29waWxvb3Q\" for=\"srfm-email-afbb4d6e-lbl-RW1haWwgQ29waWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tEmail Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t\t\t<input class=\"srfm-input-common srfm-input-email\" type=\"email\" name=\"srfm-email-afbb4d6e-lbl-RW1haWwgQ29waWxvb3Q-cemail\" id=\"srfm-email-afbb4d6e-lbl-RW1haWwgQ29waWxvb3Q\"\n\t\t\t\t\t\taria-describedby='srfm-error-afbb4d6e'\t\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" value=\"\"   \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-afbb4d6e\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"0ea14cdd\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-0ea14cdd-block  srfm-block-width-50 srfm-slug-pvergunning 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-0ea14cdd-lbl-VmVyZ3VubmluZyBQaWxvb3Q\" for=\"srfm-input-0ea14cdd-lbl-VmVyZ3VubmluZyBQaWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tLicence Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-0ea14cdd-lbl-VmVyZ3VubmluZyBQaWxvb3Q-pvergunning\" id=\"srfm-input-0ea14cdd-lbl-VmVyZ3VubmluZyBQaWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-0ea14cdd'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-0ea14cdd\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"a679b18d\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-a679b18d-block  srfm-block-width-50 srfm-slug-cvergunning 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-a679b18d-lbl-VmVyZ3VubmluZyBDb3BpbG9vdA\" for=\"srfm-input-a679b18d-lbl-VmVyZ3VubmluZyBDb3BpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tLicence Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-a679b18d-lbl-VmVyZ3VubmluZyBDb3BpbG9vdA-cvergunning\" id=\"srfm-input-a679b18d-lbl-VmVyZ3VubmluZyBDb3BpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-a679b18d'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-a679b18d\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"9f266e9f\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-9f266e9f-block  srfm-block-width-50 srfm-slug-prijbewijs 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-9f266e9f-lbl-UmlqYmV3aWpzIFBpbG9vdA\" for=\"srfm-input-9f266e9f-lbl-UmlqYmV3aWpzIFBpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\tPermis de conduire Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-9f266e9f-lbl-UmlqYmV3aWpzIFBpbG9vdA-prijbewijs\" id=\"srfm-input-9f266e9f-lbl-UmlqYmV3aWpzIFBpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-9f266e9f'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-9f266e9f\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"92babea7\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-92babea7-block  srfm-block-width-50 srfm-slug-crijbewijs 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-92babea7-lbl-UmlqYmV3aWpzIENvcGlsb290\" for=\"srfm-input-92babea7-lbl-UmlqYmV3aWpzIENvcGlsb290\" class=\"srfm-block-label\">\n\t\t\t\t\t\tPermis de conduire Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-92babea7-lbl-UmlqYmV3aWpzIENvcGlsb290-crijbewijs\" id=\"srfm-input-92babea7-lbl-UmlqYmV3aWpzIENvcGlsb290\"\n\t\t\t\t\taria-describedby='srfm-error-92babea7'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-92babea7\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"5f406df4\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-5f406df4-block  srfm-block-width-50 srfm-slug-pafgegeveninland 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-5f406df4-lbl-QWZnZWdldmVuIGluIGxhbmQgUGlsb290\" for=\"srfm-input-5f406df4-lbl-QWZnZWdldmVuIGluIGxhbmQgUGlsb290\" class=\"srfm-block-label\">\n\t\t\t\t\t\tPays de d\u00e9livrance Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-5f406df4-lbl-QWZnZWdldmVuIGluIGxhbmQgUGlsb290-pafgegeveninland\" id=\"srfm-input-5f406df4-lbl-QWZnZWdldmVuIGluIGxhbmQgUGlsb290\"\n\t\t\t\t\taria-describedby='srfm-error-5f406df4'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-5f406df4\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"cc6eb867\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-cc6eb867-block  srfm-block-width-50 srfm-slug-cafgegeveninland 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-cc6eb867-lbl-QWZnZWdldmVuIGluIGxhbmQgQ29waWxvb3Q\" for=\"srfm-input-cc6eb867-lbl-QWZnZWdldmVuIGluIGxhbmQgQ29waWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\tPays de d\u00e9livrance Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-cc6eb867-lbl-QWZnZWdldmVuIGluIGxhbmQgQ29waWxvb3Q-cafgegeveninland\" id=\"srfm-input-cc6eb867-lbl-QWZnZWdldmVuIGluIGxhbmQgQ29waWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-cc6eb867'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-cc6eb867\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"481228d0\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-481228d0-block  srfm-block-width-50 srfm-slug-prenstal 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-481228d0-lbl-UmVuc3RhbCBQaWxvb3Q\" for=\"srfm-input-481228d0-lbl-UmVuc3RhbCBQaWxvb3Q\" class=\"srfm-block-label\">\n\t\t\t\t\t\t\u00c9curie Pilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-481228d0-lbl-UmVuc3RhbCBQaWxvb3Q-prenstal\" id=\"srfm-input-481228d0-lbl-UmVuc3RhbCBQaWxvb3Q\"\n\t\t\t\t\taria-describedby='srfm-error-481228d0'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-481228d0\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"1a267466\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-1a267466-block  srfm-block-width-50 srfm-slug-crenstal 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-1a267466-lbl-UmVuc3RhbCBDb3BpbG9vdA\" for=\"srfm-input-1a267466-lbl-UmVuc3RhbCBDb3BpbG9vdA\" class=\"srfm-block-label\">\n\t\t\t\t\t\t\u00c9curie Copilote\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-1a267466-lbl-UmVuc3RhbCBDb3BpbG9vdA-crenstal\" id=\"srfm-input-1a267466-lbl-UmVuc3RhbCBDb3BpbG9vdA\"\n\t\t\t\t\taria-describedby='srfm-error-1a267466'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-1a267466\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t\t<div data-block-id=\"3bd00e73\" class=\"wp-block-uagb-advanced-heading uagb-block uagb-block-3bd00e73 266\" >\n\t\t\t\t\t<h2 class=\"uagb-heading-text\">V\u00e9hicule<\/h2>\t\t\t\t<\/div>\n\t\t\t\n\n\t\t\t<div data-block-id=\"45e0bca3\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-45e0bca3-block  srfm-block-width-100 srfm-slug-merk 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-45e0bca3-lbl-TWVyaw\" for=\"srfm-input-45e0bca3-lbl-TWVyaw\" class=\"srfm-block-label\">\n\t\t\t\t\t\tMarque\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-45e0bca3-lbl-TWVyaw-merk\" id=\"srfm-input-45e0bca3-lbl-TWVyaw\"\n\t\t\t\t\taria-describedby='srfm-error-45e0bca3'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-45e0bca3\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"beda9000\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-beda9000-block  srfm-block-width-100 srfm-slug-registratienr 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-beda9000-lbl-TnVtbWVycGxhYXQ\" for=\"srfm-input-beda9000-lbl-TnVtbWVycGxhYXQ\" class=\"srfm-block-label\">\n\t\t\t\t\t\tPlaque d'immatriculation\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-beda9000-lbl-TnVtbWVycGxhYXQ-registratienr\" id=\"srfm-input-beda9000-lbl-TnVtbWVycGxhYXQ\"\n\t\t\t\t\taria-describedby='srfm-error-beda9000'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-beda9000\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"642bd847\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-642bd847-block  srfm-block-width-100 srfm-slug-model 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-642bd847-lbl-TW9kZWw\" for=\"srfm-input-642bd847-lbl-TW9kZWw\" class=\"srfm-block-label\">\n\t\t\t\t\t\tMod\u00e8le\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-642bd847-lbl-TW9kZWw-model\" id=\"srfm-input-642bd847-lbl-TW9kZWw\"\n\t\t\t\t\taria-describedby='srfm-error-642bd847'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-642bd847\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"48646dce\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-48646dce-block  srfm-block-width-100 srfm-slug-cc 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-48646dce-lbl-Q0M\" for=\"srfm-input-48646dce-lbl-Q0M\" class=\"srfm-block-label\">\n\t\t\t\t\t\tCylindr\u00e9e (CC)\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-48646dce-lbl-Q0M-cc\" id=\"srfm-input-48646dce-lbl-Q0M\"\n\t\t\t\t\taria-describedby='srfm-error-48646dce'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-48646dce\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"5a469e2f\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-5a469e2f-block  srfm-block-width-100 srfm-slug-bouwjaar 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-5a469e2f-lbl-Qm91d2phYXI\" for=\"srfm-input-5a469e2f-lbl-Qm91d2phYXI\" class=\"srfm-block-label\">\n\t\t\t\t\t\tAnn\u00e9e de construction\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-5a469e2f-lbl-Qm91d2phYXI-bouwjaar\" id=\"srfm-input-5a469e2f-lbl-Qm91d2phYXI\"\n\t\t\t\t\taria-describedby='srfm-error-5a469e2f'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-5a469e2f\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"11dad9fb\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-11dad9fb-block  srfm-block-width-100 srfm-slug-chassisnr 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-11dad9fb-lbl-Q2hhc3Npc251bW1lcg\" for=\"srfm-input-11dad9fb-lbl-Q2hhc3Npc251bW1lcg\" class=\"srfm-block-label\">\n\t\t\t\t\t\tChassisnummer\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-11dad9fb-lbl-Q2hhc3Npc251bW1lcg-chassisnr\" id=\"srfm-input-11dad9fb-lbl-Q2hhc3Npc251bW1lcg\"\n\t\t\t\t\taria-describedby='srfm-error-11dad9fb'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-11dad9fb\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"e5a91b09\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-e5a91b09-block  srfm-block-width-100 srfm-slug-groepklasse 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-e5a91b09-lbl-R3JvZXAgb2YgS2xhc3Nl\" for=\"srfm-input-e5a91b09-lbl-R3JvZXAgb2YgS2xhc3Nl\" class=\"srfm-block-label\">\n\t\t\t\t\t\tGroep of Klasse\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-e5a91b09-lbl-R3JvZXAgb2YgS2xhc3Nl-groepklasse\" id=\"srfm-input-e5a91b09-lbl-R3JvZXAgb2YgS2xhc3Nl\"\n\t\t\t\t\taria-describedby='srfm-error-e5a91b09'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-e5a91b09\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"89831300\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-89831300-block  srfm-block-width-100 srfm-slug-motornr 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-89831300-lbl-TW90b3JudW1tZXI\" for=\"srfm-input-89831300-lbl-TW90b3JudW1tZXI\" class=\"srfm-block-label\">\n\t\t\t\t\t\tMotornummer\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-89831300-lbl-TW90b3JudW1tZXI-motornr\" id=\"srfm-input-89831300-lbl-TW90b3JudW1tZXI\"\n\t\t\t\t\taria-describedby='srfm-error-89831300'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-89831300\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"d1695bc1\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-d1695bc1-block  srfm-block-width-100 srfm-slug-homologatienr 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-d1695bc1-lbl-SG9tb2xvZ2F0aWVudW1tZXI\" for=\"srfm-input-d1695bc1-lbl-SG9tb2xvZ2F0aWVudW1tZXI\" class=\"srfm-block-label\">\n\t\t\t\t\t\tHomologatienummer\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-d1695bc1-lbl-SG9tb2xvZ2F0aWVudW1tZXI-homologatienr\" id=\"srfm-input-d1695bc1-lbl-SG9tb2xvZ2F0aWVudW1tZXI\"\n\t\t\t\t\taria-describedby='srfm-error-d1695bc1'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-d1695bc1\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"64488f9d\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-64488f9d-block  srfm-block-width-100 srfm-slug-hoofdkleur 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-64488f9d-lbl-SG9vZmRrbGV1cg\" for=\"srfm-input-64488f9d-lbl-SG9vZmRrbGV1cg\" class=\"srfm-block-label\">\n\t\t\t\t\t\tHoofdkleur\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-64488f9d-lbl-SG9vZmRrbGV1cg-hoofdkleur\" id=\"srfm-input-64488f9d-lbl-SG9vZmRrbGV1cg\"\n\t\t\t\t\taria-describedby='srfm-error-64488f9d'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-64488f9d\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"aab3c585\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-aab3c585-block  srfm-block-width-100 srfm-slug-landinschrijving 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-aab3c585-lbl-TGFuZCB2YW4gaW5zY2hyaWp2aW5n\" for=\"srfm-input-aab3c585-lbl-TGFuZCB2YW4gaW5zY2hyaWp2aW5n\" class=\"srfm-block-label\">\n\t\t\t\t\t\tLand van inschrijving\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-aab3c585-lbl-TGFuZCB2YW4gaW5zY2hyaWp2aW5n-landinschrijving\" id=\"srfm-input-aab3c585-lbl-TGFuZCB2YW4gaW5zY2hyaWp2aW5n\"\n\t\t\t\t\taria-describedby='srfm-error-aab3c585'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-aab3c585\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"7b41edba\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-7b41edba-block  srfm-block-width-100 srfm-slug-technischefichenr 266\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-7b41edba-lbl-VGVjaG5pc2NoZSBmaWNoZSBudW1tZXI\" for=\"srfm-input-7b41edba-lbl-VGVjaG5pc2NoZSBmaWNoZSBudW1tZXI\" class=\"srfm-block-label\">\n\t\t\t\t\t\tTechnische fiche nummer\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-7b41edba-lbl-VGVjaG5pc2NoZSBmaWNoZSBudW1tZXI-technischefichenr\" id=\"srfm-input-7b41edba-lbl-VGVjaG5pc2NoZSBmaWNoZSBudW1tZXI\"\n\t\t\t\t\taria-describedby='srfm-error-7b41edba'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-7b41edba\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t\t<div data-block-id=\"bfcf592e\" class=\"wp-block-uagb-advanced-heading uagb-block uagb-block-bfcf592e 266\" >\n\t\t\t\t\t<h2 class=\"uagb-heading-text\">Engagement<\/h2>\t\t\t\t<\/div>\n\t\t\t\n\n\t\t<div data-block-id=\"e3902b3c\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-e3902b3c-block  srfm-block-width-100 srfm-slug-publiinrichters 266 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-e3902b3c-lbl-QWFudmFhcmR0IHUgcHVibGljaXRlaXQgYWFuZ2Vib2RlbiBkb29yIGRlIGlucmljaHRlcnM\/-publiinrichters\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\tAcceptez-vous la publicit\u00e9 propos\u00e9e par les organisateurs ?\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-e3902b3c-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-e3902b3c\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tchecked\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-e3902b3c-0\" data-option-text=\"Ja\">Oui<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-e3902b3c-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-e3902b3c-1\" data-option-text=\"Nee\">Non<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-e3902b3c\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t\t\t<div data-block-id=\"dd00caa7\" class=\"wp-block-uagb-advanced-heading uagb-block uagb-block-dd00caa7 266\" >\n\t\t\t\t\t<h2 class=\"uagb-heading-text\">Droits d'inscription<\/h2>\t\t\t\t<\/div>\n\t\t\t\n\n\t\t<div data-block-id=\"fa6af5e4\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-fa6af5e4-block  srfm-block-width-100 srfm-slug-inschrijvingsrechten 266 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-fa6af5e4-lbl-SW5zY2hyaWp2aW5nc3JlY2h0ZW4-inschrijvingsrechten\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\tDroits d'inscription\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-fa6af5e4\">\n\t\t\t\t\t\tSluitingsdatum: 31\/10\/2026 23u59\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-fa6af5e4-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-fa6af5e4 srfm-description-fa6af5e4\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tchecked\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-fa6af5e4-0\" data-option-text=\"Met publiciteit - 650-EUR\">Met publiciteit &#8211; 650-EUR<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon 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class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-fa6af5e4-1\" data-option-text=\"Zonder publiciteit - 1300,-EUR\">Zonder publiciteit &#8211; 1300,-EUR<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-fa6af5e4\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t\t\t<div data-block-id=\"97efb9a0\" class=\"wp-block-uagb-advanced-heading uagb-block uagb-block-97efb9a0 266\" >\n\t\t\t\t\t<h2 class=\"uagb-heading-text\">Palmares<\/h2>\t\t\t\t<\/div>\n\t\t\t\n\n\t\t<div data-block-id=\"84fa2e57\" class=\"srfm-block-single srfm-block srfm-textarea-block srf-textarea-84fa2e57-block  srfm-block-width-100 266\">\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<textarea\n\t\t\t\t\tclass=\"srfm-input-common 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class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>","protected":false},"author":1,"template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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alt=\"\" aria-hidden=\"true\" \/><\/p><h2 style=\"text-align: center\">Thank you<\/h2><p style=\"text-align: center\">Your form has been submitted successfully. We&#039;ll review your details and get back to you soon.<\/p>\n\t\t","submission_action":"hide form","enable_query_params":false,"query_params":[]}]},"class_list":["post-266","sureforms_form","type-sureforms_form","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rallyvanzuidlimburg.be\/fr\/wp-json\/wp\/v2\/sureforms_form\/266","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rallyvanzuidlimburg.be\/fr\/wp-json\/wp\/v2\/sureforms_form"}],"about":[{"href":"https:\/\/www.rallyvanzuidlimburg.be\/fr\/wp-json\/wp\/v2\/types\/sureforms_form"}],"author":[{"embeddable":true,"href":"https:\/\/www.rallyvanzuidlimburg.be\/fr\/wp-json\/wp\/v2\/users\/1"}],"wp:attachment":[{"href":"https:\/\/www.rallyvanzuidlimburg.be\/fr\/wp-json\/wp\/v2\/media?parent=266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}